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261. ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. | PSNet
     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.

262. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. | PSNet
     psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance
     May 11, 2016 - Book/Report Confidential Physician Feedback Reports: Designing for Optimal Impact … Citation Text: Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance … Cite Citation Citation Text: Confidential Physician Feedback Reports … Final Report. … August 16, 2023 Final Report on Prioritization of Patient Safety Practices for a New

263. 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

264. Does error and adverse event reporting by physicians and nurses differ? | PSNet
     psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
     February 24, 2011 - Prior research has documented that physicians, in particular, do not file incident reports.  … This evaluation of more than 260,000 incident reports from a broad cross-section of hospitals examined … events, similar to a prior study using the same incident reporting system, but physicians did tend to report … Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports … long-term care for people with intellectual disability: an interrupted time series analysis of incident reports

265. Evaluation of near-miss wrong-patient events in radiology reports. | PSNet
     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.

266. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national
     November 29, 2023 - Patient safety incidents associated with equipment in critical care: a review of reports … Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … 12, 2011 Medication-related patient safety incidents in critical care: a review of reports

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43566/psn-pdf
     December 19, 2014 - Bedside shift reports: what does the evidence say? … Bedside shift reports: what does the evidence say? … https://psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say Bedside shift reports may … https://psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say https://psnet.ahrq.gov/issue … ://psnet.ahrq.gov/issue/bedside-shift-report-improves-patient-safety-and-nurse-accountability

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38692/psn-pdf
     March 04, 2015 - Errare humanum est: frequency of laterality errors in radiology reports. … Errare humanum est: frequency of laterality errors in radiology reports. … https://psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports Errors … Investigators reviewed more than 1 million reports at a single institution and discovered a very low … They were most common in "verbose" computed tomography (CT) and mammography reports with nearly 70%

269. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. | PSNet
     psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
     December 16, 2015 - Book/Report Characterising the nature of primary care patient safety incident reports … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National … July 27, 2018 Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy … March 15, 2017 Report on the Safe Use of Pick Lists in Ambulatory Care Settings.

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38375/psn-pdf
     December 01, 2019 - ISMP QuarterWatch Reports. April 17, 2019 Horsham, PA: Institute for Safe Medication Practices. … https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports This website provides quarterly reports that … The report for the 2nd quarter of 2019 focuses on problems related to methotrexate errors, addictive … https://psnet.ahrq.gov/issue/ismp-quarterwatch-reports https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events

271. An improved patient safety reporting system increases reports of disruptive behavior in the perioperative setting. | PSNet
     psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
     October 15, 2014 - Study An improved patient safety reporting system increases reports of disruptive … 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 … View More Related Resources TQIP Mortality Reporting System Case Reports

272. Identifying electronic health record usability and safety challenges in pediatric settings. | PSNet
     psnet.ahrq.gov/issue/identifying-electronic-health-record-usability-and-safety-challenges-pediatric-settings
     December 21, 2018 - Researchers examined 9000 safety event reports over a 5-year period from 3 pediatric health care facilities … October 17, 2018 Identifying health information technology related safety event reports … from patient safety event report databases. … Social determinants of health and patient safety: an analysis of patient safety event reports … May 13, 2020 A text mining approach to categorize patient safety event reports by medication

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34927/psn-pdf
     June 23, 2009 - Health Care Quality and Disparities: Lessons from the First National Reports. … from AHRQ's two inaugural reports, the 2003 National Healthcare Quality Report and the 2003 National … Healthcare Disparities Report (NHDR), are provided in this special issue.  … A review of initial findings from these reports is included.  … https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45502/psn-pdf
     March 01, 2017 - Screening electronic health record–related patient safety reports using machine learning. … Screening Electronic Health Record–Related Patient Safety Reports Using Machine Learning. … https://psnet.ahrq.gov/issue/screening-electronic-health-record-related-patient-safety-reports-using- … reporting systems are an important part of safety improvement programs, but difficulty in analyzing error reports … study described the development of a machine learning algorithm to analyze free-text data in incident reports

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41205/psn-pdf
     June 15, 2012 - Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received- … This study evaluates the quality of such reports and identifies areas where the reports could be improved … https://psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46077/psn-pdf
     September 06, 2017 - Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over … Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over … https://psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged … -45- years-and-over This study elicited patients' reports of adverse events during hospitalization. … https://psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged

277. Building a Memory: Preventing Harm, Reducing Risks and Improving Patient Safety. | PSNet
     psnet.ahrq.gov/issue/building-memory-preventing-harm-reducing-risks-and-improving-patient-safety
     December 24, 2007 - The report itself encompasses more than 85,000 collected incident reports with analysis, comparisons, … This represents the first of a series of expected reports from NPSA on patient safety data to be published … March 29, 2023 Characterising the nature of primary care patient safety incident reports … September 30, 2015 ISMP medication error report analysis. … June 13, 2012 Critical Incident Reviews, Significant Adverse Event Reports and Action

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41232/psn-pdf
     December 31, 2014 - Using FDA reports to inform a classification for health information technology safety problems. … Using FDA reports to inform a classification for health information technology safety problems. … https://psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety … - problems This study reviewed nearly 900,000 reports from the FDA Manufacturer and User Facility Device … Experience database (MAUDE) and identified 678 reports describing health information technology issues

279. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents
     August 04, 2021 - Study Interpreting adverse drug reaction (ADR) reports as hospital patient safety … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … 12, 2008 Medication-related patient safety incidents in critical care: a review of reports

280. Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969-2002
     October 08, 2014 - This study analyzed reports of suspected adverse drug events  (ADEs) submitted to the U.S. … Using more than 30 years of collected data, investigators discovered nearly 2.3 million case reports … November 4, 2015 Special report: suicidal ideation among American surgeons. … Perspective: Topics in Medication Safety March 31, 2022 ISMP medication error report … June 16, 2019 ISMP medication error report analysis.