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psnet.ahrq.gov/node/47836/psn-pdf
May 29, 2019 - FDA to end program that hid millions of reports on faulty
medical devices. … https://psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices
Transparency … This news article reports
on a government alternative summary reporting program that allowed medical … device makers to conceal
safety events and malfunction reports associated with medical devices. … https://psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/849331/psn-pdf
May 24, 2023 - Long-term care healthcare-associated infections in 2022:
an analysis of 20,216 reports. … Long-term care healthcare-associated iInfections in 2022: an analysis of
20,216 reports. … https://psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2022-analysis-20216-reports … https://psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2022-analysis-20216-reports … long-term-care-and-patient-safety
https://psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
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psnet.ahrq.gov/node/50872/psn-pdf
February 05, 2020 - 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 … https://psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive- … https://psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative … https://psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
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psnet.ahrq.gov/node/867020/psn-pdf
October 23, 2024 - What can we learn from coroners’ reports on preventable
deaths?
October 23, 2024
Jeraj S. … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. … https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
Analysis of system … https://psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
https://psnet.ahrq.gov
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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
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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
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psnet.ahrq.gov/node/41098/psn-pdf
March 04, 2015 - Automated identification of extreme-risk events in clinical
incident reports. … Automated identification of extreme-risk events in clinical incident reports. … https://psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-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
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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.
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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
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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
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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.
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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
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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.
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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
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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
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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
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psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
February 03, 2011 - Study
Patient reports of preventable problems and harms in primary health care. … Patient reports of preventable problems and harms in primary health care. … Through interviews with patients, this AHRQ-funded study found that patients were more likely to report … Patient reports of preventable problems and harms in primary health care. … Related Resources From the Same Author(s)
The Research on Adverse Drug Events and Reports
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psnet.ahrq.gov/node/866351/psn-pdf
July 24, 2024 - Seeking systems-based facilitators of safety and
healthcare resilience: a thematic review of incident
reports … Seeking systems-based facilitators of safety and healthcare resilience: a
thematic review of incident reports … seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-
review-incident
Incident reports … This
study used incident reports involving anticoagulant medication errors to demonstrate the effectiveness … Report descriptions included all the SEIPS components and resilience capacities
(e.g., preparedness,
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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.
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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
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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