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psnet.ahrq.gov/node/36013/psn-pdf
September 22, 2010 - A new safety event reporting system improves physician
reporting in the surgical intensive care unit … A new safety event reporting system improves physician reporting
in the surgical intensive care unit … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical- … reporting from physicians, a
group very involved in patient care but infrequently participating in the event … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit
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psnet.ahrq.gov/node/42486/psn-pdf
August 14, 2013 - An adverse event trigger tool in dentistry: a new
methodology for measuring harm in the dental office … An adverse event trigger tool in dentistry: a new methodology for
measuring harm in the dental office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office … https://psnet.ahrq.gov/issue/adverse-event-trigger-tool-dentistry-new-methodology-measuring-harm-dental-office
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psnet.ahrq.gov/node/38511/psn-pdf
March 25, 2009 - The High Costs of Weak Compliance With the New York
State Hospital Adverse Event Reporting and Tracking … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting … It observes trends of adverse event reporting, finds that New York City
hospitals report dramatically … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking … https://psnet.ahrq.gov/issue/high-costs-weak-compliance-new-york-state-hospital-adverse-event-reporting-and-tracking
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psnet.ahrq.gov/node/38108/psn-pdf
September 30, 2014 - No more blame & shame: developing event-reporting
systems may go a long way to reducing patient care … Developing event-reporting systems may
go a long way to reducing patient care errors in EMS. … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way- … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care … https://psnet.ahrq.gov/issue/no-more-blame-shame-developing-event-reporting-systems-may-go-long-way-reducing-patient-care
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psnet.ahrq.gov/node/37274/psn-pdf
December 23, 2011 - A simulation-based evaluation of methods to estimate the
impact of an adverse event on hospital length … A simulation-based evaluation of methods to estimate the impact of
an adverse event on hospital length … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay … https://psnet.ahrq.gov/issue/simulation-based-evaluation-methods-estimate-impact-adverse-event-hospital-length-stay
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psnet.ahrq.gov/node/43250/psn-pdf
December 01, 2016 - Adverse drug event–related emergency department visits
associated with complex chronic conditions. … Adverse drug event-related emergency department visits associated
with complex chronic conditions. … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions … https://psnet.ahrq.gov/issue/adverse-drug-event-related-emergency-department-visits-associated-complex-chronic-conditions
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psnet.ahrq.gov/node/39373/psn-pdf
March 17, 2010 - The impact of electronic medical records data sources on
an adverse drug event quality measure. … The impact of electronic medical records data sources on an adverse drug event
quality measure. … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure … https://psnet.ahrq.gov/issue/impact-electronic-medical-records-data-sources-adverse-drug-event-quality-measure
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psnet.ahrq.gov/node/39832/psn-pdf
September 08, 2010 - transplantation of three organs from an HIV-
positive donor: report of the analysis of an adverse event … Unintended transplantation of three organs from an HIV-positive
donor: report of the analysis of an adverse event … psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-
adverse-event … psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event … psnet.ahrq.gov/issue/unintended-transplantation-three-organs-hiv-positive-donor-report-analysis-adverse-event
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psnet.ahrq.gov/node/41205/psn-pdf
June 15, 2012 - Quality assessment of spontaneous triggered adverse
event reports received by the Food and Drug
Administration … Quality assessment of spontaneous triggered adverse event
reports received by the Food and Drug Administration … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received- … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
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psnet.ahrq.gov/node/42459/psn-pdf
July 31, 2013 - Improving adverse drug event detection in critically ill
patients through screening intensive care unit … Improving adverse drug event detection in critically ill
patients through screening intensive care unit … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through- … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive … https://psnet.ahrq.gov/issue/improving-adverse-drug-event-detection-critically-ill-patients-through-screening-intensive
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psnet.ahrq.gov/node/44772/psn-pdf
January 13, 2016 - Post event debriefs: a commitment to learning how to
better care for patients and staff. … Post Event Debriefs: A Commitment to Learning How to Better Care
for Patients and Staff. … https://psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff … structured format for communication to debrief and support a health
care team following an adverse event … https://psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
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psnet.ahrq.gov/node/42673/psn-pdf
October 30, 2013 - Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis … Clinical evaluation of the ADE scorecards as a decision
support tool for adverse drug event analysis … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and … https://psnet.ahrq.gov/issue/clinical-evaluation-ade-scorecards-decision-support-tool-adverse-drug-event-analysis-and
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psnet.ahrq.gov/node/39485/psn-pdf
November 23, 2016 - A human factors and survey methodology-based design
of a web-based adverse event reporting system for … A human factors and survey methodology-based design of a web-
based adverse event reporting system for … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-
event-reporting-system … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system … https://psnet.ahrq.gov/issue/human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system
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psnet.ahrq.gov/node/40049/psn-pdf
April 12, 2011 - Field test results of a new ambulatory care Medication
Error and Adverse Drug Event Reporting
System—MEADERS … Field test results of a new ambulatory care Medication Error and
Adverse Drug Event Reporting System … https://psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-
event-reporting … https://psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting … https://psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug-event-reporting
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psnet.ahrq.gov/node/46777/psn-pdf
January 24, 2018 - Safety analysis over time: seven major changes to
adverse event investigation. … Safety analysis over time: seven major changes to adverse event
investigation. … https://psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation … This commentary suggests that the early event analysis approaches have not achieved their potential. … https://psnet.ahrq.gov/issue/safety-analysis-over-time-seven-major-changes-adverse-event-investigation
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psnet.ahrq.gov/node/45810/psn-pdf
May 05, 2017 - Adverse event and error of unexpected life-threatening
events within 24h of emergency department admission … Adverse event and error of unexpected life-threatening events within
24hours of ED admission. … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h- … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department … https://psnet.ahrq.gov/issue/adverse-event-and-error-unexpected-life-threatening-events-within-24h-emergency-department
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psnet.ahrq.gov/node/44094/psn-pdf
November 03, 2015 - Intended and unintended effects of large-scale adverse
event disclosure: a controlled before-after analysis … Intended and unintended effects of large-scale adverse event
disclosure: a controlled before-after analysis … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-
controlled-after … Those patients exposed to a large-
scale adverse event during dental care were more likely to seek non-VA … https://psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
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psnet.ahrq.gov/node/39124/psn-pdf
February 18, 2011 - Adverse drug event rates in six community hospitals and
the potential impact of computerized physician … Adverse Drug Event Rates in Six Community Hospitals and the
Potential Impact of Computerized Physician … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact- … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician … https://psnet.ahrq.gov/issue/adverse-drug-event-rates-six-community-hospitals-and-potential-impact-computerized-physician
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psnet.ahrq.gov/node/45691/psn-pdf
January 11, 2017 - Qualitative study about the experiences of colleagues of
health professionals involved in an adverse event … Qualitative Study About the Experiences of Colleagues of Health
Professionals Involved in an Adverse Event … psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-
adverse-event … psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event … psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
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psnet.ahrq.gov/node/42992/psn-pdf
July 03, 2014 - Adverse drug event nonrecognition in emergency
departments: an exploratory study on factors related … Adverse drug event nonrecognition in emergency departments:
an exploratory study on factors related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-
study-factors-related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related … https://psnet.ahrq.gov/issue/adverse-drug-event-nonrecognition-emergency-departments-exploratory-study-factors-related