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421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36665/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-10 This monthly selection of medication … error reports provides examples of look-alike solution confusion, order entry error, and inhaler dose … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-10

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39158/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR; Smetzer JL. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40 This monthly selection of error … reports discusses incidents involving incomplete administration of a two-part pediatric vaccine and … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-40

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38266/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Smetzer JL; Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31 This monthly selection of error … reports includes examples of confusion regarding medication delivery instructions and sound-alike mistakes … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37084/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-15 This monthly selection of medication … error reports discusses product name confusion, an unsafe process for outdated drug replacement, and … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-15

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35768/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-3 This monthly selection of medication … error reports provides examples of problems with drug name confusion and misspellings, oral medication … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-3

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35821/psn-pdf
     June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen M. … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4 This monthly selection of medication … error reports provides examples of oral to IV dosing conflicts, name confusion with a new sleep aid … https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-4

427. Healthcare 411: Patient Safety Organizations Proposed Regulation. | PSNet
     psnet.ahrq.gov/issue/healthcare-411-patient-safety-organizations-proposed-regulation
     April 25, 2018 - 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. … December 21, 2022 National Healthcare Quality and Disparities Reports.

428. Physician accused of reusing devices has license suspended. | PSNet
     psnet.ahrq.gov/issue/physician-accused-reusing-devices-has-license-suspended
     December 08, 2010 - This newspaper article reports how a physician reused single-use equipment and put patients at risk for … April 6, 2011 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient

429. When good doctors go bad: a systems problem. | PSNet
     psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
     November 02, 2014 - November 2, 2014 Transforming concepts in patient safety: a progress report. … Point, Counterpoint, and Areas of Agreement September 24, 2024 Failure to report

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44480/psn-pdf
     October 14, 2015 - Improving radiology report quality by rapidly notifying radiologist of report errors. … Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. … https://psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors … In this study, researchers designed an algorithm for flagging radiology reports that may contain gender … https://psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports

431. Safe Practices for Better Healthcare–2009 Update. | PSNet
     psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
     September 29, 2017 - Final Report October 28, 2020 The Care We Need July 8, 2020 Improving … November 15, 2024 National and State Healthcare-Associated Infections Progress Report

432. QualityTools™. | PSNet
     psnet.ahrq.gov/issue/qualitytoolstm
     April 25, 2018 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary … Report. … Evidence Report/Technology Assessment. … April 28, 2021 National Healthcare Quality and Disparities Reports. … March 6, 2005 AHRQ Health Information Technology Division's 2017 Annual Report.

433. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. | PSNet
     psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe
     March 02, 2011 - September 20, 2011 Transforming concepts in patient safety: a progress report. … December 4, 2024 What can we learn from coroners’ reports on preventable deaths?

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36738/psn-pdf
     August 02, 2011 - Barriers and motivators for making error reports from family medicine offices: a report from the American … Barriers and motivators for making error reports from family medicine offices: a report from the American … https://psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report … https://psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy … https://psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38198/psn-pdf
     May 05, 2018 - ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. … https://psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious- … adverse-drug-events This newsletter highlights learnings from ISMP's QuarterWatch report, a pilot program … https://psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events … https://psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events

436. Panel Discussion: Error Proofing Your Pharmacy. | PSNet
     psnet.ahrq.gov/issue/panel-discussion-error-proofing-your-pharmacy
     April 05, 2006 - Responding to health information technology reported safety events: insights from patient safety event reports … 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports … Implications of electronic health record downtime: an analysis of patient safety event reports … July 14, 2010 Identifying health information technology related safety event reports … 2017 A machine learning approach to reclassifying miscellaneous patient safety event reports

437. Why doctors so often get it wrong. | PSNet
     psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
     October 03, 2007 - This article reports on misdiagnosis and strategies that some health care organizations are using to … July 23, 2014 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … Revised Report. … November 4, 2015 Confidential Physician Feedback Reports: Designing for Optimal Impact … July 7, 2010 Can we use incident reports to detect hospital adverse events?

438. IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care. | PSNet
     psnet.ahrq.gov/issue/ibeas-pioneer-study-patient-safety-latin-america-towards-safer-hospital-care
     January 29, 2019 - Book/Report IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer … This publication reports on the findings of the Latin American Study of Adverse Events, the first survey … Final Technical Report January 2009. … March 20, 2024 WHO Global Report on Patient Safety. … View More Related Resources National Healthcare Quality and Disparities Reports

439. Stories from the sharp end: case studies in safety improvement. | PSNet
     psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement
     October 07, 2008 - July 8, 2016 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … MSc May 1, 2007 WebM&M Cases Getting a Good Report

440. Medical malpractice claims by members of the uniformed services. | PSNet
     psnet.ahrq.gov/issue/medical-malpractice-claims-members-uniformed-services
     November 14, 2011 - December 14, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … 2022 Public comment period extended for strategies to improve patient safety: Draft Report … March 31, 2021 Medicare's Oversight of Ambulatory Surgery Centers Report.