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121. 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

122. 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

123. 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

124. 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

125. 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

126. Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. | PSNet
     psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer-reports-safety
     July 21, 2016 - Study Exploring relationships between hospital patient safety culture and Consumer Reports … Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. … Survey on Patient Safety Culture score, a widely used metric for safety culture, and the Consumer Reports … Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. … 18, 2024 Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: User Database Report

127. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. | PSNet
     psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
     February 17, 2016 - Study Using voluntary reports from physicians to learn from diagnostic errors in … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. … This study examined voluntary incident reports for diagnostic errors and found that common conditions … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.

128. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
     October 12, 2016 - In this mixed methods study, researchers analyzed incident reports involving sick pediatric primary care … An accompanying editorial discusses the value of incident reports with regard to improving care for … the Same Author(s) 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

129. Hospital-acquired Infections in Pennsylvania. | PSNet
     psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania-1
     July 27, 2005 - Book/Report Hospital-acquired Infections in Pennsylvania. … Available at 2010 report (PDF) Save Save to your library Print Download PDF … July 27, 2005 Patient Safety Authority Annual Reports. … June 4, 2024 Patient Safety Authority Annual Reports. … 22, 2023 Partnership for Patients (PfP) Hospital Engagement Network (HEN) 2.0 Final Report

130. Adverse-event-reporting practices by US hospitals: results of a national survey. | PSNet
     psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
     December 30, 2014 - components of effective reporting systems were identified: a supportive environment for reporting, reports … received from a broad range of staff, timely dissemination of reports, and structured mechanisms to … review reports.  … hospitals have a safety culture that encourages reporting or promptly disseminate and analyze error reports … January 18, 2013 Semi-supervised classification of patient safety event reports.

131. Serious incidents after death: content analysis of incidents reported to a national database. | PSNet
     psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
     October 03, 2018 - Investigators analyzed 132 incident reports from the Strategic Executive Information System database … Diagnostic error in the emergency department: learning from national patient safety incident report … January 15, 2020 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 … Considering chance in quality and safety performance measures: an analysis of performance reports

132. How your hospital can make you sick. | PSNet
     psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick
     September 09, 2015 - Consumer Reports. July 29, 2015. … Facebook Twitter Linkedin Copy URL August 26, 2015 Consumer Reports … This news article reports on health care–associated infections , particularly Clostridium difficile … Consumer Reports. July 29, 2015. … October 10, 2017 Learning From Serious Failings in Care: Main Report.

133. 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.

134. Is your hospital really as safe as you think? Our updated hospital safety score can help you find out. | PSNet
     psnet.ahrq.gov/issue/your-hospital-really-safe-you-think-our-updated-hospital-safety-score-can-help-you-find-out
     November 23, 2016 - Consumer Reports. March 27, 2014. … Facebook Twitter Linkedin Copy URL December 12, 2014 Consumer Reports … This news article reports one analysis of patient safety in United States hospitals using five federal … Consumer Reports. March 27, 2014. … Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports

135. 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.

136. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet
     psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
     October 07, 2020 - Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports … Analysis of incident reports from a patient safety organization. … or alongside emergency departments: incorporating realist methodology into patient safety incident report

137. Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals. | PSNet
     psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports-92
     September 01, 2021 - Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from … This study analyzed incident report data and found that behavior from families and caregivers visiting … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports

138. Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors. | PSNet
     psnet.ahrq.gov/issue/computerized-prescriber-order-entry-related-patient-safety-reports-analysis-2522-medication
     December 21, 2017 - Study Computerized prescriber order entry–related patient safety reports: analysis … Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors … This follow-up study analyzed more than 1300 CPOE error reports to further classify the types of errors … Computerized prescriber order entry-related patient safety reports: analysis of 2522 medication errors

139. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. | PSNet
     psnet.ahrq.gov/issue/retrospective-analysis-reported-suicide-deaths-and-attempts-veterans-health-administration
     November 17, 2021 - This retrospective analysis used root cause analysis reports of suicide events in VA hospitals to characterize … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … October 29, 2017 A review of adverse event reports from emergency departments in the … September 30, 2020 A review of adverse event reports from emergency departments in the

140. Root cause analysis of adverse events involving opioid overdoses in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-adverse-events-involving-opioid-overdoses-veterans-health-administration
     November 17, 2021 - This study conducted root cause analyses of 82 adverse event reports involving opioid use at the Veterans … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … November 24, 2021 A review of adverse event reports from emergency departments in the … Analysis of incident reports from a patient safety organization.