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  1. 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.
  2. 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
  3. Psn-Pdf (pdf file)

    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
  4. 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.
  5. 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.
  6. Psn-Pdf (pdf file)

    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
  7. 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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. 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
  12. 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
  13. Psn-Pdf (pdf file)

    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.
  14. Psn-Pdf (pdf file)

    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
  15. 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.
  16. 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?
  17. 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.
  18. 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
  19. 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.
  20. Psn-Pdf (pdf file)

    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

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