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281. 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

282. 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

283. 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

284. 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

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60893/psn-pdf
     January 01, 2021 - when-safety-event-reporting-seen-punitive-ive-been-psn-ed This study characterized patient safety event report …  submissions over a six-month period at one university health system and found that one-quarter of reports … Compared to nonpunitive reports, punitive reports were more likely to focus on communication and employee … Punitive reports commonly involved adverse reactions or complications and communication errors.  

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34931/psn-pdf
     April 06, 2011 - Relationship between tort claims and patient incident reports in the Veterans Health Administration. … Relationship between tort claims and patient incident reports in the Veterans Health Administration. … https://psnet.ahrq.gov/issue/relationship-between-tort-claims-and-patient-incident-reports-veterans-health … - administration This data review revealed a bias toward filing patient incident reports and settling … https://psnet.ahrq.gov/issue/relationship-between-tort-claims-and-patient-incident-reports-veterans-health-administration

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40689/psn-pdf
     August 17, 2011 - Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective … Non-clinical errors using voice recognition dictation software for radiology reports: a retrospective … https://psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports … This study documented a low but consistent error rate in the transcription of dictated radiology reports … ; 2% to 5% of reports contained an error that may have affected patient management.

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40843/psn-pdf
     October 12, 2011 - Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription … Error rates in breast imaging reports: comparison of automatic speech recognition and dictation transcription … https://psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition … - and-dictation Dictated radiology reports were far more likely to contain a major error if transcribed … https://psnet.ahrq.gov/issue/error-rates-breast-imaging-reports-comparison-automatic-speech-recognition-and-dictation

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38364/psn-pdf
     June 14, 2011 - Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. … Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. … https://psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports … - hospitals In this study of voluntary incident reports from three community hospitals, adverse events … https://psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals

290. Stakeholder safety communication: patient and family reports on safety risks in hospitals. | PSNet
     psnet.ahrq.gov/issue/stakeholder-safety-communication-patient-and-family-reports-safety-risks-hospitals
     July 28, 2021 - Study Stakeholder safety communication: patient and family reports on safety risks … Stakeholder safety communication: patient and family reports on safety risks in hospitals. … Stakeholder safety communication: patient and family reports on safety risks in hospitals. … the Same Author(s) Getting the whole story: integrating patient complaints and staff reports

291. Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion scheme 1996-2005. | PSNet
     psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion
     September 23, 2020 - Study Adverse outcomes of blood transfusion in children: analysis of UK reports to … Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion … Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of transfusion … June 29, 2022 Safety incident reports associated with blood transfusions.

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37612/psn-pdf
     February 15, 2011 - Can we use incident reports to detect hospital adverse events? … https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events Incident reporting … study conducted in Canadian hospitals compared the frequency of errors identified through incident reports … As shown in prior research, incident reports identified only a small proportion of adverse events. … A framework for analyzing and responding to incident reports was presented in an earlier study.

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44923/psn-pdf
     June 07, 2016 - Completeness of serious adverse drug event reports received by the US Food and Drug Administration in … Completeness of serious adverse drug event reports received by the US Food and Drug Administration in … https://psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug … - administration-2014 According to this study, many adverse drug event reports submitted by drug manufacturers … https://psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43352/psn-pdf
     July 16, 2014 - Are amended surgical pathology reports getting to the correct responsible care provider? … Are amended surgical pathology reports getting to the correct responsible care provider? … https://psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care- … provider In this chart review study, amended pathology reports with clinically significant patient … https://psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837671/psn-pdf
     July 13, 2022 - Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. … Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports. … https://psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports … https://psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73074/psn-pdf
     March 24, 2021 - In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star … https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and- … https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five … https://psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46232/psn-pdf
     February 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. … Implications of electronic health record downtime: an analysis of patient safety event reports. … psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event- reports … This study conducted an automated text search to identify incident reports related to electronic record … downtime and analyzed the selected reports.

298. Hospital infections hard to gauge. | PSNet
     psnet.ahrq.gov/issue/hospital-infections-hard-gauge
     July 20, 2011 - This news piece details efforts to collect, analyze, and utilize state-wide reports on health care–associated … July 28, 2013 Classifying laboratory incident reports to identify problems that jeopardize … View More Related Resources National Healthcare Quality and Disparities Reports

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43678/psn-pdf
     April 22, 2015 - 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. … 'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports. … /psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event- reports … patient safety event reporting systems as a way to reduce the burden of analyzing internal incident reports … ://psnet.ahrq.gov/issue/connecting-dots-leveraging-visual-analytics-make-sense-patient-safety-event-reports

300. Nurses improve medication safety with medication allergy and adverse drug reports. | PSNet
     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?