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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
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National Healthcare Quality and Disparities Reports … June 18, 2014
Improving America's Hospitals: The Joint Commission's Annual Report on
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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/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
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psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
October 28, 2009 - Study
The impact of duty hours on resident self reports of errors. … The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. … The impact of duty hours on resident self reports of errors.
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psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
December 29, 2014 - Study
Classic
Can we rely on patients' reports of adverse … Can we rely on patients' reports of adverse events? … Can we rely on patients' reports of adverse events?
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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
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psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick
September 09, 2015 - Consumer Reports. July 29, 2015. … Facebook
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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.
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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
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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.
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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.
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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
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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
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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
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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/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
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Patient Safety Authority Annual Reports … The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … Report.
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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/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
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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.
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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
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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.
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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/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