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421. Non–health care facility cardiovascular medication errors in the United States. | PSNet
     psnet.ahrq.gov/issue/non-health-care-facility-cardiovascular-medication-errors-united-states
     November 28, 2018 - Resources From the Same Author(s) Antidepressant and antipsychotic medication errors reported … December 21, 2017 Pediatric ADHD medication exposures reported to US poison control centers … November 4, 2014 Pediatric ADHD medication errors reported to United States poison centers … September 27, 2023 Analgesic-related medication errors reported to US Poison Control … December 21, 2018 Therapeutic errors involving diabetes medications reported to United

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39013/psn-pdf
     October 14, 2009 - The nature and causes of unintended events reported at ten emergency departments. … The nature and causes of unintended events reported at ten emergency departments. … https://psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments … https://psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments https

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851349/psn-pdf
     July 12, 2023 - associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported … associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported … This analysis of 15,730 incident reports involving DOACs reported in the United Kingdom between 2017

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73066/psn-pdf
     March 24, 2021 - Patient harm resulting from medication reconciliation process failures: a study of serious events reported … Patient harm resulting from medication reconciliation process failures: a study of serious events reported … Based on events reported to the Pennsylvania Patient Safety Reporting System, the authors characterized

425. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. | PSNet
     psnet.ahrq.gov/issue/patient-reasoning-patients-and-care-partners-perceptions-diagnostic-accuracy-emergency-care
     October 23, 2024 - Resources From the Same Author(s) Development and psychometric analysis of a patient-reported … October 23, 2024 Achieving diagnostic excellence: roadmaps to develop and use patient-reported … September 28, 2022 Feasibility of patient-reported diagnostic errors following emergency … Emotionally evocative patients in the emergency department: a mixed methods investigation of providers' reported

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73483/psn-pdf
     July 14, 2021 - Nurses with poor physical or mental health reported making more medical errors than their healthier … that improvements in an organization’s health and wellness support programs could result in fewer reported … focus-quadruple-aim-development-resiliency-center-promote-faculty-and-staff-wellness https://psnet.ahrq.gov/issue/burnout-and-its-relationship-self-reported-quality-patient-care-and-adverse-events-during

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60987/psn-pdf
     October 07, 2020 - that increase the risk of infection through respiratory droplets: a study of patient safety events reported … that increase the risk of infection through respiratory droplets: a study of patient safety events reported … to viruses and bacteria spread through respiratory droplets (e.g., pertussis, meningitis, measles) reported

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45992/psn-pdf
     January 01, 2020 - can-we-rely-patients-reports-adverse-events https://psnet.ahrq.gov/primer/patient-engagement-and-safety https://psnet.ahrq.gov/issue/patient-reported-approach-identify-medical-errors-and-improve-patient-safety-emergency … https://psnet.ahrq.gov/issue/framework-assess-patient-reported-adverse-outcomes-arising-during-hospitalization … https://psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm

429. Double checking medicines: defence against error or contributory factor? | PSNet
     psnet.ahrq.gov/issue/double-checking-medicines-defence-against-error-or-contributory-factor
     January 31, 2024 - August 2, 2017 How might health services capture patient-reported safety concerns in … A study of the sociotechnical context through the analysis of reported medication incidents. … July 27, 2011 Medication errors: how reliable are the severity ratings reported to the … December 16, 2009 Discrepancies between home medications listed at hospital admission and reported

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46859/psn-pdf
     January 01, 2020 - mixed- methods study, investigators analyzed the types of issues patients and their care partners reported … mixed-methods-evaluation-real-time-safety-reporting-hospitalized-patients-and-their-care https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know … https://psnet.ahrq.gov/perspective/patient-engagement-safety https://psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47173/psn-pdf
     June 06, 2018 - Pediatric ADHD medication exposures reported to US poison control centers. … Pediatric ADHD Medication Exposures Reported to US Poison Control Centers. … https://psnet.ahrq.gov/issue/pediatric-adhd-medication-exposures-reported-us-poison-control-centers … https://psnet.ahrq.gov/issue/pediatric-adhd-medication-exposures-reported-us-poison-control-centers https

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37591/psn-pdf
     November 10, 2011 - Commentary on Sentinel & Serious Events Reported by District Health Boards - 2006/07. … https://psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607 … https://psnet.ahrq.gov/issue/commentary-sentinel-serious-events-reported-district-health-boards-200607

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38798/psn-pdf
     May 18, 2019 - This AHRQ-funded study found that more than half of surveyed physicians reported time pressures during … office visits and low control over their work, though only a quarter reported burnout. … /psnet.ahrq.gov/issue/relationship-organizational-culture-stress-satisfaction-and-burnout-physician-reported-error

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47916/psn-pdf
     May 29, 2019 - Participants also reported whether rudeness incidents influenced their cognition or their teamwork. … Although rudeness was associated with worse self-reported cognition and teamwork, investigators did … not observe differences in reported adverse events or changes in hand hygiene or medication protocol

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - Summaries of reported events are disseminated in a timely fashion. … The spectrum of reported events is limited, in part due to the fact that physicians generally do not … Event reports therefore provide a snapshot of safety issues, but on their own, cannot place the reported … problem-incident-reporting on collecting reports instead of learning from the events that have been reported … should resist the temptation to encourage event reporting without a concrete plan for following up on reported

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860015/psn-pdf
     September 01, 2024 - All RSI cases are usually required to be reported to internal hospital risk management and patient safety … Epidemiology Not all RSIs are required to be externally reported, which influences the reported incidence … Retained sponges are the most frequently reported surgical item to cause patient harm because these … UDFs are often the most frequently reported to internal facility reporting systems (with drill bits … Individual facilities and healthcare entities have reported improvement in the incidence of specific

437. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
     November 17, 2021 - Download Citation Related Resources From the Same Author(s) Review of reported … October 29, 2017 Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020 Retrospective analysis of reported suicide deaths and attempts on Veterans … July 6, 2022 What safety events are reported for ambulatory care?

438. Adverse patient safety events during the COVID epidemic. | PSNet
     psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
     May 03, 2023 - December 11, 2024 Anesthesia adverse events voluntarily reported in the Veterans Health … April 12, 2019 Root cause analysis of reported patient falls in ORs in the Veterans Health … October 24, 2018 Review of reported adverse events occurring among the homeless veteran … June 9, 2021 Burnout and its relationship to self-reported quality of patient care and

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36110/psn-pdf
     April 04, 2024 - psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019 This website provides sentinel event data reported … to The Joint Commission, which includes information on sentinel events reported from January through

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47585/psn-pdf
     December 05, 2018 - Insulin pumps have most reported problems in FDA database. December 5, 2018 Mohr H, Weiss M. … https://psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database Usability issues … https://psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database https://psnet.ahrq.gov