-
psnet.ahrq.gov/issue/special-report-suicidal-ideation-among-american-surgeons
June 28, 2010 - Study
Special report: suicidal ideation among American surgeons. … Special report: suicidal ideation among American surgeons. … Special report: suicidal ideation among American surgeons.
-
psnet.ahrq.gov/issue/deficiencies-inpatient-mental-health-care-coordination-and-processes-prior-patients-death
May 26, 2021 - Report No. 20-01521-48. … Report No. 20-01521-48.
… Report No. 20-01521-48. … Diagnostic Safety and Quality
April 26, 2023
Comprehensive Healthcare Inspection Summary … Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports
-
psnet.ahrq.gov/issue/framework-high-performance-health-system-united-states
April 12, 2006 - Book/Report
Framework for a High Performance Health System for the United States. … This report calls for providing "safe, well-coordinated, accessible, and efficient" care through five … October 3, 2017
Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … August 21, 2013
Improving America's Hospitals—The Joint Commission's Annual Report on … October 10, 2012
WebM&M Cases
Getting a Good Report Card
-
psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
December 02, 2009 - Study
Medication-related patient safety incidents in critical care: a review of reports … Medication-related patient safety incidents in critical care: a review of reports to the UK National … Medication-related patient safety incidents in critical care: a review of reports to the UK National … June 16, 2019
ISMP medication error report analysis. … May 2, 2018
ISMP medication error report analysis.
-
psnet.ahrq.gov/issue/enhanced-free-text-search-aggregated-medication-error-report-analysis-and-risk-detection
April 12, 2019 - This study used an enhanced free-text search method to identify the medication error (ME) reports involving … This approach increased the number of identified ME reports involving the specified medications and identified … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
-
psnet.ahrq.gov/issue/quality-institute-toolkits
November 09, 2022 - Related Resources From the Same Author(s)
Healthcare Quality and Safety Workforce Report … October 27, 2021
ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient … April 3, 2013
Barriers and motivators for making error reports from family medicine offices … : a report from the American Academy of Family Physicians National Research Network (AAFP NRN).
-
psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety
August 16, 2023 - Book/Report
Documenting Diagnosis: Exploring the Impact of Electronic Health Records … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … September 18, 2024
Adverse Health Events in Minnesota: Annual Reports. … January 17, 2024
National Healthcare Quality and Disparities Reports.
-
psnet.ahrq.gov/issue/patient-safety-ambulatory-settings
June 08, 2011 - Book/Report
Classic
Patient Safety in Ambulatory Settings … Final Report. … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … November 21, 2016
Characterising the nature of primary care patient safety incident reports
-
psnet.ahrq.gov/issue/learning-bristol-report-public-inquiry-childrens-heart-surgery-bristol-royal-infirmary-1984
October 20, 2021 - Book/Report
Classic
Learning from Bristol: The Report of … Citation Text:
Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery … The Report of the Independent Medicines and Medical Devices Safety Review. … The Report of the Gosport Independent Panel. … TeamSTEPPS 3.0
February 28, 2024
National Healthcare Quality and Disparities Reports
-
psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
May 01, 2024 - In this study, researchers analyzed 1,027 incident reports involving medication errors and communication … detecting medication errors: a secondary analysis of medication administration errors using incident reports … related to medication administrations - text mining analysis using free-text descriptions of incident reports … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
-
psnet.ahrq.gov/issue/addressing-health-worker-burnout
May 25, 2022 - Book/Report
Addressing Health Worker Burnout. … May 20, 2020
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices … February 1, 2023
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … July 13, 2022
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … March 1, 2023
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care
-
psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - are responsible for obtaining and reading radiologists’ reports. 5 Both radiologists and referring … clinicians are legally responsible for retaining and being able to produce the radiology reports. 5 … revealed that the majority of the 200 orthopedic surgeons surveyed did not routinely read radiology reports … The Malpractice Liability of Radiology Reports: Minimizing the risk. … Are orthopaedic surgeons reading radiology reports? A Trans-Tasman Survey.
-
psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
January 12, 2022 - This analysis of 15,730 incident reports involving DOACs reported in the United Kingdom between 2017 … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
-
psnet.ahrq.gov/issue/electronic-health-record-modernization-caused-pharmacy-related-patient-safety-issues
January 31, 2024 - Book/Report
Electronic Health Record Modernization Caused Pharmacy-Related Patient … Report No. 23-01450-114. … Report No. 23-01450-114. … Report No. 23-01450-114. … July 13, 2022
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental
-
psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths
September 10, 2014 - Government Resource
Interim Report: Review of VHA's Patient Wait Times, Scheduling … Report No. 14-02603-178. … Report No. 14-02603-178. … Report No. 14-02603-178. … March 1, 2023
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care
-
psnet.ahrq.gov/issue/stopping-error-cascade-report-ameliorators-asips-collaborative
February 03, 2011 - Study
Stopping the error cascade: a report on ameliorators from the ASIPS collaborative … Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. … The investigators qualitatively analyzed error reports from the primary care setting in which an error … Stopping the error cascade: a report on ameliorators from the ASIPS collaborative. … February 3, 2011
Pharmacy clarification of prescriptions ordered in primary care: a report
-
psnet.ahrq.gov/node/838132/psn-pdf
September 21, 2022 - Pathology trainees rarely report safety incidents: a review
of 13,722 safety reports and a call to action … Pathology trainees rarely report safety incidents: a review of 13,722
safety reports and a call to action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
-
psnet.ahrq.gov/node/42737/psn-pdf
November 20, 2019 - HANYS' Report on Report Cards. … https://psnet.ahrq.gov/issue/hanys-report-report-cards
This publication assessed 12 widely disseminated … hospital report cards by criteria including transparency of
methodology, evidence-based measures, and … While inconsistent methods across reports
hindered direct comparisons, a few reports received high marks … https://psnet.ahrq.gov/issue/hanys-report-report-cards
https://psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
-
psnet.ahrq.gov/issue/high-risk-medication-errors-insight-uk-national-reporting-and-learning-system
January 12, 2022 - In this study, incident reports from the UK's National Reporting and Learning System involving three … encouraging results, the authors note the importance of continuing to improve the quality of incident reports … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
-
psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
August 28, 2024 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report. … September 10, 2013
Keeping the Commitment: A Progress Report on Four Early Leaders in … February 9, 2011
Building a Culture of Patient Safety: Report of the Commission on Patient