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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844053/psn-pdf
     February 28, 2025 - Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report … The 2025 report summarizes survey data from 4,411 staff working in 107 nursing homes. … An archive of older reports in the series is also available. … https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report

362. Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective. | PSNet
     psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-global-challenge-global-perspective
     May 28, 2014 - Book/Report Preventing Central Line–Associated Bloodstream Infections: a Global Challenge … November 2, 2012 Improving America's Hospitals: The Joint Commission's Annual Report … More Related Resources National and State Healthcare-Associated Infections Progress … Report.

363. Healthcare 411. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-patient-perspective
     October 23, 2019 - Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … Industrial and Systems Engineering and Health Care: Critical Areas of Research: Final Report

364. Sentinel Event Program. | PSNet
     psnet.ahrq.gov/issue/sentinel-event-program
     October 15, 2008 - information about Maine's statewide incident reporting initiative and includes annual sentinel event reports … View More Related Resources Adverse Health Events in Minnesota: Annual Reports … June 4, 2024 National and State Healthcare-Associated Infections Progress Report. … November 30, 2023 Organisation Patient Safety Incident Reports.

365. The use of bar code technology in medication administration. | PSNet
     psnet.ahrq.gov/issue/use-bar-code-technology-medication-administration
     January 23, 2019 - November 12, 2008 Leadership Survey: Immunization Against Burnout: Insights Report. … September 19, 2018 Report 6: Managing Risk and Minimising Mistakes in Services to Children … June 20, 2007 Scathing report on Kaiser kidney program. … June 19, 2019 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39946/psn-pdf
     October 20, 2023 - MHA and MHA Keystone Center Annual Reports. … ://psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual- report … This publication annually reports on the successful outcomes of the Michigan Keystone Center collaborative … https://psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report … https://psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60174/psn-pdf
     March 30, 2020 - Safer Report? … Finally, this iteration provides PSP comparison tables across all three of the reports. … Conclusion: How Should the Report be Used? … Analyst, IMPAQ Health IMPAQ International Columbia, MD References [1] AHRQ’s Making Healthcare Safer Reports … [5] Making Healthcare Safer III: Comparison Tables for Making Health Safer Reports.

368. Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. | PSNet
     psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system
     May 21, 2014 - Book/Report Assessing Patient Safety Practices and Outcomes in the U.S. … This publication reports the results of a 2-year examination to determine the effectiveness of US efforts … Report IV. … View More Related Resources National Healthcare Quality and Disparities Reports … January 9, 2024 Maryland Hospital Patient Safety Program Annual Report.

369. Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. | PSNet
     psnet.ahrq.gov/issue/healthcare-inspection-evaluation-veterans-health-administrations-national-consult-delay
     September 10, 2014 - Book/Report Healthcare Inspection: Evaluation of the Veterans Health Administration's … Report No. 14-04705-62. … Report No. 14-04705-62. … Report No. 14-04705-62. … May 1, 2015 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50753/psn-pdf
     December 18, 2019 - The contribution of staffing to medication administration errors: a text mining analysis of incident report … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident Report … psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis- incident-report … study used descriptive statistics, manual analysis, and text mining of medication-related incident reports … The key importance of this article is the use of an automated system to analyze incident reports.

371. Mandatory error reporting discourages disclosure of information. | PSNet
     psnet.ahrq.gov/issue/mandatory-error-reporting-discourages-disclosure-information
     October 26, 2011 - August 5, 2015 Report suggests trend in prescription drug errors filled by pharmacists … April 30, 2014 FDA to end program that hid millions of reports on faulty medical devices … The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … Report. … May 8, 2013 Promote a culture of safety with good catch reports.

372. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
     February 01, 2012 - The National Progress Report on E-Prescribing and Interoperable Healthcare 2010. … Surescripts. http://www.surescripts.com/about-e-prescribing/progress-reports/national-progress-reports.aspx

373. The business case for quality: case studies and an analysis. | PSNet
     psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
     February 23, 2019 - August 4, 2021 Transforming concepts in patient safety: a progress report. … 27, 2011 Healthcare provider complaints to the emergency department: a preliminary report

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74177/psn-pdf
     January 01, 2022 - Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. … Harnessing event report data to identify diagnostic error during the COVID- 19 pandemic. … https://psnet.ahrq.gov/issue/harnessing-event-report-data-identify-diagnostic-error-during-covid-19- … The study compared a review of all patient safety reports explicitly mentioning COVID-19, and using … natural language processing, identified additional safety reports involving COVID-19 diagnostic errors

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74705/psn-pdf
     January 26, 2022 - https://psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research … - patient-safety The release of the Institute of Medicine (IOM)’s To Err is Human report in 1999 was … but that the themes of recent research do not necessarily align with the initial focus of the IOM report … https://psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety … https://psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety

376. The Value of Close Calls in Improving Patient Safety. | PSNet
     psnet.ahrq.gov/issue/value-close-calls-improving-patient-safety
     July 12, 2006 - Book/Report The Value of Close Calls in Improving Patient Safety. … September 29, 2017 High Quality Care for All: NHS Next Stage Review Final Report. … August 9, 2013 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient

377. Transforming Hospitals: Designing for Safety and Quality. | PSNet
     psnet.ahrq.gov/issue/transforming-hospitals-designing-safety-and-quality
     May 01, 2015 - Available at Related report (PDF) Save Save to your library Print Download … AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report … 30, 2016 Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report.

378. State starts project to track serious hospital mistakes. | PSNet
     psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
     May 10, 2006 - This article reports on the launch of Oregon's statewide voluntary incident reporting program to track … July 23, 2014 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … Revised Report. … July 24, 2019 Teaching medical students to recognise and report errors. … February 16, 2022 Hospital Performance Report.

379. E-prescribing: E for error? | PSNet
     psnet.ahrq.gov/web-mm/e-prescribing-e-error
     February 03, 2021 - The report also estimates that the increase in e-prescribing could prevent 3.5 million medication errors … The Surescripts National Progress Report is the primary source of information for e-prescribing adoption … The National Progress Report on E-Prescribing and Interoperable Healthcare 2010. Surescripts. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … , 2024 Analysis of intervention employability in pharmacy-related medication safety reports

380. Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005. | PSNet
     psnet.ahrq.gov/issue/inadvertent-misadministration-meningococcal-conjugate-vaccine-united-states-june-august-2005
     February 27, 2019 - This article reports on an investigation into clusters of mistakes involving the misadministration of … More Related Resources National and State Healthcare-Associated Infections Progress … Report.