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Total Results: over 10,000 records

Showing results for "event".

9601. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. | PSNet
      psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
      January 02, 2017 - Study Classic Incidence and characteristics of potential and actual retained foreign object events in surgical patients. Citation Text: Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object event…

9602. Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. | PSNet
      psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
      November 28, 2018 - Study Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. Citation Text: Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…

9603. What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet
      psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
      August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

9604. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33735/psn-pdf
      August 01, 2012 - Medication Safety in Nursing Homes: What's Wrong and How to Fix It August 1, 2012 Gurwitz JH. Medication Safety in Nursing Homes: What's Wrong and How to Fix It. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it Perspective At any point in time, …

9605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49808/psn-pdf
      October 01, 2017 - High-Risk Medications, High-Risk Transfers October 1, 2017 Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted …

9606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41030/psn-pdf
      March 04, 2015 - A systematic review to evaluate the accuracy of electronic adverse drug event detection. … A systematic review to evaluate the accuracy of electronic adverse drug event detection. … https://psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection … https://psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection

9607. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39673/psn-pdf
      December 21, 2014 - Effect of hospital follow-up appointment on clinical event outcomes and mortality. … Effect of hospital follow-up appointment on clinical event outcomes and mortality. … https://psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality … https://psnet.ahrq.gov/issue/effect-hospital-follow-appointment-clinical-event-outcomes-and-mortality

9608. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37447/psn-pdf
      January 09, 2008 - No pay for "never event" errors becoming standard. January 9, 2008 O'Reilly KB. … https://psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard This article discusses the … https://psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard https://psnet.ahrq.gov/issue

9609. Webinar Series | PSNet
      psnet.ahrq.gov/training-catalog/webinar-series-0
      Organization American Medical Association (AMA) Event … Event Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered?

9610. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43254/psn-pdf
      May 01, 2015 - a 7-year period, this study found that nearly 1 in 5 older adults experienced at least one adverse event … Patients who experienced an adverse medical event had much higher mortality rates, though it should … Medicare expenditures increased sharply during an adverse medical event episode and remained high following … the event.

9611. SafetyLeaders Home | PSNet
      psnet.ahrq.gov/training-catalog/safetyleaders-home
      Organization: Organization SafetyLeaders Event … Event Location: Online Date: On demand Event Fee: Free CE or CME Offered?

9612. Monthly Webinars | PSNet
      psnet.ahrq.gov/training-catalog/monthly-webinars
      Organization: Organization Quality Reporting Center Event … Event Location: Online Date: On demand Event Fee: Free CE or CME Offered?

9613. Armstrong Institute Training Catalog | PSNet
      psnet.ahrq.gov/training-catalog/armstrong-institute-training-catalog
      Johns Hopkins Armstrong Institute for Patient Safety and Quality Event … Description: Collection of patient safety training modules Event Location: Online Date: … On demand Event Fee: Fee Associated CE or CME Offered?

9614. Webinar Series | PSNet
      psnet.ahrq.gov/training-catalog/webinar-series-3
      Organization: Organization Hospital Quality Institute Event … Event Location: Online Date: On demand Event Fee: Free CE or CME Offered?

9615. Webinar Series | PSNet
      psnet.ahrq.gov/training-catalog/webinar-series
      Organization: Organization Patient Safety Authority Event … Event Location: Online Date: Various dates Event Fee: Free CE or CME Offered?

9616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38308/psn-pdf
      April 21, 2010 - Adverse-event-reporting practices by US hospitals: results of a national survey. … Adverse-event-reporting practices by US hospitals: results of a national survey. … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey https

9617. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40038/psn-pdf
      December 23, 2016 - Sentinel Event Alert. 2010;46(46):1-4. … follow-report-preventing-suicide-focus-medicalsurgical-units-and-emergency- department Suicide among hospitalized patients remains an under-recognized never event … This Sentinel Event Alert reviews risk factors for inpatient suicide and delineates prevention strategies … never-events https://psnet.ahrq.gov/issue/suicide-medical-setting https://psnet.ahrq.gov/issue/sentinel-event-alert

9618. ASHP Learning Center | PSNet
      psnet.ahrq.gov/training-catalog/ashp-learning-center
      Organization American Society for Health-System Pharmacists (ASHP) Event … Event Location: Online Date: On demand Event Fee: Fee Associated (for some) CE or CME Offered

9619. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39736/psn-pdf
      April 03, 2017 - Risk and Event Assessment. April 3, 2017 Jt Comm J Qual Patient Saf. 2010;36:348-385. … https://psnet.ahrq.gov/issue/risk-and-event-assessment This issue contains several articles dedicated … https://psnet.ahrq.gov/issue/risk-and-event-assessment https://psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its

9620. Pharmacy Education Opportunities | PSNet
      psnet.ahrq.gov/training-catalog/pharmacy-education-opportunities
      Organization National Community Pharmacists Association (NCPA) Event … Event Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered?