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181. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-30
     June 16, 2019 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Smetzer JL, Cohen MR. … This monthly selection of reports includes errors involving epidural medication administered intravenously … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

182. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-28
     June 16, 2019 - Commentary ISMP medication error report analysis. … This monthly selection of medication error reports addresses examples of unclear dose preparation instructions … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

183. Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet
     psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement
     August 26, 2011 - individual feedback based on questionnaires from frontline nurses followed by goal-setting, versus a summary … report of feedback at the end of the intervention. … February 16, 2011 View More Related Resources Using incident reports

184. Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. | PSNet
     psnet.ahrq.gov/issue/failures-care-coordination-and-reviewing-patients-death-va-salt-lake-city-healthcare-system
     April 19, 2023 - Book/Report Failures in Care Coordination and Reviewing a Patient's Death at the … Report No. 21-00657-197. … Report No. 21-00657-197. … Report No. 21-00657-197. … July 13, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental

185. Report links Georgia's abortion ban to preventable deaths. | PSNet
     psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
     November 13, 2024 - Audiovisual Presentation Report links Georgia's abortion ban to preventable deaths … Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024. … Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024. … May 13, 2020 Patient and caregiver factors in ambulatory incident reports: a mixed-methods

186. TQIP Mortality Reporting System Case Reports. | PSNet
     psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
     March 23, 2022 - Special or Theme Issue TQIP Mortality Reporting System Case Reports. … Citation Text: TQIP Mortality Reporting System Case Reports. … Cite Citation Citation Text: TQIP Mortality Reporting System Case Reports … August 31, 2024 Eliminating Unintentionally Retained Surgical Items - Special Report.

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41113/psn-pdf
     February 01, 2012 - elderly-falls This special issue explores fall prevention, including strategies, literature reviews, and progress … reports from organizations involved in fall prevention efforts.

188. Before you fill out that incident report. | PSNet
     psnet.ahrq.gov/issue/you-fill-out-incident-report
     January 01, 2021 - Newspaper/Magazine Article Published June 23, 2010 Before you fill out that incident report. … Twitter Linkedin Email Print Offering tips for pharmacists, this commentary explains what incident reports … Free full text Related Resources Journal Article Commentary ISMP medication error report analysis. … Morbidity and mortality weekly report . 2005; 54 :380-3 .

189. Leaders at the VA Eastern Colorado Health Care System in Aurora Created an Environment That Undermined the Culture of Safety. | PSNet
     psnet.ahrq.gov/issue/leaders-va-eastern-colorado-health-care-system-aurora-created-environment-undermined-culture
     May 28, 2024 - Book/Report Leaders at the VA Eastern Colorado Health Care System in Aurora Created … Report No. 23-02179-188 Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote … This report analyzed the environment of care at one Veterans’ Affairs hospital that perpetuated poor … May 28, 2024 National Healthcare Quality and Disparities Reports. … The Report of the Gosport Independent Panel.

190. Surveys on Patient Safety Culture™ (SOPS®) Ambulatory Surgery Center Survey: 2021 User Database Report. | PSNet
     psnet.ahrq.gov/issue/surveys-patient-safety-culturetm-sopsr-ambulatory-surgery-center-survey-2021-user-database
     June 01, 2022 - Free full text Infographic Previous reports Save Save to your library Print … 2016 Surveys on Patient Safety Culture(TM) (SOPS®) Hospital Survey 2021 User Database Reports … Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary … Report. … November 9, 2022 National Healthcare Quality and Disparities Reports.

191. Characteristics of quality and patient safety curricula in major teaching hospitals. | PSNet
     psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
     February 16, 2011 - A recent report by the National Patient Safety Foundation challenged residency programs to train housestaff … June 23, 2010 Transforming concepts in patient safety: a progress report.

192. Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. | PSNet
     psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
     June 13, 2012 - OIG Report No. 06-01642-126. … OIG Report No. 06-01642-126. … OIG Report No. 06-01642-126. … July 26, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … July 13, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental

193. Crossing the Quality Chasm: A New Health System for the 21st Century. | PSNet
     psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
     July 08, 2016 - Book/Report Classic Crossing the Quality Chasm: A New Health … Following up on the 1999 Institute of Medicine report, To Err is Human , this report outlines a strategy … This report famously points to six key aims of a high-quality health care system: safety, effectiveness … April 24, 2013 Improving America's Hospitals: The Joint Commission's Annual Report on … September 26, 2012 Keeping the Commitment: A Progress Report on Four Early Leaders in

194. PHSO Review: Quality of NHS Complaints Investigations. | PSNet
     psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
     November 16, 2015 - First Report of Session 2016–17 Report.  … First Report of Session 2016–17 Report.  … February 3, 2021 NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document … Final Report. … August 7, 2013 Critical Incident Reviews, Significant Adverse Event Reports and Action

195. Healthcare 411 Special Report: National Patient Safety Awareness Week. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-special-report-national-patient-safety-awareness-week
     October 18, 2006 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary … Report. … Evidence Report/Technology Assessment. … May 13, 2015 National Healthcare Quality and Disparities Reports. … September 28, 2022 Association of patient and family reports of hospital safety

196. Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011. | PSNet
     psnet.ahrq.gov/issue/insurers-medical-loss-ratios-and-quality-improvement-spending-2011
     March 05, 2010 - Book/Report Insurers' Medical Loss Ratios and Quality Improvement Spending in 2011 … This report found that insurance companies spend on average $2.94 per member toward patient safety improvement … October 3, 2017 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … March 13, 2019 Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation … Report IV.

197. A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. | PSNet
     psnet.ahrq.gov/issue/sociotechnical-framework-safety-related-electronic-health-record-research-reporting-safer
     February 16, 2022 - Commentary Emerging Classic A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Citation Text: Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…

198. Report faults Children's Hospital for medication errors. | PSNet
     psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
     August 24, 2016 - Newspaper/Magazine Article Report faults Children's Hospital for medication errors … Citation Text: Report faults Children's Hospital for medication errors. Kowalczyk L. … This news article reports on serious medication errors that occurred at Children's Hospital in 2017, … Linkedin Copy URL Cite Citation Citation Text: Report

199. AHRQ's Safety Program for Ambulatory Surgery. | PSNet
     psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery
     January 24, 2018 - Book/Report AHRQ's Safety Program for Ambulatory Surgery. … This report provides information about a national program focused on improving safety in ambulatory surgery … Final Report. … 2018 View More Related Resources Patient Safety Authority Annual Reports … January 14, 2024 National Healthcare Quality and Disparities Reports.

200. Report focuses on risk to patients from ED errors. | PSNet
     psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
     June 26, 2019 - Newspaper/Magazine Article Report focuses on risk to patients from ED errors. … Citation Text: Report focuses on risk to patients from ED errors. Palmer J. … Linkedin Copy URL Cite Citation Citation Text: Report … Analysis of incident reports from a patient safety organization.