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Showing results for "reporting".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42920/psn-pdf
    February 05, 2014 - How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes. February 5, 2014 Talmon G, Horn A, Wedel W, et al. How well do we communicate?: a comparison of intraoperative diagnoses listed in pathology reports and operative notes. Am J Clin Pathol. 2013;140(…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50574/psn-pdf
    October 23, 2019 - Occupational stress and cognitive failure of nurses and associations with on self-reported adverse events: a national cross-sectional survey. October 23, 2019 Kakemam E, Kalhor R, Khakdel Z, et al. Occupational stress and cognitive failure of nurses and associations with self-reported adverse events: A national cr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43647/psn-pdf
    November 12, 2014 - Mid Staffordshire NHS Foundation Trust Quality Report. November 12, 2014 Newcastle Upon Tyne, UK: Care Quality Commission; October 9, 2014. https://psnet.ahrq.gov/issue/mid-staffordshire-nhs-foundation-trust-quality-report The Mid Staffordshire Trust has been under much scrutiny in recent years. This report highlig…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46369/psn-pdf
    September 06, 2017 - Critical Issues in Food Allergy: A National Academies Consensus Report. September 6, 2017 Sicherer SH, Allen K, Lack G, et al. Critical Issues in Food Allergy: A National Academies Consensus Report. Pediatrics. 2017;140(2). doi:10.1542/peds.2017-0194. https://psnet.ahrq.gov/issue/critical-issues-food-allergy-natio…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867359/psn-pdf
    December 18, 2024 - This starts with someone recognizing the error, reporting it, and then the health system acting upon

  6. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet

    psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
    June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

  7. Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. | PSNet

    psnet.ahrq.gov/issue/racial-disparities-preventable-adverse-events-attributed-poor-care-coordination-reported
    January 18, 2023 - Study Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults. Citation Text: Pinheiro LC, Reshetnyak E, Safford MM, et al. Racial disparities in preventable adverse events attributed to poor care coordination …

  8. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
    July 07, 2021 - Study Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Citation Text: Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…

  9. Using statistical text classification to identify health information technology incidents. | PSNet

    psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
    February 14, 2024 - Study Using statistical text classification to identify health information technology incidents. Citation Text: Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10…

  10. Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. | PSNet

    psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
    November 11, 2020 - Study Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital. Citation Text: 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;…

  11. Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. | PSNet

    psnet.ahrq.gov/issue/workplace-verbal-abuse-nurse-reported-quality-care-and-patient-safety-outcomes-among-early
    July 10, 2019 - Study Workplace verbal abuse, nurse-reported quality of care, and patient safety outcomes among early-career hospital nurses. Citation Text: Cho H, Pavek K, Steege LM. Workplace verbal abuse, nurse‐reported quality of care and patient safety outcomes among early‐career hospital nurses. …

  12. Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. | PSNet

    psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-mental-health-veterans-health
    July 13, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Fac…

  13. Non–health care facility medication errors resulting in serious medical outcomes. | PSNet

    psnet.ahrq.gov/issue/non-health-care-facility-medication-errors-resulting-serious-medical-outcomes
    June 14, 2017 - Study Classic Non–health care facility medication errors resulting in serious medical outcomes. Citation Text: Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018…

  14. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
    June 23, 2021 - Study Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. Citation Text: Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34995/psn-pdf
    February 03, 2011 - The Research on Adverse Drug Events and Reports (RADAR) project. February 3, 2011 Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40. https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project This article su…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60064/psn-pdf
    March 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. March 18, 2020 Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation- report Maternal care saf…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839835/psn-pdf
    November 09, 2022 - Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. November 9, 2022 Chicago, IL: The National Association for Healthcare Quality; 2022. https://psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-qua…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38104/psn-pdf
    February 18, 2011 - Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. February 18, 2011 Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events. J Gen …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37906/psn-pdf
    July 16, 2008 - Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. July 16, 2008 Thomas AN, Panchagnula U. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. Anaesthesia. 2008;63(7):726…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44080/psn-pdf
    September 27, 2017 - A descriptive study of nurse-reported missed care in neonatal intensive care units. September 27, 2017 Tubbs-Cooley HL, Pickler RH, Younger JB, et al. A descriptive study of nurse-reported missed care in neonatal intensive care units. J Adv Nurs. 2015;71(4):813-24. doi:10.1111/jan.12578. https://psnet.ahrq.gov/iss…
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