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101. New patient safety panel ready to focus on hospitals' reports of 'near misses.' | PSNet
     psnet.ahrq.gov/issue/new-patient-safety-panel-ready-focus-hospitals-reports-near-misses
     December 19, 2012 - Newspaper/Magazine Article New patient safety panel ready to focus on hospitals' reports … This article reports on the progress of the Florida Patient Safety Corporation and its near miss  reporting … December 16, 2009 Promote a culture of safety with good catch reports.

102. Contributing factors identified by hospital incident report narratives. | PSNet
     psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
     January 02, 2017 - Study Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … data, lack of reporting by physicians, and the lack of a standardized framework for interpreting the reports … The authors were able to determine at least one underlying factor in most reports, but found that incidents … Contributing factors identified by hospital incident report narratives.

103. To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? | PSNet
     psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare
     January 21, 2009 - patient records reported by patients and healthcare professionals via complaints, claims and incident reports … patient records reported by patients and healthcare professionals via complaints, claims and incident reports … This Dutch study found that patient complaints , malpractice claims , and incident reports identified … patient records reported by patients and healthcare professionals via complaints, claims and incident reports … July 31, 2024 Getting the whole story: integrating patient complaints and staff reports

104. Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention. | PSNet
     psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-strategies-prevention
     March 27, 2018 - Newspaper/Magazine Article Wrong-patient medication errors: an analysis of event reports … Citation Text: Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies … This analysis of reports submitted to the Pennsylvania Patient Safety Authority discusses why wrong-patient … Citation Citation Text: Wrong-patient medication errors: an analysis of event reports

105. Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. | PSNet
     psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and
     February 14, 2017 - Study Qualitative content analysis of coworkers' safety reports of unprofessional … Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by Physicians and … Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by Physicians and … The relationship between patient safety culture and the intentions of the nursing staff to report … July 26, 2011 Getting doctors to report medical errors: project DISCLOSE.

106. Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription. | PSNet
     psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation
     December 21, 2022 - Study Error rates in breast imaging reports: comparison of automatic speech recognition … Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription … Dictated radiology reports were far more likely to contain a major error if transcribed by automated … Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription

107. ALERT: reports of severe harm after intravenous administration of breast milk to infants. | PSNet
     psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants
     May 02, 2018 - Newspaper/Magazine Article ALERT: reports of severe harm after intravenous administration … Citation Text: ALERT: reports of severe harm after intravenous administration of breast milk to infants … This announcement reports on mistaken intravenous administration of breast milk and provides recommendations … Linkedin Copy URL Cite Citation Citation Text: ALERT: reports

108. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet
     psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
     July 24, 2024 - Nearly 288,000 reports were submitted to PA-PSRS, with serious and high-harm events accounting for 20% … 2020 Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports … 2023 Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports … January 16, 2025 Annual Speak Up Data Reports. … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report

109. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
     December 18, 2019 - related to medication administrations - text mining analysis using free-text descriptions of incident reports … related to medication administrations - text mining analysis using free-text descriptions of incident reports … text mining to analyze the free text descriptions in 72,390 medication administration  incident reports … July 10, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

110. Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence | PSNet
     psnet.ahrq.gov/issue/nurse-bias-and-nursing-care-disparities-related-patient-characteristics-scoping-review
     March 17, 2021 - This scoping review identified 215 research reports on nurse bias and/or care disparities. … detecting medication errors: a secondary analysis of medication administration errors using incident reports

111. Screening electronic health record–related patient safety reports using machine learning. | PSNet
     psnet.ahrq.gov/issue/screening-electronic-health-record-related-patient-safety-reports-using-machine-learning
     May 30, 2016 - Study Screening electronic health record–related patient safety reports using machine … Screening Electronic Health Record–Related Patient Safety Reports Using Machine Learning. … study described the development of a machine learning algorithm to analyze free-text data in incident reports … Screening Electronic Health Record–Related Patient Safety Reports Using Machine Learning. … Implications of electronic health record downtime: an analysis of patient safety event reports

112. Delivering Safer Health Care in Western Australia: The WA Sentinel Event Report 2010-2011. | PSNet
     psnet.ahrq.gov/issue/delivering-safer-health-care-western-australia-second-wa-sentinel-event-report-2005-2006
     December 14, 2022 - Resource Delivering Safer Health Care in Western Australia: The WA Sentinel Event Report … November 16, 2022 National Healthcare Quality and Disparities Reports. … November 7, 2022 Adverse Health Events in Minnesota: Annual Reports. … October 7, 2021 National and State Healthcare-Associated Infections Progress Report. … February 3, 2016 NHS Safety Thermometer Reports.

113. Patient reports of undesirable events during hospitalization. | PSNet
     psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
     March 28, 2011 - Study Patient reports of undesirable events during hospitalization. … Patient reports of undesirable events during hospitalization. … Patient reports of undesirable events during hospitalization.

114. Reporting Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/reporting-patient-safety-events
     March 30, 2022 - key attributes : A supportive environment for event reporting that protects the privacy of staff who report … Reports are received from a broad range of personnel. … Readers should not interpret any statement in this report as an official position of AHRQ or of the U.S … authors has any affiliation or financial involvement that conflicts with the material presented in this report … October 27, 2021 Predictors of nursing home nurses' willingness to report medication

115. Inter-rater reliability of a classification system for hospital adverse drug event reports. | PSNet
     psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports
     March 30, 2011 - Inter-rater reliability of a classification system for hospital adverse drug event reports … Inter-rater reliability of a classification system for hospital adverse drug event reports. … Pharmacists and physicians reviewed medication error reports prepared by pharmacists to determine causative … Inter-rater reliability of a classification system for hospital adverse drug event reports. … February 15, 2023 ISMP medication error report analysis.

116. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
     February 22, 2019 - This study used patient safety incident reports in the UK to characterize and explore safety issues arising … Over a ten-year period, there were 70 reports of an ACP-related patient safety incident (due to incomplete … February 22, 2019 Characterising the nature of primary care patient safety incident reports … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

117. Electronic health record usability issues and potential contribution to patient harm. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm
     July 07, 2021 - In this study, investigators analyzed voluntary error reports from the Pennsylvania Patient Safety … Although limited by the nature of the voluntary reports, which contained sparse details precluding assessment … July 7, 2021 Identifying health information technology related safety event reports from … patient safety event report databases. … March 1, 2017 Screening electronic health record–related patient safety reports using

118. Relationship between tort claims and patient incident reports in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/relationship-between-tort-claims-and-patient-incident-reports-veterans-health-administration
     June 17, 2010 - Study Relationship between tort claims and patient incident reports in the Veterans … Relationship between tort claims and patient incident reports in the Veterans Health Administration. … This data review revealed a bias toward filing patient incident reports and settling claims when the … Relationship between tort claims and patient incident reports in the Veterans Health Administration.

119. Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective audit. | PSNet
     psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports
     December 29, 2014 - Study Non-clinical errors using voice recognition dictation software for radiology reports … Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective … ; 2% to 5% of reports contained an error that may have affected patient management. … Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective … Peer feedback, learning, and improvement: answering the call of the Institute of Medicine report

120. Pennsylvania Patient Safety Advisory. | PSNet
     psnet.ahrq.gov/issue/pennsylvania-patient-safety-advisory
     April 30, 2024 - Patient Safety Authority This quarterly newsletter shares insights and analysis on incident reports … Related Resources From the Same Author(s) Patient Safety Authority Annual Reports … Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports … View More Related Resources Adverse Health Events in Minnesota: Annual Reports