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psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
August 24, 2022 - Researchers and patient advocates have raised concerns about the accuracy of self-reported data on … residents admitted to a hospital for a urinary tract infection (UTI) and compared that number to rates reported … The results show only 79% of claims-based UTIs were reported by the facility. … August 19, 2020
Is there a link between nursing home reported quality and COVID-19 cases
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psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within-multisite-nhs-trust
September 07, 2022 - Researchers reviewed 133 radiation incidents reported to one NHS trust from 2015-2018. … Reported events included radiation incidents, near-miss incidents, and repeat scans. … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported … July 8, 2020
A 6-year thematic review of reported incidents associated with cardiopulmonary
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psnet.ahrq.gov/issue/perceptions-and-attitudes-pediatricians-and-families-regard-pediatric-medication-errors-home
August 11, 2021 - internet for information about their child's care and medications, and an equal percent of parents reported … Both groups reported lack of parental knowledge as the main contributor to medication errors, and most … pediatricians supported the idea of a mechanism for collecting parent-reported errors and a learning … January 24, 2024
Pediatric ADHD medication errors reported to United States poison centers
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psnet.ahrq.gov/issue/adverse-mental-health-inpatient-experiences-qualitative-systematic-review-international
January 13, 2021 - Mental health inpatients are a vulnerable population and have reported negative experiences while receiving … This systematic review highlights adverse or negative experiences reported by current or former inpatients … Across 111 studies, patients reported an imbalance of power, feeling traumatized or retraumatized, and … April 10, 2024
A review of medication administration errors reported in a large psychiatric
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psnet.ahrq.gov/issue/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - This study compared seven years of self-reported pressure ulcer data with claims-based data for pressure … Similar to earlier research on self-reported falls data, correlations between the self-reported and … January 14, 2011
Is there a link between nursing home reported quality and COVID-19 cases
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psnet.ahrq.gov/issue/controlled-interventions-reduce-burnout-physicians-systematic-review-and-meta-analysis
September 28, 2022 - One survey study found that more than half of physicians reported at least one or more symptoms of … November 14, 2018
Threats to patient safety in primary care reported by older people … February 17, 2021
Patient-reported safety incidents in older patients with long-term … The effects of the second victim phenomenon on work-related outcomes: connecting self-reported
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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
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psnet.ahrq.gov/node/60716/psn-pdf
July 22, 2020 - A spike in people dying at home suggests coronavirus
deaths in Houston may be higher than reported. … A spike in people dying at home suggests coronavirus deaths in Houston may
be higher than reported. … ://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-
higher-reported … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported … https://psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
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psnet.ahrq.gov/node/47494/psn-pdf
January 01, 2020 - Race differences in reported harmful patient safety events
in healthcare system high reliability organizations … Race Differences in Reported Harmful Patient Safety Events in
Healthcare System High Reliability Organizations … https://psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system … https://psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability … https://psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
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psnet.ahrq.gov/node/73562/psn-pdf
August 04, 2021 - Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the … Medication safety in mental health hospitals: a mixed-
methods analysis of incidents reported to the … //psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-
reported-national … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
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psnet.ahrq.gov/node/74086/psn-pdf
November 17, 2021 - Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health … Review of reported adverse events occurring among the
homeless veteran population in the Veterans Health … https://psnet.ahrq.gov/issue/review-reported-adverse-events-occurring-among-homeless-veteran-
population-veterans-health … https://psnet.ahrq.gov/issue/review-reported-adverse-events-occurring-among-homeless-veteran-population-veterans-health … https://psnet.ahrq.gov/issue/review-reported-adverse-events-occurring-among-homeless-veteran-population-veterans-health
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psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
March 01, 2023 - Study
Race differences in reported harmful patient safety events in healthcare system … Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations … Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations … March 1, 2023
Race differences in reported "near miss" patient safety events in health
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psnet.ahrq.gov/node/764407/psn-pdf
March 02, 2022 - Risk factors for clinically relevant deviations in patients'
medication lists reported by patients in … Risk factors for clinically relevant deviations in patients’
medication lists reported by patients in … https://psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported … https://psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients … https://psnet.ahrq.gov/issue/risk-factors-clinically-relevant-deviations-patients-medication-lists-reported-patients
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psnet.ahrq.gov/node/848811/psn-pdf
May 10, 2023 - Types of diagnostic errors reported by paediatric
emergency providers in a global paediatric emergency … Types of diagnostic errors reported by paediatric emergency
providers in a global paediatric emergency … https://psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global- … https://psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency … https://psnet.ahrq.gov/issue/types-diagnostic-errors-reported-paediatric-emergency-providers-global-paediatric-emergency
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psnet.ahrq.gov/node/848361/psn-pdf
May 03, 2023 - More than algorithms: an analysis of safety events
involving ML-enabled medical devices reported to … More than algorithms: an analysis of safety events involving ML-enabled
medical devices reported to … /psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-
reported-fda … ://psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda … ://psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
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psnet.ahrq.gov/node/74080/psn-pdf
January 01, 2022 - The nature of reported safety events related to care
coordination in the operating room setting in a … The nature of reported safety events related to care
coordination in the operating room setting in a … https://psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room- … https://psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary … https://psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
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psnet.ahrq.gov/node/45685/psn-pdf
January 01, 2021 - The effects of the second victim phenomenon on work-
related outcomes: connecting self-reported caregiver … The Effects of the Second Victim Phenomenon on Work-Related
Outcomes: Connecting Self-Reported Caregiver … https://psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-
reported-caregiver … https://psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver … https://psnet.ahrq.gov/issue/effects-second-victim-phenomenon-work-related-outcomes-connecting-self-reported-caregiver
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psnet.ahrq.gov/node/73513/psn-pdf
July 21, 2021 - Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement … Analysis of suicides reported as adverse events in
psychiatry resulted in nine quality improvement initiatives … https://psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality … https://psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement … https://psnet.ahrq.gov/issue/analysis-suicides-reported-adverse-events-psychiatry-resulted-nine-quality-improvement
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psnet.ahrq.gov/node/60023/psn-pdf
March 11, 2020 - Patient-related factors associated with an increased risk
of being a reported case of preventable harm … Patient-related factors associated with an increased risk of
being a reported case of preventable harm … https://psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case- … https://psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first … https://psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first
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psnet.ahrq.gov/issue/surgeon-reported-conflict-intensivists-about-postoperative-goals-care
September 26, 2012 - Study
Surgeon-reported conflict with intensivists about postoperative goals of care … Surgeon-reported conflict with intensivists about postoperative goals of care. … Surgeon-reported conflict with intensivists about postoperative goals of care.