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401. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet
     psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
     April 12, 2019 - Related Resources From the Same Author(s) Anesthesia adverse events voluntarily reported … April 12, 2019 Root cause analysis of reported patient falls in ORs in the Veterans Health … August 18, 2010 Root cause analyses of reported adverse events occurring during gastrointestinal … October 18, 2023 Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020 Anesthesia adverse events voluntarily reported in the Veterans Health

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44208/psn-pdf
     July 16, 2015 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution … Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric … https://psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867849/psn-pdf
     February 26, 2025 - https://psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals … that 80% of hospitals reported “approaching high reliability,” with no hospitals at the first or beginning … For instance, few organizations reported that high reliable safety performance was a top priority for … https://psnet.ahrq.gov/issue/impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors … The impact of safety organizing, trusted leadership, and care pathways on reported medication errors

404. Out-of-hospital medication errors among young children in the United States, 2002–2012. | PSNet
     psnet.ahrq.gov/issue/out-hospital-medication-errors-among-young-children-united-states-2002-2012
     June 14, 2017 - November 1, 2017 Pediatric ADHD medication exposures reported to US poison control centers … June 6, 2018 Analgesic-related medication errors reported to US Poison Control Centers … December 21, 2018 Antidepressant and antipsychotic medication errors reported to United … September 27, 2023 Therapeutic errors involving diabetes medications reported to United … June 22, 2009 Paediatric adverse drug reactions reported in Sweden from 1987 to 2001.

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46648/psn-pdf
     March 14, 2018 - Parenteral nutrition errors and potential errors reported over the past 10 years. … Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. … https://psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years … https://psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44145/psn-pdf
     September 27, 2017 - Nurse staffing levels and patient-reported missed nursing care. … Nurse Staffing Levels and Patient-Reported Missed Nursing Care. … https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care Missed nursing … https://psnet.ahrq.gov/issue/nurse-staffing-levels-and-patient-reported-missed-nursing-care https://psnet.ahrq.gov

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50414/psn-pdf
     September 04, 2019 - Rating the raters: an evaluation of publicly reported hospital quality rating systems. … https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems … https://psnet.ahrq.gov/issue/rating-raters-evaluation-publicly-reported-hospital-quality-rating-systems

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46712/psn-pdf
     December 21, 2018 - Analgesic-related medication errors reported to US Poison Control Centers. … Analgesic-Related Medication Errors Reported to US Poison Control Centers. … https://psnet.ahrq.gov/issue/analgesic-related-medication-errors-reported-us-poison-control-centers … https://psnet.ahrq.gov/issue/analgesic-related-medication-errors-reported-us-poison-control-centers https

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73873/psn-pdf
     September 29, 2021 - From August 2016 to July 2017, there were 54 events reported, with a mean of 4.0 events per month. … After the mobile application was launched, there was a significant increase in the number of reported … In the first year, there were 176 events reported (mean of 14.76 events per month) and 236 events reported

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39116/psn-pdf
     April 30, 2014 - Diagnostic error in medicine: analysis of 583 physician- reported errors. … Diagnostic error in medicine: analysis of 583 physician-reported errors. … https://psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors Diagnostic … This study analyzed 583 self- reported diagnostic errors and found that 69% were rated as moderate or … https://psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors https:/

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43865/psn-pdf
     May 01, 2015 - Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability … Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability … https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis- reported-errors-and … https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and … https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73855/psn-pdf
     January 01, 2022 - coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported … coronavirus disease 2019 (COVID- 19) on healthcare-associated infections in 2020: A summary of data reported … impact-coronavirus-disease-2019-covid-19-healthcare-associated-infections- 2020-summary-data Using data reported

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836961/psn-pdf
     April 20, 2022 - This study of surgical residents in the US found that most residents who reported being part of a medical … Importantly, while three quarters of residents reported they did not get emotional support following … the event, all those who did get support reported benefiting from it.

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852268/psn-pdf
     August 09, 2023 - accuracy-infection-reporting-us-nursing-home-ratings Researchers and patient advocates have raised concerns about the accuracy of self-reported … 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.

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837890/psn-pdf
     August 24, 2022 - 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 claims

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837029/psn-pdf
     May 04, 2022 - identifying-patients-whose-symptoms-are-underrecognized-during-treatment- breast-radiotherapy Concordance of patient-reported … This study compared patient-reported symptoms (pain, pruritus, edema, and fatigue) following radiotherapy … identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy https://psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47508/psn-pdf
     October 24, 2018 - 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. … https://psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration … https://psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73294/psn-pdf
     January 01, 2022 - that nearly 19% of clinical and nonclinical healthcare workers in obstetrics and gynecology settings reported … Survey respondents who identified as a second victim reported significantly more psychological and physical … Prior research reported similar findings among nurses in obstetrics and gynecology.

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850933/psn-pdf
     June 21, 2023 - In this survey of 266 clinicians within a large pediatric healthcare system, 42% reported experiencing … psychological distress after an adverse event, 22% reported absenteeism and 23% reported considering

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73161/psn-pdf
     April 21, 2021 - randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported … randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported … Patients in the intervention group reported considerably fewer medication errors and side effects and