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Showing results for "event".

81. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. | PSNet
    psnet.ahrq.gov/issue/using-generic-analysis-method-analyze-sentinel-event-reports-across-hospitals-retrospective
    May 18, 2022 - Study Using the Generic Analysis Method to analyze sentinel event reports across … Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective … This study pooled sentinel event reports from 28 Dutch hospitals to identify common system-level contributing … Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective … human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event

82. What's the harm? Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists. | PSNet
    psnet.ahrq.gov/issue/whats-harm-results-active-surveillance-adverse-event-reporting-system-chiropractors-and
    December 23, 2020 - Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists … Voluntary adverse event reporting among chiropractors is an ongoing challenge . … physiotherapist office visits between October 2015 and December 2017, 21% reported experiencing an adverse event … Results of an active surveillance adverse event reporting system for chiropractors and physiotherapists

83. Communicating After Harm in Healthcare. | PSNet
    psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
    May 08, 2019 - It replaces the Institute's Guidelines for Informing the Media After an Adverse Event first published

84. Reflection on adverse event disclosure in the postsurgical hospital context. | PSNet
    psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
    August 20, 2018 - Commentary Reflection on adverse event disclosure in the postsurgical hospital context … Reflection on adverse event disclosure in the postsurgical hospital context. … Communication between surgeons and patients following an adverse event has received little attention … Reflection on adverse event disclosure in the postsurgical hospital context. … February 17, 2011 Managing the adverse event occurring during elective, ambulatory pediatric

85. Analysis of results from event investigations in industrial and patient safety contexts. | PSNet
    psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
    July 06, 2022 - Commentary Analysis of results from event investigations in industrial and patient … Analysis of results from event investigations in industrial and patient safety contexts. … This study reviewed three sets of event investigations (one from industrial companies and two from hospitals … Analysis of results from event investigations in industrial and patient safety contexts. … safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event

86. Overcoming human barriers to safety event reporting in radiology. | PSNet
    psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
    February 09, 2022 - Commentary Overcoming human barriers to safety event reporting in radiology. … Overcoming Human Barriers to Safety Event Reporting in Radiology. … Overcoming Human Barriers to Safety Event Reporting in Radiology. … February 9, 2022 Managing an acute adverse event in a radiology department.

87. Managing an acute adverse event in a radiology department. | PSNet
    psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
    June 14, 2011 - Commentary Managing an acute adverse event in a radiology department. … Managing an acute adverse event in a radiology department. … Managing an acute adverse event in a radiology department. … February 9, 2022 Overcoming human barriers to safety event reporting in radiology.

88. Questions and Answers on FDA's Adverse Event Reporting System (FAERS). | PSNet
    psnet.ahrq.gov/issue/questions-and-answers-fdas-adverse-event-reporting-system-faers
    January 13, 2021 - Fact Sheet/FAQs Questions and Answers on FDA's Adverse Event Reporting System (FAERS … Citation Text: Questions and Answers on FDA's Adverse Event Reporting System (FAERS). … quarterly reports and an interactive dashboard of medication-related incidents culled from FDA's Adverse Event … Cite Citation Citation Text: Questions and Answers on FDA's Adverse Event … January 25, 2018 MedWatch: The FDA Safety Information and Adverse Event Reporting Program

89. Medication event huddles: a tool for reducing adverse drug events. | PSNet
    psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
    December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. … Medication event huddles: a tool for reducing adverse drug events. … This article describes how a children's hospital implemented medication event huddles as a way of analyzing … leadership along with the unit's frontline staff, took place immediately after any clinical adverse drug event … Medication event huddles: a tool for reducing adverse drug events.

90. Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet
    psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
    August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting … Electronic approaches to making sense of the text in the adverse event reporting system. … Electronic approaches to making sense of the text in the adverse event reporting system. … used in daily workflow increases adverse event reporting by physicians. … with participation in adverse event reporting.

