Results

Total Results: over 10,000 records

Showing results for "reports".
Users also searched for: national healthcare quality and disparities report

241. Diagnostic error in acute care. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-acute-care
     December 15, 2010 - Analyzing reports of  diagnostic errors , this article discusses common causes and provides suggestions … October 7, 2015 Promote a culture of safety with good catch reports. … January 9, 2025 Patient Safety Authority Annual Reports.

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50775/psn-pdf
     January 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … , cardiology, orthopedics and stroke to identify the types of transitions involved and whether reports … Half of all incident reports involved interunit/department/team transfers and the majority (69%) of … Few incident reports referenced individual or organizational learning (e.g., team discussions, root

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867769/psn-pdf
     March 12, 2025 - Lessons from Event Reports. March 12, 2025 Lessons from Event Reports. Patient Safety Authority. … https://psnet.ahrq.gov/issue/lessons-event-reports Small successes can inform and motivate actions leading … This searchable collection of projects initiated in response to event reports supports the spread of … https://psnet.ahrq.gov/issue/lessons-event-reports https://psnet.ahrq.gov/issue/checklist https://psnet.ahrq.gov

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862604/psn-pdf
     February 14, 2024 - A text mining approach to categorize patient safety event reports by medication error type. … A text mining approach to categorize patient safety event reports by medication error type. … https://psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error … (NLP) models to identify important medication safety patterns and trends from 3,861 patient safety reports … https://psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854985/psn-pdf
     November 01, 2023 - A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … https://psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds … In the UK, coroners may issue Prevention of Future Death reports (PFD) when they determine taking actions … https://psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient

246. Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). | PSNet
     psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
     July 14, 2010 - Study Barriers and motivators for making error reports from family medicine offices … : a report from the American Academy of Family Physicians National Research Network (AAFP NRN). … Barriers and motivators for making error reports from family medicine offices: a report from the American … Barriers and motivators for making error reports from family medicine offices: a report from the American … Related Resources From the Same Author(s) Learning from different lenses: reports

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865522/psn-pdf
     April 10, 2024 - An analysis of incident reports related to electronic medication management: how they change over time … An analysis of incident reports related to electronic medication management: how they change over time … https://psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they … This study analyzed types of incident reports related to EMM at three hospitals over the course of its … https://psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60318/psn-pdf
     January 01, 2022 - Social determinants of health and patient safety: an analysis of patient safety event reports related … Social determinants of health and patient safety: an analysis of patient safety event reports related … /psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event- reports-related … Of 1,553 included reports, 13% were likely or plausibly related to a patient’s language barrier. … The most common strategy for preventing future events cited in these reports involved use of interpreter

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867019/psn-pdf
     October 23, 2024 - Reports on Hospital and ASC Performance. … October 23, 2024 Reports On Hospital And Asc Performance. … https://psnet.ahrq.gov/issue/reports-hospital-and-asc-performance Data collection and transparency are … This series of reports draws from Leapfrog survey participants that volunteer data to inform action … The latest report examines hand-hygiene efforts since 2020 and tracks advancements realized using tactics

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - Initial reports often come from the frontline personnel directly involved in an event or the actions … key attributes: A supportive environment for event reporting that protects the privacy of staff who report … Reports are received from a broad range of personnel. … A structured mechanism is in place for reviewing reports and developing action plans. … Event reports are subject to selection bias due to their voluntary nature.

251. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. | PSNet
     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.

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853431/psn-pdf
     September 13, 2023 - Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports- diagnostic-errors … This article uses 560 case reports to classify contributing factors to diagnostic errors in rare conditions … https://psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors

253. Hospital Reporting Program: Annual Summary. | PSNet
     psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
     August 17, 2022 - Book/Report Hospital Reporting Program: Annual Summary. … Information Latest PSRP report Latest EDR report Related website Save Save … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports … August 21, 2018 Content analysis of patient safety incident reports for older adult patient … April 30, 2024 National Healthcare Quality and Disparities Reports.

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60730/psn-pdf
     January 01, 2021 - A machine learning approach to reclassifying miscellaneous patient safety event reports. … A machine learning approach to reclassifying miscellaneous patient safety event reports. … //psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event- reports … positive user feedback on a machine learning approach to reclassifying “miscellaneous” patient safety reports … https://psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838132/psn-pdf
     September 21, 2022 - Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867446/psn-pdf
     January 08, 2025 - Methodological approaches for analyzing medication error reports in patient safety reporting systems … Methodological approaches for analyzing medication error reports in patient safety reporting systems … https://psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety … https://psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems … https://psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems

257. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
     psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
     December 02, 2009 - Study Medication-related patient safety incidents in critical care: a review of reports … Medication-related patient safety incidents in critical care: a review of reports to the UK National … Medication-related patient safety incidents in critical care: a review of reports to the UK National … June 16, 2019 ISMP medication error report analysis. … May 2, 2018 ISMP medication error report analysis.

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839816/psn-pdf
     January 01, 2023 - Gender bias in risk management reports involving physicians in training - a retrospective qualitative … Gender bias in risk management reports involving physicians in training - a retrospective qualitative … https://psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training- retrospective-qualitative … In this study, adverse event reports written about residents were reviewed to determine if resident … gender was associated with different types and frequency of incident reports.

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867226/psn-pdf
     December 04, 2024 - The nature of the response to airway management incident reports in high income countries: a scoping … The nature of the response to airway management incident reports in high income countries: a scoping … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review

260. 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