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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
July 17, 2008 - by critical access hospitals (CAHs) to those reported by non-Federal,
general community hospitals. … CAHs that reported
8,087 medication errors and 143 NFCHs that reported 159,519 errors (Table 2). … NFCHs and <1 percent of reported errors
from the CAHs. … to those reported by the NFCHs (Table 2). … Second, errors reported by the NFCHs may be misclassified.
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psnet.ahrq.gov/node/35602/psn-pdf
September 27, 2017 - A review of medication administration errors reported in a
large psychiatric hospital in the United … A review of medication administration errors reported in a large psychiatric
hospital in the United … https://psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital … both environmental and
personal factors played a key role in the medication errors and near misses reported … https://psnet.ahrq.gov/issue/review-medication-administration-errors-reported-large-psychiatric-hospital-united-kingdom
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - ; and the estimated percentage of medication
errors actually reported. … Reasons why medication errors are not reported (16 items).
3. … Estimated percentage of medication errors actually reported. … Data from the 1994 survey have been
reported,26, 42 while only data on why errors are not reported and … Understanding why medication administration errors
may not be reported.
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digital.ahrq.gov/principal-investigator/anderson-heather
January 01, 2023 - Anderson, Heather
Integrating Patient-Reported Outcomes and Electronic … Integrating Patient-Reported Outcomes and Electronic Health Record Data to Improve Clinical Decision … Principal Investigator
Anderson, Heather
Project Name
Integrating Patient-Reported Outcomes … Improve Clinical Decision Support for Depression Treatment
Integrating Patient-Reported
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psnet.ahrq.gov/node/36962/psn-pdf
June 15, 2011 - Rates and types of events reported to established
incident reporting systems in two US hospitals. … Rates and types of events reported to established incident reporting
systems in two US hospitals. … https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two … This
pattern likely influenced the spectrum of problems reported; only a small proportion of reported … 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/42629/psn-pdf
October 02, 2013 - The relationship between the nursing work environment
and the occurrence of reported paediatric medication … The Relationship Between the Nursing Work Environment and
the Occurrence of Reported Paediatric Medication … https://psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported- … found that increased patient load and overall workload were
associated with a greater risk of self-reported … https://psnet.ahrq.gov/issue/relationship-between-nursing-work-environment-and-occurrence-reported-paediatric-medication
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psnet.ahrq.gov/node/38013/psn-pdf
March 09, 2009 - Agreement between patient-reported symptoms and their
documentation in the medical record. … Agreement between patient-reported symptoms and their
documentation in the medical record. … https://psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-
medical-record … This study analyzed electronic medical records to determine how patient-reported symptoms were
addressed … https://psnet.ahrq.gov/issue/agreement-between-patient-reported-symptoms-and-their-documentation-medical-record
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psnet.ahrq.gov/node/38766/psn-pdf
November 14, 2011 - Incident reporting practices in the preanalytical phase:
low reported frequencies in the primary health … Incident reporting practices in the preanalytical phase: Low
reported frequencies in the primary health … https://psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies … -
primary-health-care
Laboratory technicians reported very low usage of incident reporting systems, … https://psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care
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psnet.ahrq.gov/node/837070/psn-pdf
May 11, 2022 - Patient falls in the operating room setting: an analysis of
reported safety events. … Patient falls in the operating room setting: an analysis of reported
safety events. … https://psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
Inpatient … https://psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
https
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psnet.ahrq.gov/node/40400/psn-pdf
June 20, 2011 - Determinants of patient-reported medication errors: a
comparison among seven countries. … Determinants of patient-reported medication errors: a comparison among seven
countries. … https://psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven- … prior Commonwealth Fund reports, found that care coordination was a major determinant of patient-
reported … https://psnet.ahrq.gov/issue/determinants-patient-reported-medication-errors-comparison-among-seven-countries
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psnet.ahrq.gov/node/40945/psn-pdf
November 23, 2011 - The nature and causes of unintended events reported at
10 internal medicine departments. … The nature and causes of unintended events reported at 10
internal medicine departments. … https://psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-
departments … This study analyzed unintended events reported by hospital staff to identify targets for intervention … https://psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
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hcup-us.ahrq.gov/db/vars/age/nedsnote.jsp
May 01, 2015 - Prior to 1995, California reported ages at discharge. … Beginning in 1995, California reported ages at admission. … assign AGE as the reported age plus 100. … Beginning 1994
Assign AGE as the reported age, if the reported AGE was in the range of 1-124 years. … the reported date of birth was after the admission date.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - Commonly reported interventions are similar across senior and adult patients even though
seniors have … Commonly reported interventions are similar between patients with and without
sensory impairment even … Commonly reported interventions are similar across patients with and without a history
of falls even … reported were
excluded from the analysis. … Additionally, patient age is reported as aggregated age groups in the NPSD.
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psnet.ahrq.gov/node/42050/psn-pdf
January 07, 2015 - The association between frequency of self-reported
medical errors and anesthesia trainee supervision … The association between frequency of self-reported
medical errors and anesthesia trainee supervision … https://psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia … -
trainee-supervision
In this nationwide survey of anesthesia residents, lower reported supervision … https://psnet.ahrq.gov/issue/association-between-frequency-self-reported-medical-errors-and-anesthesia-trainee-supervision
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psnet.ahrq.gov/node/38804/psn-pdf
July 22, 2009 - Tenfold therapeutic dosing errors in young children
reported to US poison control centers. … Tenfold therapeutic dosing errors in young children reported to U.S. poison
control centers. … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control … years found that H2-receptor
antagonists and metoclopramide were the most common medication errors reported … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
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psnet.ahrq.gov/node/41344/psn-pdf
June 15, 2012 - Review of patient safety incidents reported from critical
care units in North-West England in 2009 and … Review of patient safety incidents reported from critical care units in North-West
England in 2009 and … https://psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england … -
2009-and-2010
Pressure ulcers were the most common voluntarily reported patient safety issue in intensive … https://psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england
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psnet.ahrq.gov/node/40907/psn-pdf
December 08, 2011 - Reporting of sentinel events in Swedish hospitals: a
comparison of severe adverse events reported by … Reporting of sentinel events in Swedish hospitals: a comparison of
severe adverse events reported by … psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-
events-reported … //psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported … //psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
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psnet.ahrq.gov/node/50687/psn-pdf
November 20, 2019 - This
national survey of general surgery residents found that about one-third of all respondents reported … experiencing discrimination or abuse; 38.5% of residents reported weekly burnout systems and 4.5% … reported suicidal thoughts within the past year. … Women reported more exposure to
mistreatment, which may account for gender differences in rates of burnout
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psnet.ahrq.gov/node/60301/psn-pdf
January 01, 2021 - association-surgical-resident-wellness-medical-errors-and-patient-outcomes
This cross-sectional survey of general surgery residents to assessed resident wellness and self-reported … Over a six-month period, 22.5% of residents self-reported a near-miss
medical error and nearly 7% reported … not find any significant association between well-being and adverse postoperative patient
outcomes reported
-
psnet.ahrq.gov/node/44400/psn-pdf
September 23, 2015 - Near misses and unsafe conditions reported in a Pediatric
Emergency Research Network. … Near misses and unsafe conditions reported in a Pediatric
Emergency Research Network. … https://psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research- … This study of incident reports from pediatric emergency departments found that a small proportion reported … https://psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network