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psnet.ahrq.gov/node/50705/psn-pdf
January 01, 2020 - Closing the loop with ambulatory staff on safety reports. … Closing the Loop with Ambulatory Staff on Safety Reports. … https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
A lack of closed-loop feedback … implementation of a Feedback to
Reporter program in ambulatory care, which aimed to ensure feedback on safety reports … https://psnet.ahrq.gov/issue/closing-loop-ambulatory-staff-safety-reports
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/33571/psn-pdf
September 07, 2019 - 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.
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psnet.ahrq.gov/node/46995/psn-pdf
January 01, 2021 - Qualitative content analysis of coworkers' safety reports
of unprofessional behavior by physicians and … Qualitative Content Analysis of Coworkers' Safety Reports of
Unprofessional Behavior by Physicians and … https://psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior … They classified 120 reports into 4 professionalism domains: competent
medical care, clear and respectful … https://psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and
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psnet.ahrq.gov/node/47447/psn-pdf
February 22, 2019 - Identifying health information technology related safety
event reports from patient safety event report … Identifying health information technology related safety event reports
from patient safety event report … https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient … https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event … https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event
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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/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/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.
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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/mistakes-even-good-doctors-make
October 12, 2022 - Consumer Reports on Health. November 2013;25:6-7. … Facebook
Twitter
Linkedin
Copy URL
November 13, 2013
Consumer Reports … Consumer Reports on Health. November 2013;25:6-7. … Resources From the Same Author(s)
Stakeholder safety communication: patient and family reports … July 21, 2021
Getting the whole story: integrating patient complaints and staff 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/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/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
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psnet.ahrq.gov/node/44744/psn-pdf
June 21, 2016 - Can patient safety incident reports be used to compare
hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital
Safety? … https://psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results … Incident reports
provide one lens into patient safety, despite concerns about under-reporting. … Numerous incident reports
may indicate either a high number of errors or a robust safety culture that
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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/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/47199/psn-pdf
October 03, 2018 - Patient safety in palliative care: a mixed-methods study of
reports to a national database of serious … Patient safety in palliative care: A mixed-methods study of reports to
a national database of serious … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious … https://psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
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psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case
January 22, 2017 - Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports … Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of case reports … Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of case reports … Incorrect surgical procedures within and outside of the operating room: a follow-up report … November 18, 2015
Root cause analysis reports help identify common factors in delayed