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461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49845/psn-pdf
     October 01, 2018 - The Institute for Safe Medication Practices (ISMP) reported in 2008 that at least 17 heparin errors … A recent study reported that 33% of medication errors attributed to LASA medications were the result … reported a delay in treatment, 48.5% reported patients received suboptimal therapies, 15.8% reported … a treatment failure, and 1.2% reported a death related to various drug shortages.(7) In a more recent … that the shortages impacted emergency care, 85% reported effects on anesthesia care, and 5% reported

462. Clear liquids may place patients at risk. | PSNet
     psnet.ahrq.gov/issue/clear-liquids-may-place-patients-risk
     May 19, 2021 - Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported … that increase the risk of infection through respiratory droplets: a study of patient safety events reported … Patient harm resulting from medication reconciliation process failures: a study of serious events reported

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50747/psn-pdf
     December 18, 2019 - conducted in ten paramedic services in Ontario, Canada—of a relationship between fatigue and paramedic-reported … psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety https://psnet.ahrq.gov/issue/paramedic-self-reported-medication-errors

464. Patient perceptions of missed nursing care. | PSNet
     psnet.ahrq.gov/issue/patient-perceptions-missed-nursing-care
     September 27, 2017 - Related Resources From the Same Author(s) Nurse staffing levels and patient-reported … September 27, 2017 Patient-reported missed nursing care correlated with adverse events … to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported … September 27, 2017 Patient-reported missed nursing care correlated with adverse events

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37530/psn-pdf
     December 15, 2008 - patients' complaints of poor service quality with documented adverse events and found that patient-reported … do-medical-inpatients-who-report-poor-service-quality-experience-more-adverse-events-and https://psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit … https://psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74213/psn-pdf
     December 22, 2021 - This survey of a national sample of dentists found that approximately 1 in 10 respondents reported high … levels of burnout and 50% of respondents reported a perceived dental error in the last 6 months.

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837607/psn-pdf
     June 29, 2022 - comments-common-formats-event-reporting-hospital-version-03-beta https://psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors … https://psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48091/psn-pdf
     June 26, 2019 - /deprescribing-simple-method-reducing-polypharmacy https://psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label … https://psnet.ahrq.gov/issue/fda-identifies-harm-reported-sudden-discontinuation-opioid-pain-medicines-and-requires-label

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47742/psn-pdf
     February 20, 2019 - Respondents reported positive perceptions of resident safety and feedback and communication about incidents … As in prior studies of safety culture, managers reported higher safety culture scores compared to frontline … Most respondents reported that they would recommend the facility where they worked to friends and family

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43771/psn-pdf
     May 01, 2015 - Diagnostic errors were the most common type of error reported. … About half of patients who experienced medical errors reported the incident to a clinician, hospital … psnet.ahrq.gov/issue/publics-views-medical-error-massachusetts https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47401/psn-pdf
     January 01, 2019 - Almost 50% of the 10,212 patients who responded to the survey reported experiencing a problem during … issue/engaging-patients-vigilant-partners-safety-systematic-review https://psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children … https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know

472. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. | PSNet
     psnet.ahrq.gov/issue/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
     August 30, 2017 - , 2018 Unintentional therapeutic errors involving insulin in the ambulatory setting reported … July 19, 2023 Physician specialty differences in unprofessional behaviors observed and reported … July 17, 2024 Therapeutic errors involving diabetes medications reported to United States … October 30, 2024 Pediatric ADHD medication errors reported to United States poison centers

473. Development and implementation of a patient safety program in an academic, urban emergency department. | PSNet
     psnet.ahrq.gov/issue/development-and-implementation-patient-safety-program-academic-urban-emergency-department
     December 12, 2012 - October 3, 2011 Voluntarily reported emergency department errors. … January 20, 2015 Pediatric emergency nurses self-reported medication safety practices … May 24, 2010 Voluntarily reported emergency department errors. … March 2, 2010 The nature and causes of unintended events reported at ten emergency departments

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38902/psn-pdf
     November 13, 2009 - nonprescription medications such as cough and cold medications, and dosing errors were frequently reported … steep-increase-domestic-fatal-medication-errors-use-alcohol-andor-street-drugs https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46297/psn-pdf
     March 21, 2018 - The reasons for order cancellation were more accurately reported during provider interviews rather than … in the reasons reported within the CPOE system. … https://psnet.ahrq.gov/issue/computerised-physician-order-entry-related-medication-errors-analysis-reported-errors-and

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41461/psn-pdf
     April 05, 2013 - Other notable findings included that 43% reported no change in the quality of care, more than half believed … Not surprisingly, 72% reported increased handoffs, and only interns reported improvements in their quality

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47506/psn-pdf
     January 21, 2019 - Residents, fellows, and attending physicians reported the lowest work–life balance, and psychologists … , nutritionists, and environmental services workers reported the highest work–life balance. … Those with higher work–life balance reported better safety culture and less burnout.

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38837/psn-pdf
     June 28, 2011 - detection of adverse events in hospitals using the AHRQ patient safety indicators (PSIs), provider-reported … For instance, only 6.2% of hospitalizations with a PSI also had a provider-reported event, and only … 10.5% of provider-reported events had a PSI.

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39948/psn-pdf
     December 21, 2014 - wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported … wrong-patient procedures in the universal protocol era: analysis of a prospective database of physician self-reported … However, this analysis of WSPEs that were voluntarily reported to a Colorado malpractice insurance company

480. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
     November 21, 2012 - November 21, 2012 Root cause analysis of reported patient falls in ORs in the Veterans … April 25, 2016 Anesthesia adverse events voluntarily reported in the Veterans Health … January 17, 2019 Root cause analyses of reported adverse events occurring during gastrointestinal … January 17, 2019 Root cause analysis of reported patient falls in ORs in the Veterans