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261. 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

262. 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

263. 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

264. 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%

265. 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

266. 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

267. 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

268. 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

269. 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

270. 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

271. 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

272. 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

273. Patient reports of preventable problems and harms in primary health care. | PSNet
     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

274. Psn-Pdf (pdf file)
     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,

275. 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

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61037/psn-pdf
     January 01, 2021 - Analysis of incident reports from a patient safety organization. … Analysis of incident reports from a patient safety organization. … https://psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports … https://psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety … https://psnet.ahrq.gov/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety

277. 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.

278. Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. | PSNet
     psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety
     June 09, 2021 - Study Errors in ABO labeling of deceased donor kidneys: case reports and approach … Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and Approach to Ensuring Patient Safety … Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and Approach to Ensuring Patient Safety … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47921/psn-pdf
     June 18, 2019 - Using incident reports to assess communication failures and patient outcomes. … Using Incident Reports to Assess Communication Failures and Patient Outcomes. … https://psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes … Investigators examined incident reports at an academic medical center to characterize how communication … https://psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36386/psn-pdf
     July 14, 2010 - Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and … Learning From Different Lenses: Reports of Medical Errors in Primary Care by Clinicians, Staff, and … https://psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff … defined study period, investigators analyzed more than 900 errors generated by an even distribution of reports … Very few patient-generated reports described an error, suggesting that different strategies may be required