-
psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
June 13, 2015 - Study
Evaluation of near-miss wrong-patient events in radiology reports. … JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. … JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. … August 28, 2019
ISMP medication error report analysis.
-
psnet.ahrq.gov/issue/patients-beware-731-nurses-reveal-what-watch-out-hospital
November 24, 2021 - Consumer Reports. 2009 Sep;74(9):18-23. … Facebook
Twitter
Linkedin
Copy URL
August 19, 2009
Consumer Reports … Consumer Reports. 2009 Sep;74(9):18-23. … Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … February 1, 2023
A review of adverse event reports from emergency departments in the
-
psnet.ahrq.gov/node/838314/psn-pdf
October 12, 2022 - Stakeholder safety communication: patient and family
reports on safety risks in hospitals. … Stakeholder safety communication: patient and family reports on safety risks in hospitals. … https://psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks … https://psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals … https://psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
-
psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - Acute healthcare facilities in Pennsylvania are required to report all events of harm or potential … 2022
Long-term care healthcare-associated infections in 2021: an analysis of 17,971 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 … June 4, 2024
Patient Safety Authority Annual Reports.
-
psnet.ahrq.gov/issue/reporting-death-us-food-and-drug-administration-medical-device-adverse-event-reports
April 07, 2019 - Reporting of death in US Food and Drug Administration medical device adverse event reports … Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … Reporting of death in US Food and Drug Administration medical device adverse event reports in categories … Resources
Artificial intelligence related safety issues associated with FDA medical device reports … The Report of the Independent Medicines and Medical Devices Safety Review.
-
psnet.ahrq.gov/node/837596/psn-pdf
June 29, 2022 - Association of patient and family reports of hospital
safety climate with language proficiency in the … Association of patient and family reports of hospital safety climate with
language proficiency in the … https://psnet.ahrq.gov/issue/association-patient-and-family-reports-hospital-safety-climate-language- … https://psnet.ahrq.gov/issue/association-patient-and-family-reports-hospital-safety-climate-language-proficiency-us … https://psnet.ahrq.gov/issue/association-patient-and-family-reports-hospital-safety-climate-language-proficiency-us
-
psnet.ahrq.gov/issue/insulin-pumps-have-most-reported-problems-fda-database
October 03, 2018 - This news article reports on problems associated with ambulatory use of insulin pumps submitted to … AHRQ Nursing Home Survey on Patient Safety Culture: 2014 User Comparative Database Report … Reporting of death in US Food and Drug Administration medical device adverse event reports … March 24, 2021
FDA to end program that hid millions of reports on faulty medical devices
-
psnet.ahrq.gov/node/60670/psn-pdf
July 08, 2020 - Patient safety concerns in COVID-19–related events: a
study of 343 event reports from 71 hospitals in … Patient safety concerns in COVID-19–related events: a study of 343
event reports from 71 hospitals in … https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports- … https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports- … hospitals
https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports
-
psnet.ahrq.gov/node/837598/psn-pdf
June 29, 2022 - Visitor behaviors can influence the risk of patient harm:
an analysis of patient safety reports from … Visitor behaviors can influence the risk of patient harm: an analysis of
patient safety reports from … ://psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-
reports … This study analyzed incident report data
and found that behavior from families and caregivers visiting … https://psnet.ahrq.gov/issue/visitor-behaviors-can-influence-risk-patient-harm-analysis-patient-safety-reports
-
psnet.ahrq.gov/node/841144/psn-pdf
December 07, 2022 - 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 … related-patient-safety-event
https://psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports … 71-hospitals
https://psnet.ahrq.gov/issue/screening-electronic-health-record-related-patient-safety-reports-using-machine-learning
-
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
-
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
-
psnet.ahrq.gov/node/60618/psn-pdf
June 24, 2020 - 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 … differences-between-methods-detecting-medication-errors-secondary-analysis-
medication
This study compared medication errors detected 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.
-
psnet.ahrq.gov/node/73509/psn-pdf
July 21, 2021 - NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year … NHS ‘Learning from Deaths’ reports: a qualitative and
quantitative document analysis of the first year … https://psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis … The National Health Service Secondary Care Trusts
(NSCT) are required to report, learn from, and prevent … https://psnet.ahrq.gov/issue/nhs-learning-deaths-reports-qualitative-and-quantitative-document-analysis-first-year
-
psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors
October 28, 2009 - Study
The impact of duty hours on resident self reports of errors. … The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. … The impact of duty hours on resident self reports of errors.
-
psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
October 19, 2022 - Commentary
Nurses improve medication safety with medication allergy and adverse drug reports … Nurses improve medication safety with medication allergy and adverse drug reports. … Nurses improve medication safety with medication allergy and adverse drug reports. … July 22, 2010
A safe haven for nurses to report medication errors?
-
psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
May 13, 2020 - Study
Classifying laboratory incident reports to identify problems that jeopardize … Citation Text:
Classifying laboratory incident reports to identify problems that jeopardize patient … Cite
Citation
Citation Text:
Classifying laboratory incident reports … May 1, 2019
Report on the Safe Use of Pick Lists in Ambulatory Care Settings. … Revised Report.
-
psnet.ahrq.gov/issue/eliminating-clabsi-national-patient-safety-imperative
October 23, 2019 - Book/Report
Eliminating CLABSI: A National Patient Safety Imperative. … This publication reports the impact hospital participation in CUSP had on patients. … 2016
View More
Related Resources
Patient Safety Authority Annual Reports … April 30, 2024
National Healthcare Quality and Disparities Reports. … May 1, 2015
Eliminating CAUTI: Interim Data Report: A National Patient Safety Imperative
-
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.
-
psnet.ahrq.gov/node/46391/psn-pdf
February 08, 2018 - Nature of blame in patient safety incident reports: mixed
methods analysis of a national database. … Nature of Blame in Patient Safety Incident Reports: Mixed Methods
Analysis of a National Database. … https://psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national … Researchers analyzed a sample of
family practice patient safety incident reports from the England and … The authors
suggest that successfully using incident reports to improve safety requires a shift to blame-free