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361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47397/psn-pdf
     January 09, 2019 - using-patient-safety-reporting-systems-understand-clinical-learning- environment-content This qualitative study examined incident reports … about surgical patients, comparing trainee reports to those submitted by attending surgeons and nurses … Trainees were more likely to enter reports anonymously and completed more elements for each report, … but they also used more blame language and submitted fewer reports overall.

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44628/psn-pdf
     September 12, 2016 - /issue/rates-safety-incident-reporting-mri-large-academic-medical-center This analysis of incident reports … related to magnetic resonance imaging found that, similar to other settings, incident reports are infrequent … Common reasons for reports were associated with test orders, adverse drug reactions, and safety of intravenous … psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44585/psn-pdf
     November 04, 2015 - Evaluation of near-miss wrong-patient events in radiology reports. … JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. … https://psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports Despite The … https://psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports https://psnet.ahrq.gov

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42510/psn-pdf
     August 21, 2013 - Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients … Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment

365. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. | PSNet
     psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis
     June 15, 2011 - national observational study based on retrospective analysis of 12 months of patient safety incident reports … national observational study based on retrospective analysis of 12 months of patient safety incident reports … national observational study based on retrospective analysis of 12 months of patient safety incident reports … December 12, 2012 Semi-supervised classification of patient safety event reports.

366. Report on the Burden of Endemic Health Care–Associated Infection Worldwide. | PSNet
     psnet.ahrq.gov/issue/report-burden-endemic-health-care-associated-infection-worldwide
     November 02, 2022 - Book/Report Report on the Burden of Endemic Health Care–Associated Infection Worldwide … 2013 View More Related Resources Patient Safety Authority Annual Reports … April 30, 2024 National Healthcare Quality and Disparities Reports. … January 9, 2024 MHA and MHA Keystone Center Annual Reports. … Final Technical Report January 2009.

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34995/psn-pdf
     February 03, 2011 - The Research on Adverse Drug Events and Reports (RADAR) project. … The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40. … https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project This article summarizes … https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project https://psnet.ahrq.gov

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33717/psn-pdf
     September 01, 2011 - reporting systems capture fewer than 10%.(5) Providers have offered several explanations for failing to report … evaluations or litigation, uncertainty about what to report, and doubts about whether hospitals use … In one study based at two hospitals, a third of report narratives provided insufficient information to … survey of risk managers found that most hospitals could do a better job of communicating incident report … Contributing factors identified by hospital incident report narratives.

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38157/psn-pdf
     October 22, 2008 - Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives The … This analysis of traditional paper-based incident reports from two hospitals sought to classify the … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives https

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46357/psn-pdf
     May 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40543/psn-pdf
     March 23, 2012 - Can we rely on patients' reports of adverse events? … Can we rely on patients' reports of adverse events? … https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events Traditional methods of error … https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events https://psnet.ahrq.gov/primer

372. 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

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36698/psn-pdf
     February 24, 2011 - The impact of duty hours on resident self reports of errors. … The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. … https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors Residency programs have … https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors https://psnet.ahrq.gov/issue

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45813/psn-pdf
     January 18, 2017 - Considering chance in quality and safety performance measures: an analysis of performance reports by … psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis- performance-reports … psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports … psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39913/psn-pdf
     October 13, 2010 - The frequency of diagnostic errors in radiologic reports depends on the patient's age. … The frequency of diagnostic errors in radiologic reports depends on the patient's age. … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age Relatively … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age https

376. 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%

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39470/psn-pdf
     January 09, 2024 - National Healthcare Quality and Disparities Reports. … https://psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-reports In this annual publication … , AHRQ reviews the results of the National Healthcare Quality Report and National Healthcare Disparities … Report. … The 2023 report discusses the continued impact of COVID-19 on United States health care delivery.

378. Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-safety-problems-associated-information-technology-general-practice
     December 21, 2017 - safety problems associated with information technology in general practice: an analysis of incident reports … safety problems associated with information technology in general practice: an analysis of incident reports … safety problems associated with information technology in general practice: an analysis of incident reports … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports

379. 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

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38454/psn-pdf
     January 02, 2017 - This study categorized more than 2200 incident reports into whether they described aberrant care processes … found that 50% were only process-oriented and that these were more useful than solely outcome-oriented reports … The authors advocate for hospitals to focus their IR systems on process-driven reports that encourage … comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals https://psnet.ahrq.gov//#incidentreporting https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events