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221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44744/psn-pdf
     June 21, 2016 - Can patient safety incident reports be used to compare hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? … https://psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results … Incident reports provide one lens into patient safety, despite concerns about under-reporting. … Numerous incident reports may indicate either a high number of errors or a robust safety culture that

222. 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

223. 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

224. 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

225. 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

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48152/psn-pdf
     July 17, 2019 - Safety incident reports associated with blood transfusions. … Safety incident reports associated with blood transfusions. … https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions This analysis of … transfusion-related safety incident reports found that such events were more commonly reported for pediatric … https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions https://psnet.ahrq.gov

227. 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.

228. The contribution of staffing to medication administration errors: a text mining analysis of incident report data. | PSNet
     psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
     December 21, 2022 - The contribution of staffing to medication administration errors: a text mining analysis of incident report … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident Report … study used descriptive statistics, manual analysis, and text mining of medication-related incident reports … The key importance of this article is the use of an automated system to analyze incident reports. … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident Report

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38366/psn-pdf
     January 28, 2009 - Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes … Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes … and following up on reports. … , then developed a structured approach for addressing quality issues raised by the reports.  … This study, like most studies of data derived from incident reports, is limited because voluntary reports

230. Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/patient-misidentification-laboratory-medicine-qualitative-analysis-227-root-cause-analysis
     August 28, 2024 - Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports … Improving transitions of care for patients on warfarin: the Safe Transitions Anticoagulation Report … Incorrect surgical procedures within and outside of the operating room: a follow-up report

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40378/psn-pdf
     June 01, 2024 - Organisation Patient Safety Incident Reports. … National Patient Safety Agency https://psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports … Learn from patient safety events (LFPSE) service replaced the Organisation Patient Safety Incident Reports … https://psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports

232. 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

233. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46995/psn-pdf
     January 01, 2021 - Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and … Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by Physicians and … https://psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior … They classified 120 reports into 4 professionalism domains: competent medical care, clear and respectful … https://psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836784/psn-pdf
     March 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … /psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident- reports … This article discusses the need for a standardized approach to incident report analysis and how qualitative … ://psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports

235. 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

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50705/psn-pdf
     January 01, 2020 - Closing the loop with ambulatory staff on safety reports. … Closing the Loop with Ambulatory Staff on Safety Reports. … https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports A lack of closed-loop feedback … implementation of a Feedback to Reporter program in ambulatory care, which aimed to ensure feedback on safety reports … https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports https://psnet.ahrq.gov/issue

237. 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

238. Mistakes even good doctors make. | PSNet
     psnet.ahrq.gov/issue/mistakes-even-good-doctors-make
     October 12, 2022 - Consumer Reports on Health. November 2013;25:6-7. … Facebook Twitter Linkedin Copy URL November 13, 2013 Consumer Reports … Consumer Reports on Health. November 2013;25:6-7. … Resources From the Same Author(s) Stakeholder safety communication: patient and family reports … July 21, 2021 Getting the whole story: integrating patient complaints and staff reports

239. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47447/psn-pdf
     February 22, 2019 - Identifying health information technology related safety event reports from patient safety event report … Identifying health information technology related safety event reports from patient safety event report … https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient … https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event … https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event

240. 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