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141. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
     June 23, 2021 - This study analyzed dialysis-related bleeding events reported to the Veterans Health Administration … June 23, 2021 Retrospective analysis of reported suicide deaths and attempts on Veterans … October 21, 2020 Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020 Review of reported adverse events occurring among the homeless veteran

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853963/psn-pdf
     September 27, 2023 - Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. … Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. … https://psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers-2000 … https://psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers-2000 … -2021 https://psnet.ahrq.gov/issue/pediatric-adhd-medication-errors-reported-united-states-poison-centers

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867642/psn-pdf
     February 26, 2025 - Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional … Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional … https://psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish- university-hospital-cross … This cross-sectional study at one Danish hospital found that patients whose surgeries were canceled reported … https://psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846448/psn-pdf
     March 22, 2023 - Understanding patient and clinician reported nonroutine events in ambulatory surgery. … Understanding patient and clinician reported nonroutine events in ambulatory surgery. … https://psnet.ahrq.gov/issue/understanding-patient-and-clinician-reported-nonroutine-events-ambulatory … This study assessed the incidence and nature of patient- and clinician-reported deviations from optimal … between clinicians and patients or family members was the most common type of patient-reported NRE.

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50448/psn-pdf
     October 09, 2019 - Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive … cohort study of 4830 reported cases of preventable harm in Sweden. … cohort study of 4830 reported cases of preventable harm in Sweden. … https://psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments- … This study examined diagnostic errors reported in primary and emergency care settings over a five-year

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60601/psn-pdf
     June 17, 2020 - Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. … Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. … - 2019 In this survey of 6,264 US general surgery residents, 70% reported experiencing at least one … bullying behavior during surgical training and 18% reported frequent bullying. … Women and racial/ethnic minorities reported more frequent bullying.

147. Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | PSNet
     psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
     August 21, 2019 - Study Anesthesia adverse events voluntarily reported in the Veterans Health Administration … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … August 21, 2019 Root cause analysis of reported patient falls in ORs in the Veterans … July 3, 2014 View More Related Resources Root cause analyses of reported

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867007/psn-pdf
     October 23, 2024 - Development and psychometric analysis of a patient- reported measure of diagnostic excellence for emergency … Development and psychometric analysis of a patient-reported measure of diagnostic excellence for emergency … https://psnet.ahrq.gov/issue/development-and-psychometric-analysis-patient-reported-measure-diagnostic … https://psnet.ahrq.gov/issue/development-and-psychometric-analysis-patient-reported-measure-diagnostic-excellence … https://psnet.ahrq.gov/issue/development-and-psychometric-analysis-patient-reported-measure-diagnostic-excellence

149. Nurse staffing levels and patient-reported missed nursing care. | PSNet
     psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care
     September 27, 2017 - Study Nurse staffing levels and patient-reported missed nursing care. … Nurse Staffing Levels and Patient-Reported Missed Nursing Care. … Nurse Staffing Levels and Patient-Reported Missed Nursing Care. … Download Citation Related Resources From the Same Author(s) Patient-reported

150. Insulin pumps have most reported problems in FDA database. | PSNet
     psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
     October 03, 2018 - Newspaper/Magazine Article Insulin pumps have most reported problems in FDA database … Citation Text: Insulin pumps have most reported problems in FDA database. Mohr H, Weiss M. … Cite Citation Citation Text: Insulin pumps have most reported … More than algorithms: an analysis of safety events involving ML-enabled medical devices reported

151. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet
     psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
     March 24, 2021 - Of the ten retrospective studies included in the review, all reported improvements following RCA-recommended … November 24, 2021 National improvements in resident physician-reported patient safety … Counterpoint, and Areas of Agreement September 24, 2024 What safety events are reported … October 21, 2020 Retrospective analysis of reported suicide deaths and attempts on Veterans

152. Experience of hospital-initiated medication changes in older people with multimorbidity: a multicentre mixed-methods study embedded in the OPtimising thERapy to prevent Avoidable hospital admissions in Multimorbid older people (OPERAM) trial. | PSNet
     psnet.ahrq.gov/issue/experience-hospital-initiated-medication-changes-older-people-multimorbidity-multicentre
     August 18, 2021 - Whereas clinicians reported high levels of shared decision-making, patients reported poor communication … gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported … October 20, 2021 Effect of medication reconciliation on patient reported potential adverse

153. Do medical inpatients who report poor service quality experience more adverse events and medical errors? | PSNet
     psnet.ahrq.gov/issue/do-medical-inpatients-who-report-poor-service-quality-experience-more-adverse-events-and
     July 14, 2021 - patients' complaints of poor service quality with documented adverse events and found that patient-reported … July 14, 2021 Comparing patient-reported hospital adverse events with medical record … to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported … March 23, 2011 Comparing patient-reported hospital adverse events with medical record

154. Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout. | PSNet
     psnet.ahrq.gov/issue/physicians-experiences-mistreatment-and-discrimination-patients-families-and-visitors-and
     October 26, 2022 - Survey respondents reported experiencing mistreatment (e.g., racially or ethnically offensive remarks … 2020 Physician burnout, well-being, and work unit safety grades in relationship to reported … July 6, 2011 Parent-reported errors and adverse events in hospitalized children. … May 8, 2017 National improvements in resident physician-reported patient safety after

155. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet
     psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
     October 07, 2020 - Using data reported to the Pennsylvania Patient Safety Reporting System (PA-PSRS), researchers in this … that increase the risk of infection through respiratory droplets: a study of patient safety events reported … Patient harm resulting from medication reconciliation process failures: a study of serious events reported … November 24, 2021 What safety events are reported for ambulatory care?

156. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. | PSNet
     psnet.ahrq.gov/issue/impact-covid-19-pandemic-cancer-care-global-collaborative-study
     April 21, 2021 - Many centers reported challenges in delivering care, reduction in services, lack of personal protective … Respondents also reported potential patient harm due to interruptions in cancer-specific and non-cancer … randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported … coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837194/psn-pdf
     January 01, 2023 - National improvements in resident physician-reported patient safety after limiting first-year resident … National improvements in resident physician-reported patient safety after limiting first-year resident … https://psnet.ahrq.gov/issue/national-improvements-resident-physician-reported-patient-safety-after- … significant medical errors (32% risk reduction), reported preventable adverse events (34% risk reduction … ), and reported medical errors resulting in patient death (63% risk reduction).

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60616/psn-pdf
     June 24, 2020 - Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital … Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital … https://psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory … responses from nurses at one large US hospital, this study examined the association between nurse-reported … The researchers found that nurse-reported bullying was significantly associated with the incidence of

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61021/psn-pdf
     October 14, 2020 - Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video … Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video … https://psnet.ahrq.gov/issue/deficiencies-provider-reported-interpreter-use-clinical-trial-comparing- … despite caring for patients enrolled in a study of professional interpreter modalities, many respondents reported … lapses in professional interpretation and commonly reported less frequent and deferred communication

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836984/psn-pdf
     April 27, 2022 - A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in … A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in … https://psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary- resuscitation-calls … UK tertiary hospital reviewed cardiac arrest calls and cardiopulmonary resuscitation (CPR) events reported … https://psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls