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psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
September 25, 2008 - Study
Completeness of serious adverse drug event reports received by the US Food … Completeness of serious adverse drug event reports received by the US Food and Drug Administration in … Completeness of serious adverse drug event reports received by the US Food and Drug Administration in … November 16, 2022
The computerized rounding report: implementation of a model system … July 31, 2013
Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities
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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.
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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
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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
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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
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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
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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
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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.
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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?
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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
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psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices
May 17, 2017 - Newspaper/Magazine Article
FDA to end program that hid millions of reports on faulty … Citation Text:
FDA to end program that hid millions of reports on faulty medical devices. … This news article reports on a government alternative summary reporting program that allowed medical … device makers to conceal safety events and malfunction reports associated with medical devices. … Cite
Citation
Citation Text:
FDA to end program that hid millions of reports
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psnet.ahrq.gov/node/47303/psn-pdf
March 18, 2019 - Transforming concepts in patient safety: a progress
report. … Transforming concepts in patient safety: a progress report. … https://psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
Over the last decade … https://psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape
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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
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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
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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
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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
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psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
November 24, 2021 - Analysis of incident reports from a patient safety organization. … Analysis of incident reports from a patient safety organization. … Analysis of incident reports from a patient safety organization. … Resources From the Same Author(s)
Patient and caregiver factors in ambulatory incident reports … Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report
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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.
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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
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2022-analysis-20216-reports
July 24, 2024 - Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports … Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. … Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. … 2020
Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports