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Showing results for "reporting".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836851/psn-pdf
    April 06, 2022 - Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. April 6, 2022 Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0017. https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-med…

  2. Automated identification of extreme-risk events in clinical incident reports. | PSNet

    psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
    November 03, 2015 - Study Automated identification of extreme-risk events in clinical incident reports. Citation Text: Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8. Copy Citation Format: Go…

  3. Analgesic-related medication errors reported to US Poison Control Centers. | PSNet

    psnet.ahrq.gov/issue/analgesic-related-medication-errors-reported-us-poison-control-centers
    June 06, 2018 - Study Analgesic-related medication errors reported to US Poison Control Centers. Citation Text: Eluri M, Spiller HA, Casavant MJ, et al. Analgesic-Related Medication Errors Reported to US Poison Control Centers. Pain Med. 2018;19(12):2357-2370. doi:10.1093/pm/pnx272. Copy Citation …

  4. ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. | PSNet

    psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
    January 26, 2023 - Press Release/Announcement ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. Citation Text: ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. Institute for Safe Medication Practices. Copy Citation Save Save…

  5. 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. | PSNet

    psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
    September 26, 2012 - Book/Report 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. Citation Text: 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. Hoffman J, ed. Cambridge, MA: CRICO Strategies; 2014. Copy Citation Save Save to …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47742/psn-pdf
    February 20, 2019 - AHRQ Nursing Home Survey on Patient Safety Culture: 2019 User Comparative Database Report. February 20, 2019 Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; February 2019. AHRQ Publication No. 19-0027-EF. https://psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40565/psn-pdf
    June 29, 2011 - National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011 Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. J Emerg…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43253/psn-pdf
    May 01, 2015 - Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. May 1, 2015 Washington, DC: VA Office of the Inspector General; May 28, 2014. Report No. 14-02603-178. https://psnet.ahrq.gov/issue/interim-report-review-vhas-patient-wait-times-s…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60159/psn-pdf
    March 25, 2020 - Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement procedures in the Veterans Health Association. March 25, 2020 Soncrant C, Mills PD, Neily J, et al. Root cause analyses of reported adverse events occurring during gastrointestinal scope and tube placement pro…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853431/psn-pdf
    September 13, 2023 - Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. September 13, 2023 Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):329-336. doi:10.1515/dx-2023-00…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836966/psn-pdf
    April 20, 2022 - Performance variability in perioperative sentinel events: report on a nationwide data set. April 20, 2022 Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.1093/bjs/znac067. https://psnet.ahrq…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40543/psn-pdf
    March 23, 2012 - Can we rely on patients' reports of adverse events? March 23, 2012 Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events Traditional methods of…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73980/psn-pdf
    October 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. October 20, 2021 Abraham P, Augey L, Duclos A, et al. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. J Patient Saf…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866693/psn-pdf
    September 11, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. September 11, 2024 Newman C, Mulrine S, Brittain K, et al. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60616/psn-pdf
    June 24, 2020 - Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. June 24, 2020 Arnetz JE, Neufcourt L, Sudan S, et al. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. J Nurs Care Qual. 2020;35(3):206-212. doi:10.1097/ncq.000…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861289/psn-pdf
    January 01, 2025 - Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist reported errors in oncology infusion centers of a health-system. January 24, 2024 Wat SK (S), Wesolowski B, Cierniak K, et al. Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40805/psn-pdf
    July 19, 2016 - Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011. July 19, 2016 Oakbrook Terrace, IL: The Joint Commission; September 2011. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety-2011 This report emphasizes perfor…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847535/psn-pdf
    April 12, 2023 - Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross- sectional study. April 12, 2023 Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. J P…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38414/psn-pdf
    March 31, 2009 - Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. March 31, 2009 Thomas AN, McGrath BA. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. Anaes…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36100/psn-pdf
    July 12, 2006 - Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage. July 12, 2006 Russell S. https://psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare- threatens-end This article reports on a Centers for Medicare & Medicaid Servi…
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