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21. Responding to health information technology reported safety events: insights from patient safety event reports. | PSNet
    psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event
    June 30, 2019 - Responding to health information technology reported safety events: insights from patient safety event reports … Responding to health information technology reported safety events: insights from patient safety event reports … In this study, investigators queried a database that receives reports from 575 facilities to identify … reports related to health information technology (IT). … They examined reports to determine whether the events were resolved at all, and whether the resolution

22. Bedside shift reports: what does the evidence say? | PSNet
    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?

23. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. | PSNet
    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
    July 08, 2020 - Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports … Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. … Based on reports submitted by long-term care facilities to the Pennsylvania Patient Safety Reporting … This continues the trend seen in the 2022 report . … Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports.

24. Analysis of critical incident reports using natural language processing. | PSNet
    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

25. A natural language processing approach to categorise contributing factors from patient safety event reports. | PSNet
    psnet.ahrq.gov/issue/natural-language-processing-approach-categorise-contributing-factors-patient-safety-event
    April 26, 2023 - A natural language processing approach to categorise contributing factors from patient safety event reports … A natural language processing approach to categorise contributing factors from patient safety event reports … Analyzing patient safety incident reports is essential to organizational learning, but comes with both … A natural language processing approach to categorise contributing factors from patient safety event reports … July 10, 2024 Analysis of critical incident reports using natural language processing

26. Errare humanum est: frequency of laterality errors in radiology reports. | PSNet
    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.

27. Artificial intelligence related safety issues associated with FDA medical device reports. | PSNet
    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.

28. Making the transition to nursing bedside shift reports. | PSNet
    psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
    September 29, 2017 - Study Making the transition to nursing bedside shift reports. … Making the transition to nursing bedside shift reports. … must precede such an intervention and the barriers associated with nursing resistance to bedside shift reports … Making the transition to nursing bedside shift reports. … May 13, 2015 Bedside shift reports: what does the evidence say?

29. A text mining approach to categorize patient safety event reports by medication error type. | PSNet
    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

30. Unsafe care in residential settings for older adults. A content analysis of accreditation reports. | PSNet
    psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports
    August 16, 2023 - A content analysis of accreditation reports. … Unsafe care in residential settings for older adults: a content analysis of accreditation reports. … Unsafe care in residential settings for older adults: a content analysis of accreditation reports. … 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

31. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. | PSNet
    psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
    January 31, 2024 - Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports … Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … This study analyzed 1,310 reports of unprofessional behavior across eight Australian hospitals between … Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … A content analysis of accreditation reports.

32. Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? | PSNet
    psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
    December 14, 2022 - Study Content analysis of patient safety incident reports for older adult patient … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … , orthopedics and stroke to identify the types of transitions involved and whether reports included any … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … August 5, 2020 Closing the loop with ambulatory staff on safety reports.

33. Transforming concepts in patient safety: a progress report. | PSNet
    psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
    January 20, 2015 - Review Classic Transforming concepts in patient safety: a progress … report. … Transforming concepts in patient safety: a progress report. … Transforming concepts in patient safety: a progress report.

34. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. | PSNet
    psnet.ahrq.gov/issue/use-prescribing-safety-quality-improvement-reports-uk-general-practices-qualitative
    December 08, 2021 - Four themes were identified: receiving the report, facilitators and barriers to acting upon the report … , acting upon the report, and how the report contributes to a quality culture. … upon the reports. … to acting upon the reports. … opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report

35. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
    psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
    December 18, 2019 - detecting medication errors: a secondary analysis of medication administration errors using incident reports … detecting medication errors: a secondary analysis of medication administration errors using incident reports … Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … For example, incident reports most commonly identified wrong dose and wrong time errors. … The contribution of staffing to medication administration errors: a text mining analysis of incident report

36. Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. | PSNet
    psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
    October 19, 2022 - Study Excess cost and length of stay associated with voluntary patient safety event reports … Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. … Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. … July 19, 2023 The Research on Adverse Drug Events and Reports (RADAR) project. … Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report

37. Nebraska Coalition for Patient Safety Annual Report. | PSNet
    psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
    July 13, 2022 - Book/Report Nebraska Coalition for Patient Safety Annual Report. … Citation Text: Nebraska Coalition for Patient Safety Annual Report. … 2008 and 2021, offers insights drawn from an analysis of 1308 incident reports. … Free full text Previous reports Save Save to your library Print Download … August 9, 2013 Keeping the Commitment: A Progress Report on Four Early Leaders in Patient

38. Automated identification of extreme-risk events in clinical incident reports. | PSNet
    psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
    November 03, 2015 - Study Automated identification of extreme-risk events in clinical incident reports … Automated identification of extreme-risk events in clinical incident reports. … error reports is time intensive and often low yield. … This study reports on the use of informatics technology to screen incident reports in order to identify … Automated identification of extreme-risk events in clinical incident reports.

39. Closing the loop with ambulatory staff on safety reports. | PSNet
    psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
    April 22, 2016 - Study Closing the loop with ambulatory staff on safety reports. … Closing the Loop with Ambulatory Staff on Safety Reports. … implementation of a Feedback to Reporter program in ambulatory care, which aimed to ensure feedback on safety reports … Closing the Loop with Ambulatory Staff on Safety Reports. … May 15, 2019 Rapid-cycle improvement during the COVID-19 pandemic: using safety reports

40. Using community detection techniques to identify themes in COVID-19-related patient safety event reports. | PSNet
    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