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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861773/psn-pdf
     January 31, 2024 - Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who … reports what about whom? … Hospital staff reports of coworker positive and unprofessional behaviours across eight hospitals: who … reports what about whom? … https://psnet.ahrq.gov/issue/hospital-staff-reports-coworker-positive-and-unprofessional-behaviours-across

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865703/psn-pdf
     May 01, 2024 - Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co- worker-reports-across … This study analyzed 1,310 reports of unprofessional behavior across eight Australian hospitals between … The researchers found that three in ten reports indicated a risk to patient safety, such as interruptions

223. ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. | PSNet
     psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
     June 10, 2018 - in reports of serious adverse drug events. … Citation Text: ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse … shows sharp increase in reports of serious adverse drug events. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP QuarterWatch Reports.

224. Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts. | PSNet
     psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports
     October 27, 2021 - Considering chance in quality and safety performance measures: an analysis of performance reports

225. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. | PSNet
     psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion
     September 23, 2020 - Study Adverse outcomes of blood transfusion in children: analysis of UK reports to … Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion … Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion … June 29, 2022 Safety incident reports associated with blood transfusions.

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865338/psn-pdf
     March 27, 2024 - Analysis of intervention employability in pharmacy- related medication safety reports at a tertiary … Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical … Using 665 pharmacy-related medication safety reports at one hospital, researchers evaluated the actionability … of the reports on the ISMP hierarchy. … Three- quarters of the reports were only actionable at the least effective levels (e.g., suggestions

227. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. | PSNet
     psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency
     June 08, 2022 - errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports … errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports … Analysis of incident reports from a patient safety organization. … May 25, 2022 A review of adverse event reports from emergency departments in the Veterans … Defining diagnostic error: a scoping review to assess the impact of the National Academies' report

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866693/psn-pdf
     September 11, 2024 - 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 … https://psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care … This analysis of 91 incident reports from care homes in England examined patient safety events that … https://psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73490/psn-pdf
     July 14, 2021 - Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment … 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.

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860722/psn-pdf
     January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful- improvements … This study reviewed and categorized incident reports regarding in-hospital cardiac arrest (IHCA) at two … Quarterly and annual tracking of reports allowed for prompt interventions such as implementation of

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867638/psn-pdf
     February 26, 2025 - Artificial intelligence related safety issues associated with FDA medical device reports. … Artificial intelligence related safety issues associated with FDA medical device reports. … /psnet.ahrq.gov/issue/artificial-intelligence-related-safety-issues-associated-fda-medical-device- reports … Patient safety reports submitted to the Food and Drug Administration’s (FDA) Manufacturer and User … This study identified 429 safety reports associated with AI/ML-enabled medical devices; one-quarter

232. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
     February 08, 2023 - safety problems associated with information technology in general practice: an analysis of incident reports … safety problems associated with information technology in general practice: an analysis of incident reports … safety problems associated with information technology in general practice: an analysis of incident reports … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports

233. Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. | PSNet
     psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
     December 24, 2007 - The report itself encompasses more than 85,000 collected incident reports with analysis, comparisons, … This represents the first of a series of expected reports from NPSA on patient safety data to be published … March 29, 2023 Characterising the nature of primary care patient safety incident reports … September 30, 2015 ISMP medication error report analysis. … June 13, 2012 Critical Incident Reviews, Significant Adverse Event Reports and Action

234. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
     October 08, 2014 - This study analyzed reports of suspected adverse drug events  (ADEs) submitted to the U.S. … Using more than 30 years of collected data, investigators discovered nearly 2.3 million case reports … These reports resulted in additional safety warnings, a greater list of known ADEs with specific drugs … November 4, 2015 Special report: suicidal ideation among American surgeons. … Perspective: Topics in Medication Safety March 31, 2022 ISMP medication error report

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866345/psn-pdf
     July 24, 2024 - 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. … https://psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-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.

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866247/psn-pdf
     July 10, 2024 - Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing Natural … language processing (NLP) has been used to categorize patient safety reports and reduce the burden … https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing https

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866814/psn-pdf
     September 25, 2024 - Accuracy of a proprietary large language model in labeling obstetric incident reports. … Accuracy of a proprietary large language model in labeling obstetric incident reports. … https://psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports … reporting is an important resource for identifying adverse events and near misses, but the volume of reports … https://psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports

238. 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

239. Hospital infections hard to gauge. | PSNet
     psnet.ahrq.gov/issue/hospital-infections-hard-gauge
     July 20, 2011 - This news piece details efforts to collect, analyze, and utilize state-wide reports on health care–associated … July 28, 2013 Classifying laboratory incident reports to identify problems that jeopardize … View More Related Resources National Healthcare Quality and Disparities Reports

240. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet
     psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
     February 24, 2011 - Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports … Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from … Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from … February 15, 2010 Classifying laboratory incident reports to identify problems that jeopardize