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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/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/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/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. … April 1, 2020
ISMP medication error report analysis.
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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/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/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/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/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
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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
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Adverse Health Events in Minnesota: Annual Reports
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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/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 22, 2021
In U.S. nursing homes, where Covid-19 killed scores, even reports
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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/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/serious-reportable-events-massachusetts
May 03, 2023 - Book/Report
Serious Reportable Events in Massachusetts. … Older reports are also available. … January 9, 2025
Patient Safety Authority Annual Reports. … April 30, 2024
National Healthcare Quality and Disparities Reports. … May 13, 2021
HANYS' Report on Report Cards.
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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-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/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.