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101. 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.

102. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet
     psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
     May 19, 2021 - Acute care facilities in Pennsylvania are required to report all Incidents and Serious Events to the … This study updates the 2020 report . … Similar to prior reports, Error Related to Procedure/Treatment/Test remained the most commonly reported … 2021 Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports

103. Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet
     psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
     August 03, 2022 - Voluntary incident reports are critical to identifying adverse events, but reading through the text … This study found that a machine learning approach to electronically analyze incident reports successfully … The authors conclude that it is feasible to apply automated text analysis to incident reports to categorize … October 28, 2020 Using event reports in real-time to identify and mitigate patient safety … September 24, 2017 Screening electronic health record–related patient safety reports

104. 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

105. 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.

106. An analysis of incident reports related to electronic medication management: how they change over time. | PSNet
     psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
     March 10, 2021 - Study An analysis of incident reports related to electronic medication management … An analysis of incident reports related to electronic medication management: how they change over time … This study analyzed types of incident reports related to EMM at three hospitals over the course of its … An analysis of incident reports related to electronic medication management: how they change over time

107. Hidden mistakes in hospitals. | PSNet
     psnet.ahrq.gov/issue/hidden-mistakes-hospitals
     December 02, 2009 - This newspaper article reports that a Connecticut law intended to make hospital errors more transparent … AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report … August 26, 2009 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … View More Related Resources FDA to end program that hid millions of reports

108. Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet
     psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
     November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse … Time to listen: a review of methods to solicit patient reports of adverse events. … Research has shown that patient reports can identify errors that were not found through traditional … Time to listen: a review of methods to solicit patient reports of adverse events. … July 2, 2014 Can we rely on patients' reports of adverse events?

109. 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

110. Online medication error graphic reports: a pilot in North Carolina nursing homes. | PSNet
     psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes
     March 24, 2011 - Online medication error graphic reports: a pilot in North Carolina nursing homes. … All North Carolina nursing homes are required to report medication error data . … Online medication error graphic reports: a pilot in North Carolina nursing homes. … July 19, 2023 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … March 10, 2021 Predictors of nursing home nurses' willingness to report medication near-misses

111. 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

112. Families as partners in hospital error and adverse event surveillance. | PSNet
     psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance
     December 19, 2018 - , and hospital incident reports to identify adverse events. … Family-reported error rates were similar to error rates drawn from actively eliciting error reports from … or family reports, consistent with prior studies . … March 10, 2019 Association of patient and family reports of hospital safety climate with … May 10, 2017 Screening electronic health record–related patient safety reports using

113. 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

114. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. | PSNet
     psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals
     July 24, 2024 - Study Patient safety concerns in COVID-19–related events: a study of 343 event reports … Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in … 2024 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

115. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41113/psn-pdf
     February 01, 2012 - elderly-falls This special issue explores fall prevention, including strategies, literature reviews, and progress … reports from organizations involved in fall prevention efforts.

116. 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

117. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
     January 12, 2022 - Diagnostic error in the emergency department: learning from national patient safety incident report … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … This retrospective study reviewed incident reports to characterize diagnostic errors occurring in … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … or alongside emergency departments: incorporating realist methodology into patient safety incident report

118. Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
     July 03, 2016 - In this mixed-methods study, researchers analyzed patient safety incident reports regarding patients … October 9, 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 … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports

119. Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. | PSNet
     psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
     July 06, 2022 - Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports … Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. … Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. … July 10, 2024 National Healthcare Quality and Disparities Reports. … September 1, 2021 In U.S. nursing homes, where Covid-19 killed scores, even reports of

120. 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