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9221. Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. | PSNet
      psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
      September 25, 2019 - Study Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. Citation Text: Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…

9222. Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-through-involvement-patients-development-and-evaluation-novel
      October 12, 2016 - Book/Report Improving patient safety through the involvement of patients: development and evaluation of novel interventions to engage patients in preventing patient safety incidents and protecting them against unintended harm. Citation Text: Wright J, Lawton R, O’Hara J, et al. Improving…

9223. Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. | PSNet
      psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
      March 13, 2013 - Book/Report Classic Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. Citation Text: Shekelle PG, Wachter RM, Pronovost PJ, et al. Making Health Care Safer Ii: An Updated Critical Analysis Of The Evidence For…

9224. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet
      psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
      May 26, 2021 - Study Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. Citation Text: Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…

9225. Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
      January 12, 2022 - Commentary Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. Citation Text: Wehkamp K, Kuhn E, Petzina R, et al. Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. BMC Med Ethics. 2021;22(1):…

9226. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. | PSNet
      psnet.ahrq.gov/issue/influence-external-assessment-quality-and-safety-surgery-qualitative-study-surgeons
      June 28, 2023 - Study Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. Citation Text: Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives. BMJ Open …

9227. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet
      psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
      December 06, 2023 - Study A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Citation Text: Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…

9228. Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet
      psnet.ahrq.gov/issue/adverse-events-long-term-care-hospitals-national-incidence-among-medicare-beneficiaries
      February 15, 2017 - Book/Report Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Citation Text: Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. Washington, DC: US Department of Health and Human Services, Of…

9229. Prevalence and Economic Burden of Medication Errors in the NHS England. | PSNet
      psnet.ahrq.gov/issue/prevalence-and-economic-burden-medication-errors-nhs-england
      September 11, 2018 - Book/Report Prevalence and Economic Burden of Medication Errors in the NHS England. Citation Text: Prevalence and Economic Burden of Medication Errors in the NHS England. Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Intervention…

9230. The contribution of staffing to medication administration errors: a text mining analysis of incident report data. | PSNet
      psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
      December 21, 2022 - Study The contribution of staffing to medication administration errors: a text mining analysis of incident report data. Citation Text: Härkänen M, Vehviläinen‐Julkunen K, Murrells T, et al. The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incide…

9231. Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or
      March 11, 2020 - Study Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. Citation Text: Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the preventio…

9232. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet
      psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
      July 17, 2024 - Study Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. Citation Text: Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transiti…

9233. Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals. | PSNet
      psnet.ahrq.gov/issue/updated-results-ahrq-surveys-patient-safety-culture-workplace-safety-supplemental-item-set
      December 11, 2024 - Book/Report Updated Results for the AHRQ Surveys on Patient Safety Culture Workplace Safety Supplemental Item Set for Hospitals. Citation Text: Tyler ER, Yalden O, Fan L, et al. Results For The Ahrq Surveys On Patient Safety Culture (Sops) Workplace Safety Supplemental Item Set For Hospi…

9234. The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns | PSNet
      psnet.ahrq.gov/issue/co-design-implementation-and-evaluation-serious-board-game-playdecide-patient-safety-educate
      September 12, 2018 - Journal Article The co-design, implementation and evaluation of a serious board game 'PlayDecide patient safety' to educate junior doctors about patient safety and the importance of reporting safety concerns Citation Text: Ward M, Shé ÉN, De Brún A, et al. The co-design, implementation a…

9235. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet
      psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
      December 16, 2015 - Commentary When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. Citation Text: Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee s…

9236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39751/psn-pdf
      August 11, 2010 - Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. August 11, 2010 Davies EC, Green CF, Mottram DR, et al. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. Br J Clin Pharmacol. 2010;70(1):102-8. doi:10.1111/j.1365-2125.2010.03671.x. https://…

9237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40966/psn-pdf
      November 30, 2011 - Toward safer practice in otology: a report on 15 years of clinical negligence claims. November 30, 2011 Mathew R, Asimacopoulos E, Valentine P. Toward safer practice in otology: a report on 15 years of clinical negligence claims. Laryngoscope. 2011;121(10):2214-9. doi:10.1002/lary.22136. https://psnet.ahrq.gov/iss…

9238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38190/psn-pdf
      May 14, 2009 - Oncology medication safety: a 3D status report 2008. May 14, 2009 Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634. https://psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008 This survey di…

9239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43818/psn-pdf
      January 21, 2015 - A report on 15 years of clinical negligence claims in rhinology. January 21, 2015 Geyton T, Odutoye T, Mathew R. A report on 15 years of clinical negligence claims in rhinology. Am J Rhinol Allergy. 2014;28(6):219-23. doi:10.2500/ajra.2014.28.4118. https://psnet.ahrq.gov/issue/report-15-years-clinical-negligence-c…

9240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845079/psn-pdf
      February 22, 2023 - Pump up the volume: how to prioritize events and analyze error data. February 22, 2023 ISMP Medication Safety Alert! Acute care edition. February 9, 2023;28(3):1-4. https://psnet.ahrq.gov/issue/pump-volume-how-prioritize-events-and-analyze-error-data Patient safety event reporting is an established component of a …