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  1. 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
  2. psnet.ahrq.gov/issue/analysis-reported-drug-interactions-recipe-harm-patients
    January 20, 2016 - Drawing from reports of medication errors submitted over a 7-year period to the Pennsylvania Patient … April 17, 2017 Wrong-patient medication errors: an analysis of event reports in Pennsylvania … More Related Resources Wrong-patient medication errors: an analysis of event reports … September 7, 2016 Final Report of the Commission on Care.
  3. psnet.ahrq.gov/issue/physician-specialty-differences-unprofessional-behaviors-observed-and-reported-coworkers
    June 27, 2018 - In participating hospitals, staff can submit safety reports about coworkers demonstrating unprofessional … This study breaks down CORS reports by physician specialty (nonsurgeon nonproceduralists, emergency medicine … Less than 10% of all staff had 1 or more reports. … Surgeons had the highest percentage of physicians with at least one CORS report (13.8%) and nonsurgeon … June 27, 2018 Association of coworker reports about unprofessional behavior by surgeons
  4. 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
  5. psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content
    June 19, 2024 - This qualitative study examined incident reports about surgical patients, comparing trainee reports … Trainees were more likely to enter reports anonymously and completed more elements for each report, but … they also used more blame language and submitted fewer reports overall.
  6. psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
    May 13, 2020 - Study Classifying laboratory incident reports to identify problems that jeopardize … Citation Text: Classifying laboratory incident reports to identify problems that jeopardize patient … Cite Citation Citation Text: Classifying laboratory incident reports … May 1, 2019 Report on the Safe Use of Pick Lists in Ambulatory Care Settings. … Revised Report.
  7. psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
    February 14, 2006 - Reporting Diagnostic Accuracy Studies (STARD), a checklist for researchers when writing diagnostic researchreports.
  8. 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.
  9. 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
  10. psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
    February 03, 2011 - Study Patient reports of preventable problems and harms in primary health care. … Patient reports of preventable problems and harms in primary health care. … Through interviews with patients, this AHRQ-funded study found that patients were more likely to report … Patient reports of preventable problems and harms in primary health care. … Related Resources From the Same Author(s) The Research on Adverse Drug Events and Reports
  11. psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
    May 11, 2016 - Book/Report Confidential Physician Feedback Reports: Designing for Optimal Impact … Citation Text: Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance … Cite Citation Citation Text: Confidential Physician Feedback Reports … Final Report. … August 16, 2023 Final Report on Prioritization of Patient Safety Practices for a New
  12. psnet.ahrq.gov/issue/delays-diagnosis-treatment-and-surgery-root-causes-actions-taken-and-recommendations
    March 25, 2020 - Researchers reviewed root cause analysis (RCA) reports to identify factors contributing to delays in … March 25, 2020 A review of adverse event reports from emergency departments in the Veterans … Defining diagnostic error: a scoping review to assess the impact of the National Academies' report … July 19, 2023 Using the Generic Analysis Method to analyze sentinel event reports across … July 15, 2020 A review of adverse event reports from emergency departments in the Veterans
  13. psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
    November 03, 2021 - This study reviewed 2,700 patient safety event reports to identify the type of medication error , the … Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports … 2021 A machine learning approach to reclassifying miscellaneous patient safety event reports … Using community detection techniques to identify themes in COVID-19-related patient safety event reports
  14. psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
    June 13, 2015 - Study Evaluation of near-miss wrong-patient events in radiology reports. … JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. … JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. … August 28, 2019 ISMP medication error report analysis.
  15. psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
    March 28, 2011 - However, using the number of incident reports filed as a metric of safety is not a proven relationship … This study examined hospital-based incident reports to the United Kingdom's  National Patient Safety … However, the authors also point out that increased incident reports failed to correlate with standardized … national observational study based on retrospective analysis of 12 months of patient safety incident reports … April 20, 2011 Relationship between tort claims and patient incident reports in the Veterans
  16. psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
    August 25, 2021 - Using national data from England and Wales, this study analyzed 2,284 patient safety incident reports … or alongside emergency departments: incorporating realist methodology into patient safety incident report … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … December 9, 2020 Patient safety education 20 years after the Institute of Medicine report … March 18, 2020 ISMP medication error report analysis.
  17. psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
    January 15, 2020 - The researchers took findings from coroner’s reports and classified those findings based on the ICPS. … Diagnostic error in the emergency department: learning from national patient safety incident report … or alongside emergency departments: incorporating realist methodology into patient safety incident report … November 11, 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
  18. psnet.ahrq.gov/issue/clinical-safety-englands-national-programme-it-retrospective-analysis-all-reported-safety
    December 31, 2014 - These results underscore the concerns in prior reports about the unintended consequences of implementing … Download Citation Related Resources From the Same Author(s) Using FDA reports … safety problems associated with information technology in general practice: an analysis of incident reports … January 7, 2015 Automated identification of extreme-risk events in clinical incident reports … safety problems associated with information technology in general practice: an analysis of incident reports
  19. psnet.ahrq.gov/issue/identifying-electronic-health-record-usability-and-safety-challenges-pediatric-settings
    December 21, 2018 - Researchers examined 9000 safety event reports over a 5-year period from 3 pediatric health care facilities … October 17, 2018 Identifying health information technology related safety event reports … from patient safety event report databases. … Social determinants of health and patient safety: an analysis of patient safety event reports … May 13, 2020 A text mining approach to categorize patient safety event reports by medication
  20. psnet.ahrq.gov/issue/when-safety-event-reporting-seen-punitive-ive-been-psn-ed
    September 02, 2020 - This study characterized patient safety event report submissions over a six-month period at one university … health system and found that one-quarter of reports were  punitive .  … Compared to nonpunitive reports, punitive reports were more likely to focus on communication and employee … Punitive reports commonly involved adverse reactions or complications and communication errors.  

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