-
psnet.ahrq.gov/node/37737/psn-pdf
January 06, 2017 - All reported incidents
were reviewed by physicians to determine if a true error occurred. … Although many incidents were reported,
only a very small percentage were determined to represent true … -update-consumers-views-patient-safety-and-quality-information
https://psnet.ahrq.gov/issue/patient-reported-safety-and-quality-care-outpatient-oncology
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psnet.ahrq.gov/node/45343/psn-pdf
August 10, 2016 - Medication errors involving the intravenous
administration route: characteristics of voluntarily
reported … Medication Errors Involving the Intravenous Administration Route: Characteristics of Voluntarily
Reported … This study
analyzed medication administration errors voluntarily reported to the Institute for Safe
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psnet.ahrq.gov/node/43894/psn-pdf
February 25, 2015 - impact-standardized-incident-reporting-system-perioperative-setting-single-
center-experience
This study analyzed voluntarily reported … Over 3 years, a total of 2563 incidents were reported—roughly half were adverse events and half
were … psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
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psnet.ahrq.gov/node/42252/psn-pdf
May 08, 2013 - orthopedic surgery: prioritizing key areas
of iatrogenic harm through an analysis of 48,095 incidents
reported … orthopedic surgery: prioritizing key areas
of iatrogenic harm through an analysis of 48,095 incidents reported … patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-
through-analysis
The largest proportion of surgical patient safety events reported
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psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
December 18, 2017 - August 4, 2021
Patient-related factors associated with an increased risk of being a reported … in first-line health care: a case-control study
March 11, 2020
Diagnostic errors reported … primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported … December 9, 2014
Cost of illness of patient-reported adverse drug events: a population-based … June 28, 2011
To what extent are adverse events found in patient records reported by
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psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
October 29, 2017 - March 18, 2020
Root cause analyses of reported adverse events occurring during gastrointestinal … March 25, 2020
Retrospective analysis of reported suicide deaths and attempts on Veterans … June 1, 2022
Review of reported adverse events occurring among the homeless veteran population … April 17, 2024
Analysis of reported suicide safety events among veterans who received … August 17, 2022
Retrospective analysis of reported suicide deaths and attempts on Veterans
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psnet.ahrq.gov/issue/preventability-voluntarily-reported-or-trigger-tool-identified-medication-errors-pediatric
September 01, 2016 - Study
Preventability of voluntarily reported or trigger tool–identified medication … 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
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Classic
Risk-adjusted morbidity in teaching hospitals correlates with reported … Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration … Risk-adjusted morbidity in teaching hospitals correlates with reported levels of communication and collaboration
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psnet.ahrq.gov/issue/relationship-organizational-culture-stress-satisfaction-and-burnout-physician-reported-error
October 12, 2011 - The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported … The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported … The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported
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psnet.ahrq.gov/node/40543/psn-pdf
March 23, 2012 - Importantly, physician reviewers agreed that the
patient-reported events constituted a true clinical … This finding
corroborates prior research showing that patient-reported adverse events provide an important … /psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know
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psnet.ahrq.gov/issue/amendment-medical-care-availability-and-reduction-error-mcare-act
June 03, 2009 - June 3, 2009
Requires DHSS to make reported information about certain adverse events … 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 … March 25, 2009
Requires DHSS to make reported information about certain adverse events
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psnet.ahrq.gov/node/38026/psn-pdf
March 21, 2017 - from a broad cross-section of hospitals
examined links between the severity of the incident and who reported … Physicians reported only
1.1% of all events, similar to a prior study using the same incident reporting … does-error-and-adverse-event-reporting-physicians-and-nurses-differ
https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
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psnet.ahrq.gov/node/38097/psn-pdf
January 02, 2017 - One in four patients reported
experiencing an adverse event during hospitalization, and most of these … adverse-events-during-hospitalization-results-patient-survey
https://psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know … //psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
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psnet.ahrq.gov/node/43775/psn-pdf
November 29, 2017 - hospital safety scores, total price, out-of-
pocket cost, and household income on consumers' self-
reported … of Hospital Safety Scores, Total Price, Out-of-Pocket Cost,
and Household Income on Consumers' Self-reported … effects-hospital-safety-scores-total-price-out-pocket-cost-and-household-
income-consumers
Publicly reported
-
psnet.ahrq.gov/node/37701/psn-pdf
February 22, 2011 - systems, although even with the increased ease of use, only 16% of clinicians in the study actually reported … use-handheld-computer-application-voluntary-medication-event-reporting-inpatient-nurses-and
https://psnet.ahrq.gov//#incidentreporting
https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals … https://psnet.ahrq.gov/issue/confidential-clinician-reported-surveillance-adverse-events-among-medical-inpatients
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psnet.ahrq.gov/node/46569/psn-pdf
November 15, 2017 - General Practices in England:
a qualitative content analysis of free-text responses using
the Patient Reported … General Practices in England: a qualitative content analysis of free-text
responses using the Patient Reported … //psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
-
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
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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
-
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
-
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