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241. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-35
     December 30, 2014 - Commentary ISMP medication error report analysis. … This monthly selection of medication error reports includes examples of drug name confusion, communication … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 9, 2010 ISMP medication error report analysis.

242. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-20
     January 17, 2018 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen MR; Smetzer JL. … This monthly selection of medication error reports discusses problems related to a lack of standardization … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

243. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-36
     December 30, 2014 - Commentary ISMP medication error report analysis. … This monthly selection of error reports shares examples of topical anesthetic error, methotrexate overdose … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

244. Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona. | PSNet
     psnet.ahrq.gov/issue/care-concerns-and-deficiencies-facility-leaders-and-staffs-responses-following-medical
     January 16, 2025 - Book/Report Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses … Report No. 23-02958-203 Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote … Report No. 23-02958-203 This investigation from the VA Office of Inspector General (OIG) reviewed … January 16, 2025 Adverse Health Events in Minnesota: Annual Reports. … April 24, 2024 National and State Healthcare-Associated Infections Progress Report.

245. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-41
     December 30, 2014 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen MR, Smetzer JL. … This monthly column reports on an error involving products with similar names (quinine and quinidine) … June 16, 2019 ISMP medication error report analysis. … June 9, 2010 ISMP medication error report analysis.

246. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-25
     December 30, 2014 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen MR, Smetzer JL. … This monthly selection of error reports describes factors contributing to iatrogenic  methadone overdoses … June 16, 2019 ISMP medication error report analysis. … June 9, 2010 ISMP medication error report analysis.

247. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-45
     January 17, 2018 - Commentary ISMP medication error report analysis. … Citation Text: ISMP medication error report analysis. Cohen MR, Smetzer JL. … This monthly selection of error reports discusses incidents involving look-alike drug names, concentration … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

248. To Err Is Human—But Don't Expect to Get Paid For It. | PSNet
     psnet.ahrq.gov/issue/err-human-dont-expect-get-paid-it
     April 29, 2022 - Book/Report To Err Is Human—But Don't Expect to Get Paid For It. … Citation Text: ASQ Quarterly Quality Report. … Twitter Linkedin Copy URL October 29, 2008 ASQ Quarterly Quality Report … This report describes strategies for health care institutions to prevent never events , based on results … Copy Citation Related Resources Patient Safety Authority Annual Reports.

249. The end of the beginning: patient safety five years after 'To Err Is Human.' | PSNet
     psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
     March 02, 2011 - This commentary discusses the progress made since the IOM report by reviewing the context to the patient … September 20, 2011 Transforming concepts in patient safety: a progress report.

250. The National Report Card on the State of Emergency Medicine. | PSNet
     psnet.ahrq.gov/issue/national-report-card-state-emergency-medicine
     February 18, 2011 - Multi-use Website The National Report Card on the State of Emergency Medicine. … Citation Text: The National Report Card on the State of Emergency Medicine. … Copy URL Cite Citation Citation Text: The National Report … May 13, 2021 Organisation Patient Safety Incident Reports.

251. Patient Safety Commissioner. Listening to Patients. | PSNet
     psnet.ahrq.gov/issue/patient-safety-commissioner-listening-patients
     December 20, 2024 - The site hosts annual reports, initiative updates and patient stories of harm. … July 10, 2024 Adverse Health Events in Minnesota: Annual Reports. … February 28, 2024 National and State Healthcare-Associated Infections Progress Report … November 16, 2022 Organisation Patient Safety Incident Reports.

252. Incident reporting behaviours following the Francis report: a cross-sectional survey. | PSNet
     psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
     October 12, 2016 - Study Incident reporting behaviours following the Francis report: a cross-sectional … Incident reporting behaviours following the Francis report: A cross-sectional survey. … Incident reporting behaviours following the Francis report: A cross-sectional survey. … February 14, 2018 Patient safety education 20 years after the Institute of Medicine report … December 5, 2012 Interpreting adverse drug reaction (ADR) reports as hospital patient

253. Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. | PSNet
     psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report
     November 30, 2016 - Book/Report Hospital Survey on Patient Safety Culture: 2010 User Comparative Database … Report. … Citation Text: Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. … AHRQ has released database reports yearly since 2007 that present benchmarking data for safety culture … View More Related Resources National Healthcare Quality and Disparities Reports

254. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. | PSNet
     psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
     May 11, 2016 - Book/Report Confidential Physician Feedback Reports: Designing for Optimal Impact … Citation Text: Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance … Cite Citation Citation Text: Confidential Physician Feedback Reports … Final Report. … August 16, 2023 Final Report on Prioritization of Patient Safety Practices for a New

255. Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. | PSNet
     psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system
     November 29, 2017 - This report summarizes results from a conference of consumers, health care professionals, and administrative … The report also emphasizes the role of health literacy in providing patient-centered care. … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report.

256. Contributing factors identified by hospital incident report narratives. | PSNet
     psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
     January 02, 2017 - Study Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … data, lack of reporting by physicians, and the lack of a standardized framework for interpreting the reports … The authors were able to determine at least one underlying factor in most reports, but found that incidents … Contributing factors identified by hospital incident report narratives.

257. Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet
     psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
     November 18, 2020 - Book/Report Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical … Research—Final Report. … September 29, 2017 Should I report? … March 22, 2024 National Healthcare Quality and Disparities Reports. … Final Report.

258. 2014 Guide to State Adverse Event Reporting Systems. | PSNet
     psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
     November 29, 2009 - Book/Report 2014 Guide to State Adverse Event Reporting Systems. … The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … Report. … January 9, 2025 Patient Safety Authority Annual Reports. … December 5, 2018 Confidential Physician Feedback Reports: Designing for Optimal Impact

259. Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. | PSNet
     psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
     December 24, 2007 - The report itself encompasses more than 85,000 collected incident reports with analysis, comparisons, … This represents the first of a series of expected reports from NPSA on patient safety data to be published … March 29, 2023 Characterising the nature of primary care patient safety incident reports … September 30, 2015 ISMP medication error report analysis. … June 13, 2012 Critical Incident Reviews, Significant Adverse Event Reports and Action

260. Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. | PSNet
     psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape
     November 23, 2016 - Book/Report Transforming Health Care: A Compendium of Reports From the National Patient … Citation Text: Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's … This compendium combines the findings of five reports published between 2010 and 2015 to help foster … October 14, 2015 The Francis Report: One Year On. … November 2, 2012 Improving America's Hospitals: The Joint Commission's Annual Report