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Showing results for "event".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42149/psn-pdf
     December 23, 2016 - Sentinel event alert. 2013;(50):1-3. … This sentinel event alert describes how ignoring alarms can have fatal outcomes and recounts an intensive … The sentinel event database includes 98 alarm-related events (80 of which resulted in death) between … psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling https://psnet.ahrq.gov/issue/sentinel-event-alert … https://psnet.ahrq.gov/issue/alarm-fatigue-factor-2nd-death https://psnet.ahrq.gov/issue/sentinel-event

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38935/psn-pdf
     March 01, 2017 - December 23, 2016 Sentinel Event Alert. August 27, 2009;(43):1-3. … In this sentinel event alert, the Joint Commission calls for senior health care leaders to establish … Adherence to sentinel event alert recommendations is assessed as part of Joint Commission accreditation … This Sentinel Event Alert was retired in March 2017. … https://psnet.ahrq.gov/issue/leadership-committed-safety https://psnet.ahrq.gov/issue/sentinel-event-alert

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49734/psn-pdf
     May 01, 2015 - (pre-event, event, post-event) and the contributing agents of each phase (personal attribute, vector … Pre-Event The historic approach to preventing procedural errors in the emergency department (ED) has … Here, a clear opportunity for intra- event error recognition was lost. … In the case of CVC guidewire retention, post-event interventions center on early recognition. … to post-event continuum.

424. CARe Forum | PSNet
     psnet.ahrq.gov/training-catalog/care-forum
     Organization Betsy Lehman Center for Patient Safety Event … Description: The annual CARe Forum is a highly interactive event with case simulations and testimonials … Event Location: Online Date: On Demand Event Fee: Free CE or CME Offered?

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40795/psn-pdf
     March 04, 2015 - Patient safety event reporting in a large radiology department. … Patient Safety Event Reporting in a Large Radiology Department. … https://psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department This commentary … https://psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department https://psnet.ahrq.gov

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41301/psn-pdf
     April 18, 2012 - Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports … Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports … //psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory- event-reports … https://psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports … https://psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40839/psn-pdf
     December 30, 2014 - How event reporting by US hospitals has changed from 2005 to 2009. … How event reporting by US hospitals has changed from 2005 to 2009. … https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009 All hospitals are … https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009 https://psnet.ahrq.gov … /primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37971/psn-pdf
     April 21, 2011 - Managing an acute adverse event in a radiology department. … Managing an acute adverse event in a radiology department. … https://psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department This article describes … https://psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37616/psn-pdf
     November 29, 2009 - 2007 Guide to State Adverse Event Reporting Systems. November 29, 2009 Rosenthal J, Takach M. … https://psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems Highlighting the large … increase in state adverse event reporting systems, this report finds that states are concentrating … https://psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems https://psnet.ahrq.gov/

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42769/psn-pdf
     November 27, 2013 - Sepsis: recognizing the next event. November 27, 2013 Kilburn FL, Bailey P, Price D. … Sepsis: recognizing the next event. Nursing (Brux). 2013;43(10):14-6. … https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event This commentary describes the development … https://psnet.ahrq.gov/issue/sepsis-recognizing-next-event https://psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37642/psn-pdf
     March 26, 2008 - Medication, allergy, and adverse drug event discrepancies in ambulatory care. … Medication, allergy, and adverse drug event discrepancies in ambulatory care. … https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care … https://psnet.ahrq.gov/issue/medication-allergy-and-adverse-drug-event-discrepancies-ambulatory-care

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38074/psn-pdf
     June 04, 2018 - Questions and Answers on FDA's Adverse Event Reporting System (FAERS). … https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers This FAQ … quarterly reports and an interactive dashboard of medication-related incidents culled from FDA's Adverse Event … https://psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40518/psn-pdf
     June 15, 2011 - Consensus building for development of outpatient adverse drug event triggers. … Consensus building for development of outpatient adverse drug event triggers. … https://psnet.ahrq.gov/issue/consensus-building-development-outpatient-adverse-drug-event-triggers An … https://psnet.ahrq.gov/issue/consensus-building-development-outpatient-adverse-drug-event-triggers https

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40979/psn-pdf
     June 01, 2012 - The sensitivity of adverse event cost estimates to diagnostic coding error. … The sensitivity of adverse event cost estimates to diagnostic coding error. … https://psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error This study … https://psnet.ahrq.gov/issue/sensitivity-adverse-event-cost-estimates-diagnostic-coding-error https:/

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39357/psn-pdf
     June 27, 2011 - The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … https://psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event Drawing on literature … https://psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event https://psnet.ahrq.gov

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42882/psn-pdf
     November 23, 2016 - Structuring patient and family involvement in medical error event disclosure and analysis. … Structuring patient and family involvement in medical error event disclosure and analysis. … https://psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and … https://psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis … https://psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39477/psn-pdf
     April 28, 2010 - Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. … Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals. … https://psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes- community-hospitals … https://psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals … https://psnet.ahrq.gov/issue/effects-adverse-drug-event-alert-system-cost-and-quality-outcomes-community-hospitals

438. IPSSW2022 | PSNet
     psnet.ahrq.gov/training-catalog/ipssw2022
     Organization International Pediatric Simulation Society (IPSS) Event … Event Location: In Person: St. … Petersburg, FL Date: June 10-13, 2022 Event Fee: Fee Associated CE or CME Offered? … Weblink: Weblink https://ipss.wildapricot.org/event-4656601

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35368/psn-pdf
     July 20, 2009 - Adverse event reporting: lessons learned from 4 years of Florida office data. … Adverse event reporting: lessons learned from 4 years of Florida office data. … https://psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data The … https://psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36157/psn-pdf
     September 29, 2010 - Adverse drug event reporting in intensive care units: a survey of current practices. … Adverse drug event reporting in intensive care units: a survey of current practices. … https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-intensive-care-units-survey-current-practices … https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-intensive-care-units-survey-current-practices