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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60730/psn-pdf
    January 01, 2021 - A machine learning approach to reclassifying miscellaneous patient safety event reports. … A machine learning approach to reclassifying miscellaneous patient safety event reports. … //psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event- reports … positive user feedback on a machine learning approach to reclassifying “miscellaneous” patient safety reports … https://psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
  2. psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems
    May 11, 2022 - Review Methodological approaches for analyzing medication error reports in patient … Methodological approaches for analyzing medication error reports in patient safety reporting systems: … Methodological approaches for analyzing medication error reports in patient safety reporting systems: … calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports … 101 June 15, 2024 Enhanced free-text search for aggregated medication error report
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867019/psn-pdf
    October 23, 2024 - Reports on Hospital and ASC Performance. … October 23, 2024 Reports On Hospital And Asc Performance. … https://psnet.ahrq.gov/issue/reports-hospital-and-asc-performance Data collection and transparency are … This series of reports draws from Leapfrog survey participants that volunteer data to inform action … The latest report examines hand-hygiene efforts since 2020 and tracks advancements realized using tactics
  4. 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
  5. 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.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838132/psn-pdf
    September 21, 2022 - Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
  7. psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
    October 12, 2016 - Study Incident reporting behaviours following the Francis report: a cross-sectional … Incident reporting behaviours following the Francis report: A cross-sectional survey. … Incident reporting behaviours following the Francis report: A cross-sectional survey. … February 14, 2018 Patient safety education 20 years after the Institute of Medicine report … December 5, 2012 Interpreting adverse drug reaction (ADR) reports as hospital patient
  8. 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
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862604/psn-pdf
    February 14, 2024 - A text mining approach to categorize patient safety event reports by medication error type. … A text mining approach to categorize patient safety event reports by medication error type. … https://psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error … (NLP) models to identify important medication safety patterns and trends from 3,861 patient safety reports … https://psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839816/psn-pdf
    January 01, 2023 - Gender bias in risk management reports involving physicians in training - a retrospective qualitative … Gender bias in risk management reports involving physicians in training - a retrospective qualitative … https://psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training- retrospective-qualitative … In this study, adverse event reports written about residents were reviewed to determine if resident … gender was associated with different types and frequency of incident reports.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858170/psn-pdf
    December 13, 2023 - A content analysis of accreditation reports. … Unsafe care in residential settings for older adults: a content analysis of accreditation reports. … psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation- reports … The authors note that accreditation reports can be effectively used as a source to prioritize and inform … //psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865522/psn-pdf
    April 10, 2024 - An analysis of incident reports related to electronic medication management: how they change over time … An analysis of incident reports related to electronic medication management: how they change over time … https://psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they … This study analyzed types of incident reports related to EMM at three hospitals over the course of its … https://psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867446/psn-pdf
    January 08, 2025 - Methodological approaches for analyzing medication error reports in patient safety reporting systems … Methodological approaches for analyzing medication error reports in patient safety reporting systems … https://psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety … https://psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems … https://psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems
  14. 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
  15. psnet.ahrq.gov/issue/keeping-commitment-progress-report-four-early-leaders-patient-safety-improvement
    October 07, 2008 - Book/Report Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … Citation Text: Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement … Updating a previous report , this publication explains how four organizations have sustained patient … Cite Citation Citation Text: Keeping the Commitment: A ProgressReport on Four Early Leaders in Patient Safety Improvement.
  16. 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
  17. psnet.ahrq.gov/issue/how-well-do-we-communicate-comparison-intraoperative-diagnoses-listed-pathology-reports-and
    May 29, 2019 - A comparison of intraoperative diagnoses listed in pathology reports and operative notes. … : a comparison of intraoperative diagnoses listed in pathology reports and operative notes. … : a comparison of intraoperative diagnoses listed in pathology reports and operative notes. … November 26, 2014 Computerized prescriber order entry–related patient safety reports: … September 6, 2023 Communicating certainty in pathology reports: interpretation differences
  18. psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - This study linked incident report and discharge databases at two hospitals to examine how frequently … reports were filed and what types of incidents were documented.  … The vast majority of reports were filed by nurses, with less than 2% filed by physicians (a problem noted … January 16, 2008 Contributing factors identified by hospital incident report narratives … April 22, 2012 Evaluation of an anonymous system to report medical errors in pediatric
  19. 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.  
  20. psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
    April 28, 2021 - Safety events in hospitalized patients are captured in three ways: incident reports (process problems … ), adverse event reports (patient harm), and patient complaints . … Implications of electronic health record downtime: an analysis of patient safety event reports … May 10, 2017 Screening electronic health record–related patient safety reports using

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