-
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.
-
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
-
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
-
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
-
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
-
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
-
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-
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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
-
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