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  1. Advances in Patient Safety and Medical Liability. | PSNet

    psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
    May 01, 2017 - Book/Report Classic Advances in Patient Safety and Medical … AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report … May 6, 2015 Confidential Physician Feedback Reports: Designing for Optimal Impact on … November 30, 2018 Guide to Patient and Family Engagement: Environmental Scan Report. … June 13, 2018 Hospital Survey on Patient Safety Culture: 2018 User Database Report.

  2. Sentinel Event Alert. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert
    May 30, 2012 - 2012 America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report … November 26, 2014 Improving America's Hospitals: The Joint Commission's Annual Report … November 2, 2012 Improving America's Hospitals: The Joint Commission's Report on Quality … December 1, 2010 Improving America's Hospitals: The Joint Commission's Annual Report … of Agreement September 24, 2024 Adverse Health Events in Minnesota: Annual Reports

  3. Advances in Patient Safety: New Directions and Alternative Approaches. | PSNet

    psnet.ahrq.gov/issue/advances-patient-safety-new-directions-and-alternative-approaches
    August 01, 2012 - Book/Report Classic Advances in Patient Safety: New Directions … December 18, 2008 Final Report on Prioritization of Patient Safety Practices for a New … Summary, Evidence Report/Technology Assessment. … View More Related Resources National Healthcare Quality and Disparities Reports … September 29, 2017 High Quality Care for All: NHS Next Stage Review Final Report.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33796/psn-pdf
    January 01, 2016 - Most of the reports are requested by Congress and are funded through that mechanism, but they do some … reports at the request of organizations and societies. … RW: Another element of these reports is a handful of high impact recommendations—if the system just did … But looking at IOM reports, they are already very long. This report is 300 or 400 pages. … What I've learned is that IOM reports tend to stay at a very high level, and it's up to the stakeholders

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34804/psn-pdf
    January 05, 2017 - quality-improvement This study determined the rate with which adverse drug events (ADE) resulted in an incident report … and whether differences existed among hospital personnel as to whether an incident report should or … After identifying ADEs in this single-center study, only 6% had a corresponding incident report submitted … administrators, nurse leaders in quality, and staff nurses all agreed that each ADE warranted an incident report … The authors offer a plan to improve reporting systems and provide examples of how past incident reports

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40776/psn-pdf
    September 14, 2011 - Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report. … ://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database- report … Similar to that tool, AHRQ now provides annual comparative reports that present benchmarking data for … https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database-report … https://psnet.ahrq.gov/issue/nursing-home-survey-patient-safety-culture-2011-user-comparative-database-report

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39543/psn-pdf
    May 19, 2010 - Hospital Survey on Patient Safety Culture: 2010 User Comparative Database Report. … https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report … AHRQ has released database reports yearly since 2007 that present benchmarking data for safety culture … https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2010-user-comparative-database-report … culture-safety https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2007-comparative-database-report

  8. Learn Not Blame. | PSNet

    psnet.ahrq.gov/issue/learn-not-blame
    November 14, 2011 - the Same Author(s) Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report … Final Report. … Final Report. June 2, 2010 Making Hospitals Safe for People With Diabetes. … Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports … May 23, 2018 Medical Office Survey on Patient Safety Culture: 2018 User Database Report

  9. Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning. | PSNet

    psnet.ahrq.gov/issue/proper-positioning-pharmacy-label-hospira-pca-vials-will-avoid-interference-scanning
    May 05, 2018 - This article reports on an overdose caused by improper label placement on a patient controlled analgesia … May 2, 2018 ISMP's second QuarterWatch report shows sharp increase in reports of serious … June 16, 2019 ISMP medication error report analysis. … January 3, 2017 ISMP medication error report analysis. … December 30, 2014 ISMP medication error report analysis.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35218/psn-pdf
    August 07, 2018 - health care across the United Kingdom, the National Patient Safety Agency (NPSA) presents their first report … The two-part report begins with a general discussion of incident reporting, the basis for a national … 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

  11. Understanding care transitions as a patient safety issue. | PSNet

    psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue
    August 22, 2007 - September 30, 2009 Keeping the Commitment: A Progress Report on Four Early Leaders in … January 10, 2007 Scathing report on Kaiser kidney program.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35855/psn-pdf
    October 25, 2013 - healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report … The report uses the Agency for Healthcare Research and Quality's Patient Safety Indicators to provide … The report suggests that the patient safety incidents captured account for more than $9 billion in excess … As with the second annual report, several methodological limitations exist, and the reports themselves

  13. Surveys on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture
    December 24, 2008 - In addition, reports are available that summarize the benchmarking data across cohorts nationwide. … Summary, Evidence Report/Technology Assessment. … Final Report. … 11, 2020 Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report … 12, 2016 Hospital Survey on Patient Safety Culture: 2016 User Comparative Database Report

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47176/psn-pdf
    June 06, 2018 - Report faults Children's Hospital for medication errors. June 6, 2018 Kowalczyk L. Boston Globe. … https://psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors Pediatric patients are … This news article reports on serious medication errors that occurred at Children's Hospital in 2017, … https://psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors https://psnet.ahrq.gov

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38048/psn-pdf
    October 03, 2017 - https://psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015 This website shares … The most common problems in the 279 incidents reported in 2018 -- when the last report was published … Reports of data from 2006 - 2017 are also available. … https://psnet.ahrq.gov/issue/indiana-medical-error-reporting-system-final-report-2015 https://psnet.ahrq.gov

  16. Medication errors associated with documented allergies. | PSNet

    psnet.ahrq.gov/issue/medication-errors-associated-documented-allergies
    March 18, 2010 - This article analyzed reports of medication errors due to patient allergies and found that lack of patient … October 7, 2015 Promote a culture of safety with good catch reports. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … September 1, 2016 ISMP medication error report analysis.

  17. Origins of and solutions for neonatal medication-dispensing errors. | PSNet

    psnet.ahrq.gov/issue/origins-and-solutions-neonatal-medication-dispensing-errors
    July 21, 2009 - This study reports on a quality improvement effort to eliminate errors due to look-alike, sound-alike … 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.

  18. Drug name confusion: preventing medication errors. | PSNet

    psnet.ahrq.gov/issue/drug-name-confusion-preventing-medication-errors
    January 29, 2018 - This article reports on problems with drug names, the naming process for medications, and both industry … 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.

  19. STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. | PSNet

    psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
    February 14, 2006 - Reporting Diagnostic Accuracy Studies (STARD), a checklist for researchers when writing diagnostic research … reports.

  20. Error-avoidance recommendations for tubing misconnections when using luer-tip connectors: a statement by the USP Safe Medication Use Expert Committee. | PSNet

    psnet.ahrq.gov/issue/error-avoidance-recommendations-tubing-misconnections-when-using-luer-tip-connectors
    November 21, 2018 - Based on reports received through numerous national organizations, this article provides public policy … May 17, 2023 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.
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