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361. Psn-Pdf (pdf file)
     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

362. Psn-Pdf (pdf file)
     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

363. Psn-Pdf (pdf file)
     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

364. Psn-Pdf (pdf file)
     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

365. Psn-Pdf (pdf file)
     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

366. Psn-Pdf (pdf file)
     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

367. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. | PSNet
     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.

368. Psn-Pdf (pdf file)
     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

369. Psn-Pdf (pdf file)
     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

370. Psn-Pdf (pdf file)
     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.

371. Psn-Pdf (pdf file)
     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

372. Psn-Pdf (pdf file)
     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

373. Psn-Pdf (pdf file)
     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

374. 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

375. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet
     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

376. 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

377. Psn-Pdf (pdf file)
     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

378. Psn-Pdf (pdf file)
     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

379. Psn-Pdf (pdf file)
     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

380. Psn-Pdf (pdf file)
     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