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181. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet
     psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
     October 07, 2020 - Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports … Analysis of incident reports from a patient safety organization. … or alongside emergency departments: incorporating realist methodology into patient safety incident report

182. 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.

183. Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
     March 12, 2025 - Patient safety incidents associated with airway devices in critical care: a review of reports … Patient safety incidents associated with airway devices in critical care: a review of reports to the … The report makes recommendations for the proper use of monitoring equipment to ensure safety for intubated … Patient safety incidents associated with airway devices in critical care: a review of reports to the … June 27, 2018 Association of coworker reports about unprofessional behavior by surgeons

184. Medicare failed to investigate suspicious infection cases from 96 hospitals. | PSNet
     psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals
     May 29, 2019 - This news article reports on an evaluation by the Office of Inspector General that found regulator review … of hospital-acquired infection reports submitted to Medicare to be insufficient, which hinders hospitals … Related report (PDF) Free full text Save Save to your library Print Download … Related Resources From the Same Author(s) FDA to end program that hid millions of reports … 2021 View More Related Resources Patient Safety Authority Annual Reports

185. State starts project to track serious hospital mistakes. | PSNet
     psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
     May 10, 2006 - This article reports on the launch of Oregon's statewide voluntary incident reporting program to track … July 23, 2014 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient … Revised Report. … July 24, 2019 Teaching medical students to recognise and report errors. … February 16, 2022 Hospital Performance Report.

186. Accuracy of adverse-drug-event reports collected using an automated dispensing system. | PSNet
     psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
     April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing … Accuracy of adverse-drug-event reports collected using an automated dispensing system. … The authors evaluated the effectiveness and accuracy of using an automated dispensing system to report … Accuracy of adverse-drug-event reports collected using an automated dispensing system.

187. Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. | PSNet
     psnet.ahrq.gov/issue/family-input-quality-and-safety-fiqs-using-mobile-technology-hospital-reporting-families-and
     November 24, 2021 - Using a mobile health tool, pediatric patients and families were encouraged to report safety events … These reports were compared with incident reports (IRs) submitted to the internal incident reporting … Resources From the Same Author(s) Patient and caregiver factors in ambulatory incident reports … Analysis of incident reports from a patient safety organization. … July 6, 2022 Differences in safety report event types submitted by graduate medical education

188. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet
     psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
     February 21, 2024 - Book/Report Retained Swabs Following Invasive Procedures: Themes Identified from … a Review of NHS Serious Incident Reports. … Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports … This report examines reasons for 31 incidents of retained surgical swabs reported in the United Kingdom … Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports

189. How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes. | PSNet
     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

190. Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. | PSNet
     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 … Related Resources Enhanced free-text search for aggregated medication error report

191. Medication errors involving overrides of healthcare technology. | PSNet
     psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology
     January 11, 2017 - This article analyzes reports submitted to the Pennsylvania Patient Safety Authority to determine the … April 17, 2017 Wrong-patient medication errors: an analysis of event reports in Pennsylvania … Patient Safety 101 September 7, 2019 ISMP medication error report … safety problems associated with information technology in general practice: an analysis of incident reports

192. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. | PSNet
     psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports
     April 07, 2019 - Reporting of death in US Food and Drug Administration medical device adverse event reports … Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … Resources Artificial intelligence related safety issues associated with FDA medical device reports … The Report of the Independent Medicines and Medical Devices Safety Review.

193. Nurses improve medication safety with medication allergy and adverse drug reports. | PSNet
     psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
     October 19, 2022 - Commentary Nurses improve medication safety with medication allergy and adverse drug reports … Nurses improve medication safety with medication allergy and adverse drug reports. … Nurses improve medication safety with medication allergy and adverse drug reports. … July 22, 2010 A safe haven for nurses to report medication errors?

194. Stakeholder safety communication: patient and family reports on safety risks in hospitals. | PSNet
     psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals
     July 28, 2021 - Study Stakeholder safety communication: patient and family reports on safety risks … Stakeholder safety communication: patient and family reports on safety risks in hospitals. … Stakeholder safety communication: patient and family reports on safety risks in hospitals. … the Same Author(s) Getting the whole story: integrating patient complaints and staff reports

195. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet
     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

196. Does error and adverse event reporting by physicians and nurses differ? | PSNet
     psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
     February 24, 2011 - Prior research has documented that physicians, in particular, do not file incident reports.  … This evaluation of more than 260,000 incident reports from a broad cross-section of hospitals examined … events, similar to a prior study using the same incident reporting system, but physicians did tend to report … Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports … long-term care for people with intellectual disability: an interrupted time series analysis of incident reports

197. Using Safety-II and resilient healthcare principles to learn from Never Events. | PSNet
     psnet.ahrq.gov/issue/using-safety-ii-and-resilient-healthcare-principles-learn-never-events
     February 20, 2019 - framework, the authors used a mixed-methods approach to retrospectively analyze root cause analysis (RCA) reports … low-to-moderate effectiveness, and that despite identifying systems challenges and weaknesses, many reports … vulnerabilities and opportunities for strengthening the RCA system and improving the quality of RCA reports … June 12, 2024 Adverse Health Events in Minnesota: Annual Reports.

198. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet
     psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
     June 15, 2011 - This study categorized more than 2200 incident reports into whether they described aberrant care processes … The authors advocate for hospitals to focus their IR systems on process-driven reports that encourage … January 16, 2008 Contributing factors identified by hospital incident report narratives … March 12, 2014 Semi-supervised classification of patient safety event reports. … January 7, 2009 Contributing factors identified by hospital incident report narratives

199. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. | PSNet
     psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
     December 16, 2015 - Book/Report Characterising the nature of primary care patient safety incident reports … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National … July 27, 2018 Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy … March 15, 2017 Report on the Safe Use of Pick Lists in Ambulatory Care Settings.

200. Workforce and Patient Safety. | PSNet
     psnet.ahrq.gov/issue/workforce-and-patient-safety
     February 21, 2024 - Book/Report Workforce and Patient Safety. … This collection of reports to be developed and distributed over the course of 2024 will cover workforce … Series information Report 1: Temporary staff involvement in patient safety investigations Report … Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports … December 4, 2024 Annual Speak Up Data Reports.