-
psnet.ahrq.gov/node/34813/psn-pdf
July 10, 2008 - The authors conclude that, although adverse events from a
single drug requiring hospitalization are … uncommon, adverse drug reactions as a category represent a
major source of hospitalizations.
-
psnet.ahrq.gov/node/46548/psn-pdf
April 16, 2018 - nurses-communication-safety-events-nursing-home-residents-and-families
https://psnet.ahrq.gov/issue/systematic-review-prevalence-medication-errors-resulting-hospitalization-and-death-nursing
-
psnet.ahrq.gov/node/46077/psn-pdf
September 06, 2017 - patients-reports-adverse-events-data-linkage-study-australian-adults-aged-45-
years-and-over
This study elicited patients' reports of adverse events during hospitalization
-
psnet.ahrq.gov/node/43504/psn-pdf
December 15, 2014 - patients—such as
medical complexity and weekend admission—did not reliably predict adverse events during hospitalization
-
psnet.ahrq.gov/node/39485/psn-pdf
November 23, 2016 - and validation of a web-based tool that allows families to report
adverse events during pediatric hospitalizations … human-factors-and-survey-methodology-based-design-web-based-adverse-event-reporting-system
https://psnet.ahrq.gov/issue/afraid-hospital-parental-concern-errors-during-childs-hospitalization
-
psnet.ahrq.gov/node/34981/psn-pdf
July 14, 2010 - child-specific-risk-factors-and-patient-safety
To discover factors that may contribute to a child’s risk for error during hospitalization
-
psnet.ahrq.gov/node/40984/psn-pdf
September 01, 2016 - overrides-medication-alerts-ambulatory-care
https://psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
-
psnet.ahrq.gov/node/48130/psn-pdf
August 07, 2019 - This prospective
cohort study identified adverse events in the 45 days following acute hospitalization
-
psnet.ahrq.gov/node/48009/psn-pdf
May 15, 2019 - They found no difference in mortality or length of stay but did find that cost associated with hospitalization
-
psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals
August 29, 2021 - March 9, 2011
Role of pharmacist counseling in preventing adverse drug events after hospitalization
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
December 01, 2014 - -511. http://www.ncbi.nlm.nih.gov/pubmed/18367015
7
Case: A Stroke of Error (2)
Two days into his hospitalization … patients arriving to the ED, but these same systems are needed when a patient develops a stroke during hospitalization … acute stroke
The patient then developed symptoms consistent with an acute ischemic stroke 2 days into hospitalization
-
psnet.ahrq.gov/node/39858/psn-pdf
September 22, 2010 - The primary care physician was unaware of the
hospitalization for nearly one-third of patients, and
-
psnet.ahrq.gov/node/47195/psn-pdf
September 12, 2018 - whose diagnoses differed between the first and second hospital were at higher risk of mortality during
hospitalization
-
psnet.ahrq.gov/node/34787/psn-pdf
March 28, 2005 - Investigators discovered a 1.7% rate of events
and 1.0% rate of hospitalization.
-
psnet.ahrq.gov/node/46315/psn-pdf
December 16, 2017 - associated with malnutrition, including when it is misdiagnosed upon admission or
unrecognized during hospitalization
-
psnet.ahrq.gov/node/44810/psn-pdf
April 21, 2016 - have been an active area of patient safety research, most of the focus has
been on handoffs during hospitalization
-
psnet.ahrq.gov/node/44060/psn-pdf
November 16, 2015 - developed and tested a simple tool for patients and family
members to report potential harms during hospitalization
-
psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
https://psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization
-
psnet.ahrq.gov/node/42547/psn-pdf
May 19, 2014 - AHRQ Patient Safety Indicators (PSIs) have traditionally been used to detect adverse events during
hospitalization
-
psnet.ahrq.gov/node/41251/psn-pdf
March 29, 2012 - patient-safety-developing-countries-retrospective-estimation-scale-and-nature-
harm-patients
This study conducted a retrospective chart review of more than 15,000 hospitalization