91. A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department. | PSNet
    psnet.ahrq.gov/issue/follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency-department
    March 25, 2025 - Sentinel Event Alerts A follow-up report on preventing suicide: focus on medical/ … Sentinel Event Alert. 2010;46(46):1-4. … Suicide among hospitalized patients remains an under-recognized never event , as it has ranked among … Sentinel Event Alert. 2010;46(46):1-4. … September 19, 2016 Inpatient suicide: preventing a common sentinel event.

92. Avoid punitive approach to your safety event reporting, | PSNet
    psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
    October 23, 2019 - Newspaper/Magazine Article Avoid punitive approach to your safety event reporting … , Citation Text: Avoid punitive approach to your safety event reporting, Cheney C. … Cite Citation Citation Text: Avoid punitive approach to your safety event … December 23, 2020 A narrative review of strategies to increase patient safety event reporting … September 16, 2020 When safety event reporting is seen as punitive: "I've been PSN-ed

93. Challenges and opportunities of patient safety event reporting. | PSNet
    psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
    June 23, 2021 - Commentary Challenges and opportunities of patient safety event reporting. … Challenges and opportunities of patient safety event reporting. … Challenges and opportunities of patient safety event reporting. … 23, 2017 A human factors and survey methodology-based design of a web-based adverse event

94. African American COVID-19 mortality: a sentinel event. | PSNet
    psnet.ahrq.gov/issue/african-american-covid-19-mortality-sentinel-event
    November 16, 2022 - Emerging Classic African American COVID-19 mortality: a sentinel event … African American COVID-19 mortality: a sentinel event. … African American COVID-19 mortality: a sentinel event.

95. Improving adverse drug event reporting by healthcare professionals. | PSNet
    psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals
    April 12, 2019 - Review Improving adverse drug event reporting by healthcare professionals. … Improving adverse drug event reporting by healthcare professionals. … Improving adverse drug event reporting by healthcare professionals.

96. Nurses' perspective on a serious adverse drug event. | PSNet
    psnet.ahrq.gov/issue/nurses-perspective-serious-adverse-drug-event
    August 29, 2007 - Commentary Nurses' perspective on a serious adverse drug event. … Nurses' perspective on a serious adverse drug event. Am J Health Syst Pharm. 1999;56(9):904-7. … Nurses' perspective on a serious adverse drug event. Am J Health Syst Pharm. 1999;56(9):904-7. … Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event … Intervention of pharmacist included in multidisciplinary team to reduce adverse drug event

97. The health implications of apologizing after an adverse event. | PSNet
    psnet.ahrq.gov/issue/health-implications-apologizing-after-adverse-event
    October 05, 2015 - Commentary The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … The health implications of apologizing after an adverse event. … Related Resources From the Same Author(s) Apologies following an adverse medical event

98. Preventing errors relating to commonly used anticoagulants. | PSNet
    psnet.ahrq.gov/issue/preventing-errors-relating-commonly-used-anticoagulants
    June 16, 2019 - Sentinel Event Alerts Preventing errors relating to commonly used anticoagulants. … Sentinel Event Alert. 2008;41(41):1-4. … Sentinel event alerts are intended to promote rapid implementation of patient safety strategies, and … Please see Sentinel event alert 61: Managing the risks of direct oral anticoagulants. … Sentinel Event Alert. 2008;41(41):1-4.

99. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet
    psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
    November 15, 2017 - Barriers and success factors to the implementation of a multi-site prospective adverse event … Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance … study examined leadership, clinician, and administrator perspectives on implementation of an adverse event … A trained clinical observer assessed triggers designed to indicate a possible adverse event in general … November 15, 2017 Study of a multisite prospective adverse event surveillance system.

100. Improvement of medication event interventions through use of an electronic database. | PSNet
     psnet.ahrq.gov/issue/improvement-medication-event-interventions-through-use-electronic-database
     December 19, 2014 - Study Improvement of medication event interventions through use of an electronic … Improvement of medication event interventions through use of an electronic database. … A medication event huddle team completed more intervention projects following the implementation of … Improvement of medication event interventions through use of an electronic database. … September 24, 2017 Medication event huddles: a tool for reducing adverse drug events.