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  1. Psn-Pdf (pdf file)

    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…
  2. Psn-Pdf (pdf file)

    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:…
  3. 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
  4. 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
  5. 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 …
  6. 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…
  7. 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
  8. 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
  9. psnet.ahrq.gov/training-catalog/webinar-series-0
    Organization American Medical Association (AMA) EventEvent Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered?
  10. 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.
  11. psnet.ahrq.gov/training-catalog/safetyleaders-home
    Organization: Organization SafetyLeaders EventEvent Location: Online Date: On demand Event Fee: Free CE or CME Offered?
  12. psnet.ahrq.gov/training-catalog/monthly-webinars
    Organization: Organization Quality Reporting Center EventEvent Location: Online Date: On demand Event Fee: Free CE or CME Offered?
  13. 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?
  14. psnet.ahrq.gov/training-catalog/webinar-series-3
    Organization: Organization Hospital Quality Institute EventEvent Location: Online Date: On demand Event Fee: Free CE or CME Offered?
  15. psnet.ahrq.gov/training-catalog/webinar-series
    Organization: Organization Patient Safety Authority EventEvent Location: Online Date: Various dates Event Fee: Free CE or CME Offered?
  16. 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
  17. 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
  18. psnet.ahrq.gov/training-catalog/ashp-learning-center
    Organization American Society for Health-System Pharmacists (ASHP) EventEvent Location: Online Date: On demand Event Fee: Fee Associated (for some) CE or CME Offered
  19. 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
  20. psnet.ahrq.gov/training-catalog/pharmacy-education-opportunities
    Organization National Community Pharmacists Association (NCPA) EventEvent Location: Online Date: On demand Event Fee: Fee Associated CE or CME Offered?

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