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381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49637/psn-pdf
     October 01, 2011 - do random report reviews to estimate error rates). … templates and/or create shorter reports. … Use of report templates with VRS may help lower error rates. … The effect of voice recognition software on comparative error rates in radiology reports. … Structured radiology reporting: a 4-year case study of 160,000 reports.

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38308/psn-pdf
     April 21, 2010 - components of effective reporting systems were identified: a supportive environment for reporting, reports … received from a broad range of staff, timely dissemination of reports, and structured mechanisms to … review reports.  … hospitals have a safety culture that encourages reporting or promptly disseminate and analyze error reports

383. 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.

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41333/psn-pdf
     April 25, 2012 - Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. … https://psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans … This report describes an investigation into a 5-year delay in action plans for critical incident reviews … https://psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans

385. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. | PSNet
     psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
     February 03, 2011 - Related Resources From the Same Author(s) The Research on Adverse Drug Events and Reports … February 3, 2011 Characterising the nature of primary care patient safety incident reports … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports … A content analysis of accreditation reports. … detecting medication errors: a secondary analysis of medication administration errors using incident reports

386. 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

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866163/psn-pdf
     June 19, 2024 - of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports … of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports … ChatGPT was able to identify diagnostic errors in 95% of the 545 case reports.

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836812/psn-pdf
     March 30, 2022 - They are a general term for patient safety event reporting systems where voluntary reports are made … , encourage submission of reports from a broad range of healthcare professionals, integrate mechanisms … to ensure timely review of reports, and close the loop by developing and communicating action plans … to individuals who submit reports and other stakeholders. … By celebrating employees who report patient safety hazards and shifting the focus from the number of

389. 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

390. 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

391. 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

392. Using root cause analysis to reduce falls with injury in the psychiatric unit. | PSNet
     psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
     September 18, 2019 - Review of alternatives to root cause analysis: developing a robust system for incident report … September 18, 2019 A review of adverse event reports from emergency departments in the … Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports … View More Related Resources Adverse Health Events in Minnesota: Annual Reports … Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports

393. 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.

394. 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

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852272/psn-pdf
     January 01, 2024 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports … Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports … Researchers analyzed two years of incident reports (IR) to ascertain potential system issues contributing

396. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet
     psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
     February 26, 2025 - John Bender and Steve Kulju, two members of the NCPS team, report that NCPS piloted CPRA in 2020 using … and 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

397. Improving patient safety by repeating (read-back) telephone reports of critical information. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-repeating-read-back-telephone-reports-critical-information
     March 02, 2011 - Study Improving patient safety by repeating (read-back) telephone reports of critical … Improving patient safety by repeating (read-back) telephone reports of critical information. … Improving patient safety by repeating (read-back) telephone reports of critical information.

398. 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.

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837298/psn-pdf
     June 01, 2022 - This study used reports submitted to the internal patient safety reporting system to explore potential … implicit bias in the types and severity of reports filed against physicians. … Findings suggest a lower threshold for submitting reports against women and minoritized physicians which

400. 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