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psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
January 26, 2022 - Study
Ten years of incident reports on in-hospital cardiac arrest - Are they useful … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … Quarterly and annual tracking of reports allowed for prompt interventions such as implementation of a … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … May 8, 2024
Uncovering the risks of anticancer therapy through incident report analysis
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
July 08, 2020 - Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports … Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. … Based on reports submitted by long-term care facilities to the Pennsylvania Patient Safety Reporting … This continues the trend seen in the 2022 report . … Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports.
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psnet.ahrq.gov/issue/anaesthetic-adverse-incident-reports-australian-study-1231-outcomes
August 21, 2013 - Study
Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes … Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. … The authors examined adverse outcome reports over a five-year period to find trends in incident claims … Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. … January 28, 2009
Patients use an internet technology to report when things go wrong.
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psnet.ahrq.gov/issue/nebraska-coalition-patient-safety-2018-annual-report
July 13, 2022 - Book/Report
Nebraska Coalition for Patient Safety Annual Report. … Citation Text:
Nebraska Coalition for Patient Safety Annual Report. … 2008 and 2021, offers insights drawn from an analysis of 1308 incident reports. … Free full text
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Keeping the Commitment: A Progress Report on Four Early Leaders in Patient
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psnet.ahrq.gov/issue/stakeholders-safety-patient-reports-unsafe-clinical-behaviors-distinguish-hospital-mortality
November 29, 2023 - Study
Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish … Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates … healthcare complaints) may differ from staff-generated information (derived from staff surveys and incident reports … Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates … October 13, 2018
Getting the whole story: integrating patient complaints and staff reports
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psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command
August 12, 2020 - Commentary
Rapid-cycle improvement during the COVID-19 pandemic: using safety reports … Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command … Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command … June 24, 2020
Harnessing event report data to identify diagnostic error during the COVID … Analysis of incident reports from a patient safety organization.
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psnet.ahrq.gov/issue/using-generic-analysis-method-analyze-sentinel-event-reports-across-hospitals-retrospective
May 18, 2022 - Study
Using the Generic Analysis Method to analyze sentinel event reports across … Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective … Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective … errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report … Analysis of incident reports from a patient safety organization.
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psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety
June 15, 2022 - 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 … a deep learning model can accurately and efficiently identify allergic reactions in hospital safety reports … 2020
A machine learning approach to reclassifying miscellaneous patient safety event reports … 2020
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Analysis of critical incident reports
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psnet.ahrq.gov/issue/gender-bias-risk-management-reports-involving-physicians-training-retrospective-qualitative
September 01, 2021 - Study
Gender bias in risk management reports involving physicians in training - a … Gender bias in risk management reports involving physicians in training - a retrospective qualitative … In this study, adverse event reports written about residents were reviewed to determine if resident gender … was associated with different types and frequency of incident reports. … Gender bias in risk management reports involving physicians in training - a retrospective qualitative
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psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
February 28, 2015 - Book/Report
Adverse Health Events in Minnesota: Annual Reports. … Citation Text:
Adverse Health Events in Minnesota: Annual Reports. … Since 2003, Minnesota hospitals have been required to report such incidents. … Reports from previous years are available. … Latest report (PDF)
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psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event
June 30, 2019 - Responding to health information technology reported safety events: insights from patient safety event reports … Responding to health information technology reported safety events: insights from patient safety event reports … In this study, investigators queried a database that receives reports from 575 facilities to identify … reports related to health information technology (IT). … They examined reports to determine whether the events were resolved at all, and whether the resolution
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psnet.ahrq.gov/issue/performance-evaluation-chatgpt-detecting-diagnostic-errors-and-their-contributing-factors
September 13, 2023 - evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports … evaluation 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. … evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports … Same Author(s)
Diagnostic errors in uncommon conditions: a systematic review of case reports
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psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
May 30, 2018 - Commentary
Use of critical incident reports in medical education: a perspective. … Use of critical incident reports in medical education. A perspective. … Use of critical incident reports in medical education. A perspective. … Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report … Incorrect surgical procedures within and outside of the operating room: a follow-up report
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psnet.ahrq.gov/issue/semi-supervised-classification-patient-safety-event-reports
October 31, 2011 - Study
Semi-supervised classification of patient safety event reports. … Semi-supervised classification of patient safety event reports. … application of a semi-supervised classification method to synthesize information from patient safety reports … Semi-supervised classification of patient safety event reports. … national observational study based on retrospective analysis of 12 months of patient safety incident reports
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psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
November 17, 2021 - Study
A review of adverse event reports from emergency departments in the Veterans … A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. … This retrospective cohort study used root cause analysis (RCA) to examine safety reports from emergency … A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports
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psnet.ahrq.gov/issue/systematic-narrative-review-coroners-prevention-future-deaths-reports-pfds-tool-patient
October 19, 2022 - Review
A systematic narrative review of coroners’ Prevention of Future Deaths reports … A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … In the UK, coroners may issue Prevention of Future Death reports (PFD) when they determine taking actions … A systematic narrative review of coroners’ Prevention of Future Deaths reports (PFDs): a tool for patient … The Report of the Independent Medicines and Medical Devices Safety Review.
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psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
January 12, 2022 - Diagnostic error in the emergency department: learning from national patient safety incident report … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … This retrospective study reviewed incident reports to characterize diagnostic errors occurring in … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … or alongside emergency departments: incorporating realist methodology into patient safety incident report
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psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
February 06, 2019 - Study
Using incident reports to assess communication failures and patient outcomes … Using Incident Reports to Assess Communication Failures and Patient Outcomes. … Investigators examined incident reports at an academic medical center to characterize how communication … Using Incident Reports to Assess Communication Failures and Patient Outcomes.
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psnet.ahrq.gov/issue/learning-serious-failings-care-main-report
August 23, 2017 - Book/Report
Learning From Serious Failings in Care: Main Report. … Citation Text:
Learning From Serious Failings in Care: Main Report. … Short-Life Working Group on Hospital Reports. … Substantive reports of failures have transparently discussed problems in the National Health Services … Short-Life Working Group on Hospital Reports.
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psnet.ahrq.gov/issue/association-coworker-reports-about-unprofessional-behavior-surgeons-surgical-complications
June 27, 2018 - Study
Association of coworker reports about unprofessional behavior by surgeons with … Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications … Surgeons at two academic medical centers who had coworker reports of unprofessional behavior in the 3 … These findings highlight the importance of empowering team members to report unprofessional behavior … Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications