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281. Psn-Pdf (pdf file)
     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

282. Psn-Pdf (pdf file)
     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.

283. Psn-Pdf (pdf file)
     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

284. Psn-Pdf (pdf file)
     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

285. Psn-Pdf (pdf file)
     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

286. Psn-Pdf (pdf file)
     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

287. 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.

288. Psn-Pdf (pdf file)
     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

289. Psn-Pdf (pdf file)
     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

290. Mistakes even good doctors make. | PSNet
     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

291. 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,

292. Psn-Pdf (pdf file)
     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

293. Psn-Pdf (pdf file)
     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

294. Psn-Pdf (pdf file)
     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

295. Patients, beware: 731 nurses reveal what to watch out for in the hospital. | PSNet
     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

296. Psn-Pdf (pdf file)
     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

297. Psn-Pdf (pdf file)
     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

298. Psn-Pdf (pdf file)
     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.

299. Psn-Pdf (pdf file)
     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

300. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet
     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