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321. 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

322. 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

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853251/psn-pdf
     July 19, 2024 - Annual Speak Up Data Reports. July 19, 2024 Stratford, London; The National Guardian. … https://psnet.ahrq.gov/issue/annual-speak-data-reports Organizational efforts to collect and respond … This annual report presents insights drawn from problems staff share with Freedom to Speak Up Guardians … The July 2024 report summarized data collected from over 25,000 cases recorded. … https://psnet.ahrq.gov/issue/annual-speak-data-reports https://psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about

324. Critical Deficiencies at the Washington DC VA Medical Center. | PSNet
     psnet.ahrq.gov/issue/critical-deficiencies-washington-dc-va-medical-center
     December 16, 2020 - Report No. 17-02644-130. … Report No. 17-02644-130. … Report No. 17-02644-130. … December 16, 2020 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … June 4, 2024 National Healthcare Quality and Disparities Reports.

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848827/psn-pdf
     May 10, 2023 - TQIP Mortality Reporting System Case Reports. … https://psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports Anonymous case reporting provides … https://psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports https://psnet.ahrq.gov/primer

326. 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

327. 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

328. 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.

329. 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

330. 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

331. 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

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853071/psn-pdf
     August 30, 2023 - natural language processing approach to categorise contributing factors from patient safety event reports … natural-language-processing-approach-categorise-contributing-factors-patient- safety-event Analyzing patient safety incident reports … study found that natural language processing can be used to process unstructured patient safety event reports … natural-language-processing-approach-categorise-contributing-factors-patient-safety-event https://psnet.ahrq.gov/web-mm/getting-good-report-card-unintended-consequences-public-reporting-hospital-quality

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60176/psn-pdf
     April 01, 2020 - care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports … care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports … health-and-social-care-associated-harm-amongst-vulnerable-children-primary- care-mixed-methods Using a national database of patient safety incident reports … Over 1,100 incident reports were identified; nearly half resulted in some degree of harm but most (39%

334. 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.

335. 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

336. 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

337. Development and evaluation of patient safety interventions: perspectives of operational safety leaders and patient safety organizations. | PSNet
     psnet.ahrq.gov/issue/development-and-evaluation-patient-safety-interventions-perspectives-operational-safety
     February 26, 2025 - Developing an evaluation strategy to assess large language models for patient safety event report analysis … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … January 16, 2025 What can we learn from coroners’ reports on preventable deaths? … October 23, 2024 Annual Speak Up Data Reports. … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report

338. 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.

339. 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

340. 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