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psnet.ahrq.gov/node/60223/psn-pdf
January 01, 2021 - The effects of harm events on 30-day readmission in
surgical patients.
April 15, 2020
Kandagatla P, Su W-TK, Adrianto I, et al. The effects of harm events on 30-day readmission in surgical
patients. J Healthc Qual. 2021;43(2):101-109. doi:10.1097/jhq.0000000000000261.
https://psnet.ahrq.gov/issue/effects-harm-even…
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psnet.ahrq.gov/node/46134/psn-pdf
September 24, 2017 - Sources of unsafe primary care for older adults: a mixed-
methods analysis of patient safety incident reports.
September 24, 2017
Cooper A, Edwards A, Williams H, et al. Sources of unsafe primary care for older adults: a mixed-methods
analysis of patient safety incident reports. Age Ageing. 2017;46(5):833-839. doi:…
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psnet.ahrq.gov/web-mm/overdose-oxygen
August 02, 2023 - March 3, 2021
The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends … in adverse event rates in the Irish healthcare system. … Team debriefing in the COVID-19 pandemic: a qualitative study of a hospital-wide clinical event
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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
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psnet.ahrq.gov/issue/understanding-interrater-reliability-and-validity-risk-assessment-tools-used-predict-adverse
July 19, 2023 - Commentary
Understanding interrater reliability and validity of risk assessment tools used to predict adverse clinical events.
Citation Text:
Siedlecki SL, Albert NM. Understanding Interrater Reliability and Validity of Risk Assessment Tools Used to Predict Adverse Clinical Events. Clin …
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psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
January 23, 2017 - Commentary
Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting.
Citation Text:
Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…
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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
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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
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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?
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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.
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psnet.ahrq.gov/training-catalog/safetyleaders-home
Organization:
Organization
SafetyLeaders
Event … Event Location: Online
Date: On demand
Event Fee: Free
CE or CME Offered?
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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?
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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?
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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?
-
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?
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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
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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
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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
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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
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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?