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341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35121/psn-pdf
     September 07, 2005 - Classifying laboratory incident reports to identify problems that jeopardize patient safety. … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40723/psn-pdf
     August 24, 2011 - ALERT: reports of severe harm after intravenous administration of breast milk to infants. …   https://psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants … This announcement reports on mistaken intravenous administration of breast milk and provides recommendations … https://psnet.ahrq.gov/issue/alert-reports-severe-harm-after-intravenous-administration-breast-milk-infants

343. Impact of system-level activities and reporting design on the number of incident reports for patient safety. | PSNet
     psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety
     January 20, 2011 - Impact of system-level activities and reporting design on the number of incident reports … 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

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45562/psn-pdf
     October 12, 2016 - Characterising the nature of primary care patient safety incident reports in the England and Wales National … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National … https://psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england … https://psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national … https://psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38198/psn-pdf
     May 05, 2018 - ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. … https://psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious- … adverse-drug-events This newsletter highlights learnings from ISMP's QuarterWatch report, a pilot program … https://psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events … https://psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34069/psn-pdf
     April 12, 2011 - Patient reports of preventable problems and harms in primary health care. … Patient reports of preventable problems and harms in primary health care. … https://psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care Through … interviews with patients, this AHRQ-funded study found that patients were more likely to report breakdowns … https://psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care https

347. In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings. | PSNet
     psnet.ahrq.gov/issue/us-nursing-homes-where-covid-19-killed-scores-even-reports-maggots-and-rape-dont-dock-five
     December 22, 2021 - Newspaper/Magazine Article In U.S. nursing homes, where Covid-19 killed scores, even reports … Citation Text: In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape … Citation Citation Text: In U.S. nursing homes, where Covid-19 killed scores, even reports

348. 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

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39751/psn-pdf
     August 11, 2010 - Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … https://psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents … https://psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40692/psn-pdf
     October 04, 2011 - Patient safety incidents associated with obesity: a review of reports to the National Patient Safety … Patient safety incidents associated with obesity: a review of reports to the National Patient Safety … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and

351. Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). | PSNet
     psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
     July 14, 2010 - Study Barriers and motivators for making error reports from family medicine offices … : a report from the American Academy of Family Physicians National Research Network (AAFP NRN). … Barriers and motivators for making error reports from family medicine offices: a report from the American … Barriers and motivators for making error reports from family medicine offices: a report from the American … Related Resources From the Same Author(s) Learning from different lenses: reports

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40160/psn-pdf
     January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental … https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-use-error- reports-accidental … https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-use-error-reports-accidental … https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-use-error-reports-accidental

353. Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet
     psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
     October 17, 2018 - This qualitative study of patient safety analysts sought insights about how incident report data is synthesized … May 29, 2024 Identifying health information technology related safety event reports from … patient safety event report databases. … Using community detection techniques to identify themes in COVID-19-related patient safety event reports … Implications of electronic health record downtime: an analysis of patient safety event reports

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45945/psn-pdf
     April 24, 2018 - prospective study conducted in multiple pediatric inpatient settings used medical record review, clinician reports … , and hospital incident reports to identify adverse events. … Family- reported error rates were similar to error rates drawn from actively eliciting error reports … Error rates calculated from hospital incident reports were much lower than those drawn from either clinician … or family reports, consistent with prior studies.

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39438/psn-pdf
     March 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. … Time to listen: a review of methods to solicit patient reports of adverse events. … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events Identification … Research has shown that patient reports can identify errors that were not found through traditional … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events https:

356. Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. | PSNet
     psnet.ahrq.gov/issue/assessment-automating-safety-surveillance-electronic-health-records-analysis-quality-and
     October 17, 2018 - October 17, 2018 Identifying health information technology related safety event reports … from patient safety event report databases. … Developing an evaluation strategy to assess large language models for patient safety event report analysis … Implications of electronic health record downtime: an analysis of patient safety event reports … March 1, 2017 Screening electronic health record–related patient safety reports using

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39090/psn-pdf
     November 11, 2009 - Nurse reports of adverse events during sedation procedures at a pediatric hospital. … Nurse reports of adverse events during sedation procedures at a pediatric hospital. … https://psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital … This study discovered that perianesthesia nurses more consistently report serious adverse events compared … https://psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital

358. 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.

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40460/psn-pdf
     April 30, 2024 - Patient Safety Authority Annual Reports. April 30, 2024 Pennsylvania Patient Safety Authority. … https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports This report summarizes patient … https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports https://psnet.ahrq.gov/issue/patient-safety-authority

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44736/psn-pdf
     December 16, 2015 - Harms from discharge to primary care: mixed methods analysis of incident reports. … Harms from discharge to primary care: mixed methods analysis of incident reports. … https://psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports Adverse … https://psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports https