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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46027/psn-pdf
    July 02, 2019 - This study compared measures from the Leapfrog Group, which incorporates mandatory publicly reported … data and voluntary self-reported data to give each hospital a letter grade, to mandatory publicly reported … Leapfrog score, they modeled how the hospitals' overall letter grades would change if they had self- reported … They found that self-reported data heavily influenced a hospital's letter grade.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44215/psn-pdf
    November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000 … Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000 … https://psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers … - united-states-2000 Vaccination-related errors reported to the National Vaccine Adverse Event Reporting … One-fourth of reported errors caused an adverse health event, with 8% of these resulting in serious
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42669/psn-pdf
    September 27, 2017 - Patient-reported missed nursing care correlated with adverse events. … Patient-reported missed nursing care correlated with adverse events. … https://psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events The extent … The study demonstrated that patients who reported pressure ulcers, medication errors, hospital-acquired … /issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know https
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837422/psn-pdf
    June 15, 2022 - Reported clinical incidents of children with intellectual disability: a qualitative analysis. … Reported clinical incidents of children with intellectual disability: a qualitative analysis. … https://psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis … https://psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41373/psn-pdf
    May 16, 2012 - Self-reported violations during medication administration in two paediatric hospitals. … Self-reported violations during medication administration in two paediatric hospitals. … https://psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric … - hospitals Pediatric nurses reported frequently violating medication administration policies, especially … https://psnet.ahrq.gov/issue/self-reported-violations-during-medication-administration-two-paediatric-hospitals
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36155/psn-pdf
    April 03, 2012 - The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice … The Threats to Australian Patient Safety (TAPS) study: incidence of reported errors in general practice … https://psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general … - practice The investigators analyzed error data anonymously reported by general practitioners in New … https://psnet.ahrq.gov/issue/threats-australian-patient-safety-taps-study-incidence-reported-errors-general-practice
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37187/psn-pdf
    September 25, 2008 - Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. … Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998- … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005 … https://psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35602/psn-pdf
    September 27, 2017 - A review of medication administration errors reported in a large psychiatric hospital in the United … A review of medication administration errors reported in a large psychiatric hospital in the United … https://psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital … both environmental and personal factors played a key role in the medication errors and near misses reported … https://psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital-united-kingdom
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36962/psn-pdf
    June 15, 2011 - Rates and types of events reported to established incident reporting systems in two US hospitals. … Rates and types of events reported to established incident reporting systems in two US hospitals. … https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two … This pattern likely influenced the spectrum of problems reported; only a small proportion of reported … https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42629/psn-pdf
    October 02, 2013 - The relationship between the nursing work environment and the occurrence of reported paediatric medication … The Relationship Between the Nursing Work Environment and the Occurrence of Reported Paediatric Medication … https://psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported- … found that increased patient load and overall workload were associated with a greater risk of self-reported … https://psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported-paediatric-medication
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38013/psn-pdf
    March 09, 2009 - Agreement between patient-reported symptoms and their documentation in the medical record. … Agreement between patient-reported symptoms and their documentation in the medical record. … https://psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation- medical-record … This study analyzed electronic medical records to determine how patient-reported symptoms were addressed … https://psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38766/psn-pdf
    November 14, 2011 - Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health … Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health … https://psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies … - primary-health-care Laboratory technicians reported very low usage of incident reporting systems, … https://psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837070/psn-pdf
    May 11, 2022 - Patient falls in the operating room setting: an analysis of reported safety events. … Patient falls in the operating room setting: an analysis of reported safety events. … https://psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events Inpatient … https://psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events https
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40400/psn-pdf
    June 20, 2011 - Determinants of patient-reported medication errors: a comparison among seven countries. … Determinants of patient-reported medication errors: a comparison among seven countries. … https://psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven- … prior Commonwealth Fund reports, found that care coordination was a major determinant of patient- reported … https://psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40945/psn-pdf
    November 23, 2011 - The nature and causes of unintended events reported at 10 internal medicine departments. … The nature and causes of unintended events reported at 10 internal medicine departments. … https://psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine- departments … This study analyzed unintended events reported by hospital staff to identify targets for intervention … https://psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42050/psn-pdf
    January 07, 2015 - The association between frequency of self-reported medical errors and anesthesia trainee supervision … The association between frequency of self-reported medical errors and anesthesia trainee supervision … https://psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia … - trainee-supervision In this nationwide survey of anesthesia residents, lower reported supervision … https://psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38804/psn-pdf
    July 22, 2009 - Tenfold therapeutic dosing errors in young children reported to US poison control centers. … Tenfold therapeutic dosing errors in young children reported to U.S. poison control centers. … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control … years found that H2-receptor antagonists and metoclopramide were the most common medication errors reported … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41344/psn-pdf
    June 15, 2012 - Review of patient safety incidents reported from critical care units in North-West England in 2009 and … Review of patient safety incidents reported from critical care units in North-West England in 2009 and … https://psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england … - 2009-and-2010 Pressure ulcers were the most common voluntarily reported patient safety issue in intensive … https://psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40907/psn-pdf
    December 08, 2011 - Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by … Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by … psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse- events-reported … //psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported … //psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
  20. psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
    January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … April 25, 2016 Root cause analyses of reported adverse events occurring during gastrointestinal … August 21, 2019 Anesthesia adverse events voluntarily reported in the Veterans Health

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