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301. Classifying laboratory incident reports to identify problems that jeopardize patient safety. | PSNet
     psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
     May 13, 2020 - Study Classifying laboratory incident reports to identify problems that jeopardize … Citation Text: Classifying laboratory incident reports to identify problems that jeopardize patient … Cite Citation Citation Text: Classifying laboratory incident reports … May 1, 2019 Report on the Safe Use of Pick Lists in Ambulatory Care Settings. … Revised Report.

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38477/psn-pdf
     October 03, 2017 - Serious Adverse Events Reports. October 3, 2017 The Quality Improvement Committee. … https://psnet.ahrq.gov/issue/serious-adverse-events-reports Considered a starting point for a national … reporting initiative, this series of annual reports provides statistics on serious and sentinel events … The reports aim to encourage transparency in New Zealand medical practice and bolster knowledge to prevent … https://psnet.ahrq.gov/issue/serious-adverse-events-reports

303. Diagnostic error in acute care. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-acute-care
     December 15, 2010 - Analyzing reports of  diagnostic errors , this article discusses common causes and provides suggestions … October 7, 2015 Promote a culture of safety with good catch reports. … January 9, 2025 Patient Safety Authority Annual Reports.

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47942/psn-pdf
     July 01, 2019 - Responding to health information technology reported safety events: insights from patient safety event reports … In this study, investigators queried a database that receives reports from 575 facilities to identify … reports related to health information technology (IT). … They examined reports to determine whether the events were resolved at all, and whether the resolution

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41397/psn-pdf
     June 06, 2012 - Semi-supervised classification of patient safety event reports. June 6, 2012 McKnight SD. … Semi-supervised classification of patient safety event reports. J Patient Saf. 2012;8(2):60-4. … https://psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports This study … application of a semi-supervised classification method to synthesize information from patient safety reports … https://psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports https://psnet.ahrq.gov

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37181/psn-pdf
     October 06, 2011 - Inter-rater reliability of a classification system for hospital adverse drug event reports. … Inter-rater reliability of a classification system for hospital adverse drug event reports. … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports … Pharmacists and physicians reviewed medication error reports prepared by pharmacists to determine … https://psnet.ahrq.gov/issue/inter-rater-reliability-classification-system-hospital-adverse-drug-event-reports

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44558/psn-pdf
     April 25, 2016 - Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. … https://psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency- medicine … This study examined voluntary incident reports for diagnostic errors and found that common conditions … https://psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37233/psn-pdf
     December 15, 2011 - Nurses improve medication safety with medication allergy and adverse drug reports. … Nurses improve medication safety with medication allergy and adverse drug reports. … https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug- reports … https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports … https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40775/psn-pdf
     September 14, 2011 - Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. … https://psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports … - pennsylvania Analyzing reports of medication errors in ambulatory surgery centers, this article discusses … https://psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania … https://psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35147/psn-pdf
     June 22, 2009 - Accuracy of adverse-drug-event reports collected using an automated dispensing system. … Accuracy of adverse-drug-event reports collected using an automated dispensing system. … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing … system The authors evaluated the effectiveness and accuracy of using an automated dispensing system to report … https://psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40527/psn-pdf
     June 15, 2011 - Online medication error graphic reports: a pilot in North Carolina nursing homes. … Online medication error graphic reports: a pilot in North Carolina nursing homes. … https://psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes … All North Carolina nursing homes are required to report medication error data. … This study reports on a pilot effort to feed back data on error rates to individual nursing homes.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39459/psn-pdf
     March 23, 2011 - Impact of system-level activities and reporting design on the number of incident reports for patient … Impact of system-level activities and reporting design on the number of incident reports for patient … https://psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports … https://psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety … https://psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42360/psn-pdf
     April 16, 2018 - Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention … https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and- … strategies-prevention This analysis of reports submitted to the Pennsylvania Patient Safety Authority … https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-strategies-prevention … https://psnet.ahrq.gov/issue/wrong-patient-medication-errors-analysis-event-reports-pennsylvania-and-strategies-prevention

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40729/psn-pdf
     October 04, 2011 - Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and … Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and … https://psnet.ahrq.gov/issue/critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk- … https://psnet.ahrq.gov/issue/critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk-national-reporting-and … https://psnet.ahrq.gov/issue/critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk-national-reporting-and

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45196/psn-pdf
     June 01, 2016 - Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian … https://psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety- foundations-lucian-leape … This compendium combines the findings of five reports published between 2010 and 2015 to help foster … https://psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape … https://psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37861/psn-pdf
     June 25, 2008 - Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of … Adverse outcomes of blood transfusion in children: analysis of UK reports to the serious hazards of … https://psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious- … https://psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion … https://psnet.ahrq.gov/issue/adverse-outcomes-blood-transfusion-children-analysis-uk-reports-serious-hazards-transfusion

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45865/psn-pdf
     March 15, 2017 - Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. … Exploring relationships between hospital patient safety culture and Consumer Reports safety scores. … psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer- reports-safety … Survey on Patient Safety Culture score, a widely used metric for safety culture, and the Consumer Reports … //psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-consumer-reports-safety

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36561/psn-pdf
     January 12, 2011 - 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 … https://psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach- ensuring-patient-safety … https://psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety … https://psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41480/psn-pdf
     November 05, 2013 - Hospital patients' reports of medical errors and undesirable events in their health care. … Hospital patients' reports of medical errors and undesirable events in their health care. … https://psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health … - care This study sought to engage patients in safety efforts by asking them to report errors they … https://psnet.ahrq.gov/issue/hospital-patients-reports-medical-errors-and-undesirable-events-their-health-care

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43952/psn-pdf
     March 04, 2015 - Improving resident morning sign-out by use of daily events reports. … Improving resident morning sign-out by use of daily events reports. … https://psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports Handoffs in … This intervention involving event reports for key overnight incidents automatically emailed to the daytime … https://psnet.ahrq.gov/issue/improving-resident-morning-sign-out-use-daily-events-reports https://psnet.ahrq.gov