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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854834/psn-pdf
    January 01, 2024 - several ways bias is introduced into reporting and offers strategies to ensure events are reported and analyzed
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854625/psn-pdf
    January 01, 2024 - In this study, researchers analyzed electronic health record (EHR) data from a 13-hospital health care
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74104/psn-pdf
    November 24, 2021 - Using natural language processing, researchers analyzed ten audio-recorded change of shift handoffs
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73885/psn-pdf
    September 29, 2021 - This study analyzed incident reports regarding unsafe conditions (UC) in one academic women and children
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866585/psn-pdf
    August 28, 2024 - This study analyzed emergency department discharge notes for more than 21,000 patients which showed
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866346/psn-pdf
    July 24, 2024 - statutory notifications from residential care facilities (RCF; e.g., nursing homes, assisted living) were analyzed
  7. psnet.ahrq.gov/print/pdf/node/865864
    January 01, 2024 - More than 5,300 closed claims with at least one diagnostic error were analyzed. … The authors analyzed the nature of injuries sustained in a cohort of hospitalized patients in New York … More than 5,300 closed claims with at least one diagnostic error were analyzed. … The authors analyzed the nature of injuries sustained in a cohort of hospitalized patients in New York
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837422/psn-pdf
    June 15, 2022 - In this study, researchers qualitatively analyzed hospital incident reporting data and identified incidents
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60065/psn-pdf
    March 18, 2020 - This report analyzed data from over 2,100 hospitals and found approximately half to be deficient in
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866958/psn-pdf
    October 16, 2024 - Root cause analysis investigation reports from two hospital districts were analyzed.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866736/psn-pdf
    September 18, 2024 - This qualitative study analyzed factors contributing to human errors among paramedics and emergency
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867228/psn-pdf
    December 04, 2024 - This study analyzed retract-and- reorder (RaR) medication orders to examine risk factors for wrong-patient
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866866/psn-pdf
    October 02, 2024 - This report analyzed a set of patient safety measures in 1,300 hospitals and found that in the first
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861280/psn-pdf
    January 24, 2024 - self-reported confidence in the diagnosis, stress levels, and perception of patient's prognosis were analyzed
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863754/psn-pdf
    March 06, 2024 - This study analyzed five types of medical error that could have been prevented if the patient's support
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72816/psn-pdf
    March 10, 2021 - This cohort study analyzed adverse events occurring among patients discharged from the ED with cardiovascular
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836714/psn-pdf
    March 09, 2022 - This study analyzed five years of data on IODs from a large academic medical center.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60802/psn-pdf
    August 12, 2020 - psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children The authors analyzed
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72702/psn-pdf
    February 03, 2021 - This study analyzed events reported between 2010 and 2015. 
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60895/psn-pdf
    September 09, 2020 - radiologists-make-more-errors-interpreting-hours-body-ct-studies-during- overnight-assignments The authors analyzed

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