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psnet.ahrq.gov/issue/patient-safety-authority-annual-reports
December 09, 2020 - Book/Report
Patient Safety Authority Annual Reports. … Citation Text:
Patient Safety Authority Annual Reports. Pennsylvania Patient Safety Authority. … This report summarizes patient safety improvement work in the state of Pennsylvania. … include patient communication, publication , and learning management system efforts.
2023 report … - Free full text (PDF)
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psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors
June 19, 2024 - Study
Diagnostic errors in uncommon conditions: a systematic review of case reports … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … This article uses 560 case reports to classify contributing factors to diagnostic errors in rare conditions … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports
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psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type
December 07, 2022 - Study
A text mining approach to categorize patient safety event reports by medication … A text mining approach to categorize patient safety event reports by medication error type. … Developing an evaluation strategy to assess large language models for patient safety event report analysis … from patient safety event report databases. … Patient Safety Primers
Patient Safety 101
June 15, 2024
Final Report
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psnet.ahrq.gov/issue/hospital-performance-report
September 12, 2016 - Book/Report
Hospital Performance Report. … Detailing results of an error reporting initiative in New Jersey, these reports explain how consumers … 2020
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Related Resources
Patient Safety Authority Annual Reports … April 30, 2024
National and State Healthcare-Associated Infections Progress Report. … September 28, 2023
HANYS' Report on Report Cards.
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psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
October 19, 2022 - Review
Bedside shift reports: what does the evidence say? … Bedside shift reports: what does the evidence say? … Bedside shift reports may decrease risk of errors and augment teamwork , but this strategy has not … This review examines the evidence for bedside shift reports and their impact on individual skill development … Bedside shift reports: what does the evidence say?
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psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
July 22, 2020 - A machine learning approach to reclassifying miscellaneous patient safety event reports … A machine learning approach to reclassifying miscellaneous patient safety event reports. … positive user feedback on a machine learning approach to reclassifying “miscellaneous” patient safety reports … A machine learning approach to reclassifying miscellaneous patient safety event reports. … Resources
Accuracy of a proprietary large language model in labeling obstetric incident reports
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psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
January 12, 2022 - Study
Getting the whole story: integrating patient complaints and staff reports of … Getting the whole story: Integrating patient complaints and staff reports of unsafe care. … This retrospective study linked patient complaint data with staff incident reports to better understand … Getting the whole story: Integrating patient complaints and staff reports of unsafe care. … July 27, 2022
Stakeholder safety communication: patient and family reports on safety
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psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device-reports
May 29, 2024 - Artificial intelligence related safety issues associated with FDA medical device reports … Artificial intelligence related safety issues associated with FDA medical device reports. … Artificial intelligence related safety issues associated with FDA medical device reports. … Developing an evaluation strategy to assess large language models for patient safety event report analysis … The Report of the Independent Medicines and Medical Devices Safety Review.
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psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
September 04, 2024 - Study
Are amended surgical pathology reports getting to the correct responsible care … Are amended surgical pathology reports getting to the correct responsible care provider? … Are amended surgical pathology reports getting to the correct responsible care provider? … August 4, 2021
Effect of social influences on pharmacists' intention to report adverse … 27, 2016
Laboratory medicine handoff gaps experienced by primary care practices: a report
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psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports
March 04, 2020 - Study
Improving resident morning sign-out by use of daily events reports. … Improving resident morning sign-out by use of daily events reports. … This intervention involving event reports for key overnight incidents automatically emailed to the daytime … Improving resident morning sign-out by use of daily events reports. … July 2, 2014
The computerized rounding report: implementation of a model system to support
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psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - Study
Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … Natural language processing (NLP) has been used to categorize patient safety reports and reduce the … Analysis of critical incident reports using natural language processing. … January 10, 2024
Final Report on Prioritization of Patient Safety Practices for a New
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psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
September 13, 2023 - Study
Errare humanum est: frequency of laterality errors in radiology reports. … Errare humanum est: frequency of laterality errors in radiology reports. … Investigators reviewed more than 1 million reports at a single institution and discovered a very low … They were most common in "verbose" computed tomography (CT) and mammography reports with nearly 70% of … Errare humanum est: frequency of laterality errors in radiology reports.
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psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
May 04, 2022 - Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … This review of root cause analysis reports about suicide within 7 days of discharge from inpatient … Review of alternatives to root cause analysis: developing a robust system for incident report … Analysis of incident reports from a patient safety organization.
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psnet.ahrq.gov/issue/using-community-detection-techniques-identify-themes-covid-19-related-patient-safety-event
July 29, 2020 - Using community detection techniques to identify themes in COVID-19-related patient safety event reports … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … This study used machine learning to group of more than 2,000 patient safety event (PSE) reports into … March 3, 2021
Using event reports in real-time to identify and mitigate patient safety … June 1, 2022
Harnessing event report data to identify diagnostic error during the COVID
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - Study
Care home safety incidents and safeguarding reports relating to hospital to … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … July 17, 2024
Content analysis of patient safety incident reports for older adult patient … A content analysis of accreditation reports.
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psnet.ahrq.gov/issue/annual-speak-data-reports
September 14, 2022 - Multi-use Website
Annual Speak Up Data Reports. … Citation Text:
Annual Speak Up Data Reports. Stratford, London; The National Guardian. … The July 2024 report summarized data collected from over 25,000 cases recorded. … Available at
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Annual Speak Up Data Reports
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psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
July 07, 2021 - Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports … Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports … In this study, usability issues related to eMAR contributed to 473 patient safety event reports. … Analysis of incident reports from a patient safety organization. … The contribution of staffing to medication administration errors: a text mining analysis of incident report
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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
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Citation Text:
Keeping the Commitment: A Progress … Report on Four Early Leaders in Patient Safety Improvement.
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psnet.ahrq.gov/issue/patient-safety-commissioner-listening-patients
December 20, 2024 - The site hosts annual reports, initiative updates and patient stories of harm. … July 10, 2024
Adverse Health Events in Minnesota: Annual Reports. … February 28, 2024
National and State Healthcare-Associated Infections Progress Report … November 16, 2022
Organisation Patient Safety Incident Reports.
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psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis
October 21, 2020 - Study
Patient and caregiver factors in ambulatory incident reports: a mixed-methods … Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. … Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. … Analysis of incident reports from a patient safety organization. … September 11, 2013
Patient report on information given, consultation time and safety