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121. Promote a culture of safety with good catch reports. | PSNet
     psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
     November 06, 2015 - Newspaper/Magazine Article Promote a culture of safety with good catch reports. … Citation Text: Promote a culture of safety with good catch reports. … Cite Citation Citation Text: Promote a culture of safety with good catch reports

122. 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

123. 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

124. 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

125. 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.

126. 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

127. 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.

128. Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet
     psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
     July 24, 2024 - Pennsylvania requires all acute care facilities to report incidents and serious events to the Pennsylvania … This report compiles reports submitted for Q1 and Q2 2022 and compares results to previous years . … There was a decrease in the total number of reports submitted, but serious and high harm events increased … January 16, 2025 Adverse Health Events in Minnesota: Annual Reports. … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report

129. 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.

130. 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

131. How safe is your hospital? Our new ratings find that some are riskier than others. | PSNet
     psnet.ahrq.gov/issue/how-safe-your-hospital-our-new-ratings-find-some-are-riskier-others
     May 22, 2023 - Consumer reports. 2012;77(8):20-8. … This news article reports on hospital ratings of patient safety that were scored using criteria such … Consumer reports. 2012;77(8):20-8. … Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report … April 17, 2013 Critical Incident Reviews, Significant Adverse Event Reports and Action

132. 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

133. Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet
     psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
     March 16, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … This article discusses the need for a standardized approach to incident report analysis and how qualitative … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … February 23, 2022 A review of adverse event reports from emergency departments in the

134. The Research on Adverse Drug Events and Reports (RADAR) project. | PSNet
     psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project
     October 19, 2022 - Study The Research on Adverse Drug Events and Reports (RADAR) project. … The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40. … The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40.

135. 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

136. What can we learn from coroners’ reports on preventable deaths? | PSNet
     psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
     October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. … January 4, 2021 Improving resident morning sign-out by use of daily events reports. … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report

137. The frequency of diagnostic errors in radiologic reports depends on the patient's age. | PSNet
     psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age
     March 09, 2022 - Study The frequency of diagnostic errors in radiologic reports depends on the patient's … The frequency of diagnostic errors in radiologic reports depends on the patient's age. … The frequency of diagnostic errors in radiologic reports depends on the patient's age. … reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports … August 3, 2016 Errare humanum est: frequency of laterality errors in radiology reports

138. 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

139. The Leapfrog Hospital Survey. | PSNet
     psnet.ahrq.gov/issue/leapfrog-hospital-survey
     June 21, 2023 - Reports discussing the results are segmented into specific areas of focus such as health care-associated … Information Annual reports 2023 survey changes Save Save to your library Print … View More Related Resources National Healthcare Quality and Disparities Reports … June 18, 2014 Improving America's Hospitals: The Joint Commission's Annual Report on

140. 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