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psnet.ahrq.gov/node/43834/psn-pdf
September 16, 2015 - Graduating pediatrics residents' reports on the impact of
fatigue over the past decade of duty hour … Graduating Pediatrics Residents' Reports on the Impact of
Fatigue Over the Past Decade of Duty Hour … https://psnet.ahrq.gov/issue/graduating-pediatrics-residents-reports-impact-fatigue-over-past-decade-duty … less fatigue in 2013 compared to earlier surveys in 2002 and
2004, but they were equally likely to report … https://psnet.ahrq.gov/issue/graduating-pediatrics-residents-reports-impact-fatigue-over-past-decade-duty-hour-changes
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psnet.ahrq.gov/node/38123/psn-pdf
June 10, 2010 - Patient safety incidents associated with equipment in
critical care: a review of reports to the UK National … Patient safety incidents associated with equipment in critical care: a review of reports
to the UK National … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national
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psnet.ahrq.gov/node/34914/psn-pdf
February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring … Drug error in anaesthetic practice: a review of 896 reports
from the Australian Incident Monitoring … https://psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident- … https://psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study … https://psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
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psnet.ahrq.gov/node/37906/psn-pdf
July 16, 2008 - 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 … https://psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk … https://psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient … https://psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
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psnet.ahrq.gov/node/850166/psn-pdf
June 07, 2023 - classification-health-information-technology-safety-events-pediatric-tertiary-
care-hospital
For incidents to be properly addressed, incident reports … classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital
https://psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event … https://psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
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psnet.ahrq.gov/node/72555/psn-pdf
December 09, 2020 - Development and validation of a deep learning model for
detection of allergic reactions using safety event reports … Development and validation of a deep learning model for detection of
allergic reactions using safety event reports … deep learning
model can accurately and efficiently identify allergic reactions in hospital safety reports
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psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety
August 16, 2023 - Book/Report
Documenting Diagnosis: Exploring the Impact of Electronic Health Records … Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary … Report. … September 18, 2024
Adverse Health Events in Minnesota: Annual Reports. … January 17, 2024
National Healthcare Quality and Disparities Reports.
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psnet.ahrq.gov/node/852746/psn-pdf
August 23, 2023 - Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event
reports … Common contributing factors of diagnostic error: a
retrospective analysis of 109 serious adverse event reports … This study analyzed more than 100
serious adverse event (SAE) reports in acute care using four investigation
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psnet.ahrq.gov/node/38414/psn-pdf
March 31, 2009 - Patient safety incidents associated with airway devices in
critical care: a review of reports to the … Patient safety incidents associated with airway devices in critical care: a review
of reports to the … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports … The report makes recommendations for the proper use of
monitoring equipment to ensure safety for intubated … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
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psnet.ahrq.gov/node/47494/psn-pdf
January 01, 2020 - This analysis of voluntary safety reports at a health
system encompassing 10 hospitals found that a … higher than expected proportion of white patients were
identified in safety reports overall, and that … the types of reports differed significantly for white, black, and
patients of other races.
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psnet.ahrq.gov/node/42932/psn-pdf
December 30, 2014 - SBAR improves communication and safety climate and
decreases incident reports due to communication errors … SBAR improves communication and safety climate and
decreases incident reports due to communication errors … https://psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-
reports-due … https://psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due … https://psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
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psnet.ahrq.gov/node/867845/psn-pdf
February 26, 2025 - John Bender and Steve Kulju, two members of the NCPS team, report that NCPS piloted CPRA in
2020 using … failure mode of the
model to sort the data from the proactive risk assessments and patient safety report … analyzed together, there were a total of 32 unique failure modes.2 Finally, the team
analyzed the safety report … topic
(2) choose your team*
(3) plan the project steps
(4) conduct the analysis
(5) create a final report … committee (optional)
Implementation Costs And External Funding Support
John Bender and Steve Kulju report
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psnet.ahrq.gov/node/35399/psn-pdf
February 24, 2011 - Patient reports of undesirable events during
hospitalization. … Patient reports of undesirable events during hospitalization. … https://psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
The authors surveyed … https://psnet.ahrq.gov/issue/patient-reports-undesirable-events-during-hospitalization
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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
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - Data algorithms for accurate and timely dashboards, and performance metrics reports in alignment with … and their ability to read or interpret performance reports. … It fosters performance data report comprehension in about 15 minutes in day-to-day casual conversation … Data algorithms for accurate and timely dashboards, and performance metrics reports in alignment with … Both IT and clinical staff should share a common understanding of needed EHR fields, and report outputs
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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
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psnet.ahrq.gov/node/36738/psn-pdf
August 02, 2011 - 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 … https://psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report … https://psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy … https://psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
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psnet.ahrq.gov/node/41301/psn-pdf
April 18, 2012 - Voluntary electronic reporting of laboratory errors: an
analysis of 37,532 laboratory event reports … Voluntary electronic reporting of laboratory errors: an analysis of
37,532 laboratory event reports … psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-
event-reports … psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports … psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports
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psnet.ahrq.gov/node/61024/psn-pdf
October 14, 2020 - long-term
care for people with intellectual disability: an interrupted
time series analysis of incident reports … term
care for people with intellectual disability: an interrupted time series analysis of incident reports … to COVID-
19 coincided with an increase in aggression incidents and a decrease in medication error reports
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psnet.ahrq.gov/node/37446/psn-pdf
January 06, 2017 - How useful are voluntary medication error reports? … How useful are voluntary medication error reports? The case of
warfarin-related medication errors. … https://psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related- … https://psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors … https://psnet.ahrq.gov/issue/how-useful-are-voluntary-medication-error-reports-case-warfarin-related-medication-errors