Veterans Hospital Adverse Medical Event Reporting

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VHA Directive 1345 Medical Reconciliation

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9702

Adverse drug events (ADEs) account for an estimated one-third of hospital adverse events and approximately 280,000 hospital admissions annually: https://health.gov/hcq/pdfs/ade-action-plan-508c.pdf. b. The VA Adverse Drug Event …

VHA Handbook 1050.01, VHA National Patient …

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2389

(2) Reporting of adverse events and close calls. This is the primary mechanism through which VHA NCPS learns about system vulnerabilities and how to address them. Since …

VA Adverse Drug Event Reporting System - Veterans …

https://www.va.gov/MS/Professionals/medications/VHA_Adverse_Drug_Event_Reporting_Program.asp

VA Adverse Drug Event Reporting System Post-marketing drug surveillance is vital to reporting adverse drug events (ADE) to the Federal Drug …

VHA Directive 1004.08, Disclosure of Adverse …

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8120

Adverse Event. Adverse events are untoward diagnostic or therapeutic incidents, iatrogenic injuries, or other occurrences of harm or potential harm directly associated with …

Department of Veterans Affairs VHA DIRECTIVE …

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8831

This Veterans Health Administration (VHA) directive establishes national policy for the reporting, monitoring, and surveillance of adverse drug events (ADEs) entered into …

VHA Handbook 1004.08, Disclosure of Adverse …

https://www.ethics.va.gov/Handbook1004-08.pdf

DISCLOSURE OF ADVERSE EVENTS TO PATIENTS . 1. REASONS FOR ISSUE. This Veterans Health Administration (VHA) Handbook provides procedures to …

VA.gov | Veterans Affairs

https://www.patientsafety.va.gov/about/faqs.asp

Q: What do you mean by an adverse event? A: Adverse events are untoward incidents directly associated with care or services provided within the jurisdiction of a VA medical …

Confidential Reporting System - VHA National Center for …

https://patientsafety.va.gov/media/reporting.asp

This reporting and analysis system allows users to electronically document patient safety information from across the VA so that “lessons learned” can benefit the …

Adverse Events | HHS-OIG

https://oig.hhs.gov/reports-and-publications/featured-topics/adverse-events/

Medicare Patients In our most recent report, OIG released an updated national incidence rate of harm, finding that a quarter of Medicare patients (25 percent) …

Reporting Patient Safety Events | PSNet

https://psnet.ahrq.gov/primer/reporting-patient-safety-events

Patient safety event reporting systems are ubiquitous in hospitals and are a mainstay of efforts to detect patient safety events and quality problems. …

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