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381. Healthcare 411: Making hospital discharges safer for seniors. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-making-hospital-discharges-safer-seniors
     February 24, 2021 - August 15, 2018 AHRQ Health Information Technology Division's 2017 Annual Report. … Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary … Report. … December 1, 2010 National Healthcare Quality and Disparities Reports. … January 30, 2013 The relationship of self-report of quality to practice size and health

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839828/psn-pdf
     October 14, 2016 - Reporting Diagnostic Accuracy Studies (STARD), a checklist for researchers when writing diagnostic research … reports.

383. Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals. | PSNet
     psnet.ahrq.gov/issue/safety-numbers-development-leapfrogs-composite-patient-safety-score-us-hospitals
     November 03, 2015 - April 18, 2013 Transforming concepts in patient safety: a progress report. … February 17, 2011 View More Related Resources HANYS' Report on … Report Cards. … January 19, 2014 Improving America's Hospitals: The Joint Commission's Annual Report

384. Ambulatory Safety and Quality Program: Health IT Portfolio. | PSNet
     psnet.ahrq.gov/issue/ambulatory-safety-and-quality-program-health-it-portfolio-2007-2013
     August 01, 2012 - 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 … 25, 2010 Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report … August 13, 2014 FDASIA Health IT Report: Proposed Strategy and Recommendations for a

385. Healthcare wants to fly as high as the aviation industry. Can it? | PSNet
     psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it
     April 12, 2023 - October 8, 2016 The Expert Panel Report to Texas Health Resources Leadership on the 2014 … November 25, 2020 ACGME Summary Report: The Pursuing Excellence Pathway Leaders Patient

386. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
     January 01, 2021 - referring physician – Radiologists are responsible for the production and delivery of radiology reports … – Referring physicians are responsible for obtaining and reading radiology reports 12 “What We … ; only 18.5% reported always reading the report while 2% reported never reading the report • To improve … The Malpractice Liability of Radiology Reports: Minimizing the risk. … Are orthopaedic surgeons reading radiology reports? A Trans-Tasman Survey.

387. One & Only Campaign. | PSNet
     psnet.ahrq.gov/issue/one-only-campaign
     April 06, 2022 - More Related Resources National and State Healthcare-Associated Infections Progress … Report.

388. Making Dialysis Safer for Patients Coalition. | PSNet
     psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition
     April 06, 2022 - More Related Resources National and State Healthcare-Associated Infections Progress … Report.

389. An observational study of how patients are identified before medication administrations in medical and surgical wards. | PSNet
     psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
     June 24, 2020 - detecting medication errors: a secondary analysis of medication administration errors using incident reports … detecting medication errors: a secondary analysis of medication administration errors using incident reports … June 24, 2020 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

390. Lack of standard dosing methods contributes to IV errors. | PSNet
     psnet.ahrq.gov/issue/lack-standard-dosing-methods-contributes-iv-errors
     December 07, 2022 - May 7, 2018 ISMP's second QuarterWatch report shows sharp increase in reports of serious … 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.

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34972/psn-pdf
     May 11, 2017 - self-assessment scores, compare practices with other hospitals, and allow the development of an ongoing progress … report.

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73434/psn-pdf
     June 30, 2021 - 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 advent of direct release of reports to patients should also decrease the risk for communication errors … The Malpractice Liability of Radiology Reports: Minimizing the risk. … Are orthopaedic surgeons reading radiology reports? A Trans- Tasman Survey.

393. The slow, troubling death of the autopsy. | PSNet
     psnet.ahrq.gov/issue/slow-troubling-death-autopsy
     August 19, 2020 - February 17, 2021 Home Health Agencies Failed To Report Over Half of Falls With Major … October 12, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

394. Patient safety culture in nephrology nurse practice settings: initial findings. | PSNet
     psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
     August 10, 2022 - February 25, 2015 Strategies for improving the value of the radiology report: a retrospective … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report.

395. Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO). | PSNet
     psnet.ahrq.gov/issue/reducing-unnecessary-hospital-readmissions-role-patient-safety-organization-pso
     December 24, 2008 - More Related Resources National and State Healthcare-Associated Infections Progress … Report. … November 30, 2023 Hospital Performance Report.

396. Reducing and Preventing Adverse Drug Events to Decrease Hospital Costs. | PSNet
     psnet.ahrq.gov/issue/reducing-and-preventing-adverse-drug-events-decrease-hospital-costs
     March 05, 2013 - Summary, Evidence Report/Technology Assessment. … April 13, 2011 View More Related Resources Final Report on Prioritization … August 9, 2023 Strategies to Improve Patient Safety: Final Report to Congress Required … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report.

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38042/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … ISMP medication error report analysis. Hosp Pharm. 2010;43(8):618-620. doi:10.1310/hpj4308- 618. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-28 This monthly selection of medication … error reports addresses examples of unclear dose preparation instructions, potential insulin storage … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-28

398. Patient Safety Toolbox. | PSNet
     psnet.ahrq.gov/issue/patient-safety-toolbox
     July 08, 2015 - The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … Report. … September 29, 2017 View More Related Resources Hospital Performance Report … July 5, 2013 Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36972/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … ISMP medication error report analysis. Hosp Pharm. 2010;42(6):498-499. doi:10.1310/hpj4206- 498. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14 This monthly selection of medication … error reports includes an error averted because the pharmacist checked the patient's prior prescription … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-14

400. Sterile water should not be given "freely." | PSNet
     psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
     March 18, 2010 - This article reports on cases of improper IV administration of sterile water, a  high-alert substance … 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.