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141. 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

142. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
     psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
     May 16, 2018 - Emerging Classic Patient safety in palliative care: a mixed-methods study of reports … Patient safety in palliative care: A mixed-methods study of reports to a national database of serious … Patient safety in palliative care: A mixed-methods study of reports to a national database of serious … May 16, 2018 Characterising the nature of primary care patient safety incident reports … A content analysis of accreditation reports.

143. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. | PSNet
     psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents
     December 16, 2020 - This study analyzed medication error reports involving palliative care continuous subcutaneous infusions … December 16, 2020 Characterising the nature of primary care patient safety incident reports … October 12, 2016 Patient safety in palliative care: a mixed-methods study of reports … February 1, 2017 Harms from discharge to primary care: mixed methods analysis of incident reports … July 1, 2020 ISMP medication error report analysis.

144. Report on the Medical Insurance Feasibility Study. | PSNet
     psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study
     July 01, 2022 - Book/Report Report on the Medical Insurance Feasibility Study. … May 16, 2012 CHPSO Annual Reports. … 2024 View More Related Resources Patient Safety Authority Annual Reports … The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … Report.

145. 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

146. Race differences in reported harmful patient safety events in healthcare system high reliability organizations. | PSNet
     psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
     March 01, 2023 - This analysis of voluntary safety reports at a health system encompassing 10 hospitals found that a … higher than expected proportion of white patients were identified in safety reports overall, and that … the types of reports differed significantly for white, black, and patients of other races. … Developing an evaluation strategy to assess large language models for patient safety event report analysis … July 15, 2020 The courage to speak out: a study describing nurses' attitudes to report

147. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. | PSNet
     psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
     February 22, 2023 - Study NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document … NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year … The National Health Service Secondary Care Trusts (NSCT) are required to report, learn from, and prevent … PubMed citation Free full text Related report Save Save to your library Print … July 13, 2022 Ockenden Report.

148. 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

149. Hospital Compare. | PSNet
     psnet.ahrq.gov/issue/hospital-compare
     May 26, 2021 - Condition Reduction Program (HACRP) and data on Department of Veterans Affairs hospitals were added to the reports … September 20, 2024 Patient Safety Authority Annual Reports. … April 30, 2024 Maryland Hospital Patient Safety Program Annual Report. … July 1, 2020 Organisation Patient Safety Incident Reports.

150. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet
     psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
     October 12, 2016 - Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports … the Same Author(s) Characterising the nature of primary care patient safety incident reports … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … June 14, 2017 Characterising the nature of primary care patient safety incident reports

151. Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. | PSNet
     psnet.ahrq.gov/issue/eliminating-cauti-interim-data-report-national-patient-safety-imperative
     August 01, 2012 - Government Resource Eliminating CAUTI: Interim Data Report: A National Patient Safety … Citation Text: Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative. … 2014 View More Related Resources Patient Safety Authority Annual Reports … April 30, 2024 National Healthcare Quality and Disparities Reports. … January 9, 2024 National and State Healthcare-Associated Infections Progress Report.

152. More than algorithms: an analysis of safety events involving ML-enabled medical devices reported to the FDA. | PSNet
     psnet.ahrq.gov/issue/more-algorithms-analysis-safety-events-involving-ml-enabled-medical-devices-reported-fda
     May 01, 2019 - This study utilizes adverse event reports submitted to the FDA 's Manufacturer and Use Facility Device … Mammography was implicated in 69% of reports, and the majority were near-miss events. … safety problems associated with information technology in general practice: an analysis of incident reports … Resources Artificial intelligence related safety issues associated with FDA medical device reports … Reporting of death in US Food and Drug Administration medical device adverse event reports

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73490/psn-pdf
     July 14, 2021 - Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment … Four themes were identified: receiving the report, facilitators and barriers to acting upon the report … , acting upon the report, and how the report contributes to a quality culture. … upon the reports. … to acting upon the reports.

154. Voluntary electronic reporting of medical errors and adverse events. | PSNet
     psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
     March 21, 2017 - An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):165-70. … This descriptive study analyzed nearly 100,000 reports from 26 acute care hospitals with investigators … The authors report that nurses were the most frequent users of the electronic reporting systems, whereas … An analysis of 92,547 reports from 26 acute care hospitals. … Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866693/psn-pdf
     September 11, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … https://psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care … This analysis of 91 incident reports from care homes in England examined patient safety events that … https://psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865703/psn-pdf
     May 01, 2024 - Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co- worker-reports-across … This study analyzed 1,310 reports of unprofessional behavior across eight Australian hospitals between … The researchers found that three in ten reports indicated a risk to patient safety, such as interruptions

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865338/psn-pdf
     March 27, 2024 - Analysis of intervention employability in pharmacy- related medication safety reports at a tertiary … Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical … Using 665 pharmacy-related medication safety reports at one hospital, researchers evaluated the actionability … of the reports on the ISMP hierarchy. … Three- quarters of the reports were only actionable at the least effective levels (e.g., suggestions

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867638/psn-pdf
     February 26, 2025 - Artificial intelligence related safety issues associated with FDA medical device reports. … Artificial intelligence related safety issues associated with FDA medical device reports. … /psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device- reports … Patient safety reports submitted to the Food and Drug Administration’s (FDA) Manufacturer and User … This study identified 429 safety reports associated with AI/ML-enabled medical devices; one-quarter

159. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
     October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports … Harms from discharge to primary care: mixed methods analysis of incident reports. … Harms from discharge to primary care: mixed methods analysis of incident reports. … the Same Author(s) Characterising the nature of primary care patient safety incident reports … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

160. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet
     psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
     December 06, 2023 - Based on 31 root cause analysis reports of surgical incidents in Australia, this study found that the … December 6, 2023 Characterising the nature of primary care patient safety incident reports … A content analysis of accreditation reports. … or alongside emergency departments: incorporating realist methodology into patient safety incident report … Diagnostic error in the emergency department: learning from national patient safety incident report