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Showing results for "event".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46867/psn-pdf
    February 20, 2019 - Connecting perspectives on quality and safety: patient- level linkage of incident, adverse event and … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and … psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident- adverse-event-and … in hospitalized patients are captured in three ways: incident reports (process problems), adverse event … unique problems, but patients with an incident reported were more likely to experience an adverse event

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846760/psn-pdf
    March 29, 2023 - Electronic health record-based prediction models for in- hospital adverse drug event diagnosis or prognosis … Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event … several challenges related to electronic health record (EHR)-based prediction models for adverse drug event … https://psnet.ahrq.gov/issue/electronic-health-record-based-prediction-models-hospital-adverse-drug-event-diagnosis-or

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74172/psn-pdf
    December 08, 2021 - Differences in safety report event types submitted by graduate medical education trainees compared with … Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With … https://psnet.ahrq.gov/issue/differences-safety-report-event-types-submitted-graduate-medical-education … - trainees-compared Adverse event reporting by health care providers, including medical trainees, is … https://psnet.ahrq.gov/issue/differences-safety-report-event-types-submitted-graduate-medical-education-trainees-compared

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842770/psn-pdf
    January 18, 2023 - A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic … A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic … https://psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease … but they did observe a relationship between staffing levels during the pandemic and patient safety event … https://psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841144/psn-pdf
    December 07, 2022 - Using community detection techniques to identify themes in COVID-19-related patient safety event reports … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related- patient-safety-event … This study used machine learning to group of more than 2,000 patient safety event (PSE) reports into … https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837307/psn-pdf
    June 01, 2022 - Adverse event reviews in healthcare: what matters to patients and their family? … Adverse event reviews in healthcare: what matters to patients and their family? … https://psnet.ahrq.gov/issue/adverse-event-reviews-healthcare-what-matters-patients-and-their-family- … This qualitative study explored the experiences of patients and family members involved in adverse event … outline eight key recommendations to address these themes by involving patients and families in adverse event

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74751/psn-pdf
    February 09, 2022 - A quality improvement initiative to improve patient safety event reporting by residents. … A quality improvement initiative to improve patient safety event reporting by residents. … https://psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents … Prior research has shown low rates of voluntary safety event reporting by resident physicians. … The QI team identified barriers to reporting (e.g., lack of awareness of the organization’s event reporting

  8. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center-Fenton-Wilhelm-Amos (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
    August 15, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture … 32 U N C H E A L T H C A R E U N C H E A L T H C A R E Perceived barriers to event … reporting software • Double event report submissions by 100% within three years • Increase SOPS scores … in Feedback, Nonpunitive response and Event Reporting by 2021 35 U N C H E A L T H C … Reporting Platform Goal: To develop optimized interface for our event reporting software for event

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853071/psn-pdf
    August 30, 2023 - A natural language processing approach to categorise contributing factors from patient safety event … psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient- safety-event … This study found that natural language processing can be used to process unstructured patient safety event … reports and reduce the burden of manually identifying and extracting factors contributing to the event … psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event

  10. Lazarus, Ross | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/lazarus-ross
    January 01, 2023 - Investigator Lazarus, Ross Project Name Electronic Support for Public Health - Vaccine Adverse Event … Reporting System (ESP:VAERS) Electronic Support for Public Health - Vaccine Adverse Event … Electronic Support for Public Health - Vaccine Adverse Event Reporting System (ESP:VAERS) - Final Report … Reporting System (ESP:VAERS) Electronic Support for Public Health - Vaccine Adverse Event … Reporting System (ESP:VAERS) Electronic Support for Public Health - Vaccine Adverse Event

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74694/psn-pdf
    January 26, 2022 - This study used 2018 mortality data and ICD-10-CM codes to characterize adverse event deaths in the … United States compared to non-adverse event deaths. … The author estimates that 0.16-1.13% of deaths are attributed to an adverse event. … Procedure-related complications contributed to the majority of adverse event deaths. … The risk of death due to adverse event was higher for younger patients and Black patients.

  12. Grand Rounds Presentation | Agency for Healthcare Research and Quality

    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - actually compounded the injury from the event itself. … An event report is completed, which will trigger analysis of the event. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … analysis of an adverse event.  … Host event analysis training using tools from CANDOR.

  13. Grand Rounds Presentation | Agency for Healthcare Research and Quality

    cahps.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - actually compounded the injury from the event itself. … An event report is completed, which will trigger analysis of the event. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … analysis of an adverse event.  … Host event analysis training using tools from CANDOR.

  14. Grand Rounds Presentation | Agency for Healthcare Research and Quality

    monahrq.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - actually compounded the injury from the event itself. … An event report is completed, which will trigger analysis of the event. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … analysis of an adverse event.  … Host event analysis training using tools from CANDOR.

  15. Grand Rounds Presentation | Agency for Healthcare Research and Quality

    talkingquality.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - actually compounded the injury from the event itself. … An event report is completed, which will trigger analysis of the event. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … analysis of an adverse event.  … Host event analysis training using tools from CANDOR.

  16. Grand Rounds Presentation | Agency for Healthcare Research and Quality

    healthcare411.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - actually compounded the injury from the event itself. … An event report is completed, which will trigger analysis of the event. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … analysis of an adverse event.  … Host event analysis training using tools from CANDOR.

  17. Grand Rounds Presentation | Agency for Healthcare Research and Quality

    patientregistry.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - actually compounded the injury from the event itself. … An event report is completed, which will trigger analysis of the event. … The Investigation: to determine how the event occurred, and how to mitigate that event or even prevent … analysis of an adverse event.  … Host event analysis training using tools from CANDOR.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60669/psn-pdf
    July 08, 2020 - Participation in a system-thinking simulation experience changes adverse event reporting. … Participation in a system-thinking simulation experience changes adverse event reporting. … https://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event … - reporting This study found that improvements in systems thinking increase adverse event (AE) reporting … https://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45992/psn-pdf
    January 01, 2020 - Barriers and facilitators of adverse event reporting by adolescent patients and their families. … Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. … https://psnet.ahrq.gov/issue/barriers-and-facilitators-adverse-event-reporting-adolescent-patients-and-their … This qualitative study explored perceptions of adolescent patients and their parents about adverse event … Positive perceptions of care led to participants being more willing to report an adverse event; whereas

  20. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality

    ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
    August 01, 2022 - Causal factor: the suspected or confirmed factors that caused the adverse event. … Often, multiple factors must intersect for an adverse event to reach the patient. … The purpose of the event review and analysis is to help clarify the causal factors. … Event review: the overall process of assessing an adverse safety event to determine contributing factors … In-depth event review: the data-gathering phase of an event review, involving conducting interviews,
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