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201. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet
     psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
     October 12, 2016 - Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports … the Same Author(s) Characterising the nature of primary care patient safety incident reports … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … June 14, 2017 Characterising the nature of primary care patient safety incident reports

202. Guideline is skirted on obesity surgeries. | PSNet
     psnet.ahrq.gov/issue/guideline-skirted-obesity-surgeries
     July 20, 2011 - This article reports on several hospitals in Massachusetts that continue to perform obesity surgeries … October 30, 2013 National Healthcare Quality and Disparities Reports.

203. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet
     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

204. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid-19
     March 23, 2022 - Commentary Using event reports in real-time to identify and mitigate patient safety … Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 … Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … May 4, 2022 Rapid-cycle improvement during the COVID-19 pandemic: using safety reports

205. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national
     November 29, 2023 - Patient safety incidents associated with equipment in critical care: a review of reports … Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … 12, 2011 Medication-related patient safety incidents in critical care: a review of reports

206. Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. | PSNet
     psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
     July 27, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Care … Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination … Report no. 22-00815-232. … Report no. 22-00815-232. … July 13, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental

207. PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety. | PSNet
     psnet.ahrq.gov/issue/presafe-model-barriers-and-facilitators-patients-providing-feedback-experiences-safety
     January 08, 2020 - Receipt of safety reports from patients and family is an important aspect of patient engagement . … inability to separate safety from overall satisfaction with care, insufficient understanding of how to report … October 5, 2016 Care home safety incidents and safeguarding reports relating to hospital … August 20, 2018 Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy … February 8, 2018 Report of the Announced Inspection of Medication Safety at the Midland

208. Incident reporting behaviours following the Francis report: a cross-sectional survey. | PSNet
     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

209. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
     October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports … Harms from discharge to primary care: mixed methods analysis of incident reports. … Harms from discharge to primary care: mixed methods analysis of incident reports. … the Same Author(s) Characterising the nature of primary care patient safety incident reports … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

210. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. | PSNet
     psnet.ahrq.gov/issue/long-term-care-healthcare-associated-iinfections-2022-analysis-20216-reports
     May 19, 2021 - Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports … Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. … Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. … February 8, 2023 Surveys on Patient Safety Culture Nursing Home Survey: 2023 User Database Report … January 25, 2023 National Healthcare Quality and Disparities Reports.

211. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents
     August 04, 2021 - Study Interpreting adverse drug reaction (ADR) reports as hospital patient safety … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … 12, 2008 Medication-related patient safety incidents in critical care: a review of reports

212. Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008. | PSNet
     psnet.ahrq.gov/issue/critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk-national-reporting-and
     August 03, 2022 - Study Critical incident reports concerning anaesthetic equipment: analysis of the … Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and … Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and

213. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
     June 23, 2021 - bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … September 29, 2021 A review of adverse event reports from emergency departments in the … January 19, 2011 Errors in ABO labeling of deceased donor kidneys: case reports and approach

214. The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. | PSNet
     psnet.ahrq.gov/issue/orthopaedic-error-index-development-and-application-novel-national-indicator-assessing
     July 18, 2016 - Investigators used reports from the National Reporting and Learning System to develop a tool that identifies … July 18, 2016 Characterising the nature of primary care patient safety incident reports … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident reports … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports

215. Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. | PSNet
     psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety
     June 09, 2021 - Study Errors in ABO labeling of deceased donor kidneys: case reports and approach … Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and Approach to Ensuring Patient Safety … Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and Approach to Ensuring Patient Safety … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports

216. Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals | PSNet
     psnet.ahrq.gov/issue/challenges-and-potential-solutions-patient-safety-infectious-agent-isolation-environment
     October 27, 2021 - patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports … Using community detection techniques to identify themes in COVID-19-related patient safety event reports

217. Nurse reports of adverse events during sedation procedures at a pediatric hospital. | PSNet
     psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
     November 02, 2016 - Study Nurse reports of adverse events during sedation procedures at a pediatric hospital … Nurse reports of adverse events during sedation procedures at a pediatric hospital. … This study discovered that perianesthesia nurses more consistently report serious adverse events … Nurse reports of adverse events during sedation procedures at a pediatric hospital.

218. Hospital patients' reports of medical errors and undesirable events in their health care. | PSNet
     psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care
     July 06, 2012 - Study Hospital patients' reports of medical errors and undesirable events in their … Hospital patients' reports of medical errors and undesirable events in their health care. … This study sought to engage patients in safety efforts by asking them to report errors they experienced … Hospital patients' reports of medical errors and undesirable events in their health care. … January 16, 2013 Can patients report patient safety incidents in a hospital setting?

219. Using coworker observations to promote accountability for disrespectful and unsafe behaviors by physicians and advanced practice professionals. | PSNet
     psnet.ahrq.gov/issue/using-coworker-observations-promote-accountability-disrespectful-and-unsafe-behaviors
     June 27, 2018 - reporting system  called Coworker Observation Reporting System (CORS) to allow health care team members to report … , and after receiving this feedback most providers did not have a repeat report completed about them. … The number of reports increased during the intervention, suggesting that team members saw a benefit to … June 27, 2018 Association of coworker reports about unprofessional behavior by surgeons … September 23, 2020 Nature of blame in patient safety incident reports: mixed methods

220. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. | PSNet
     psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
     October 15, 2014 - Study An improved patient safety reporting system increases reports of disruptive … An improved patient safety reporting system increases reports of disruptive behavior in the perioperative … An improved patient safety reporting system increases reports of disruptive behavior in the perioperative … View More Related Resources TQIP Mortality Reporting System Case Reports