AHRQ Search | Home Page

Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet

psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis

May 04, 2022 - Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports … Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports … This review of root cause analysis reports about suicide within 7 days of discharge from inpatient … Review of alternatives to root cause analysis: developing a robust system for incident report … Analysis of incident reports from a patient safety organization.

Semi-supervised classification of patient safety event reports. | PSNet

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

Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet

psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety

July 07, 2021 - Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports … Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports … In this study, usability issues related to eMAR contributed to 473 patient safety event reports. … Analysis of incident reports from a patient safety organization. … The contribution of staffing to medication administration errors: a text mining analysis of incident report

Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet

psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related

October 17, 2018 - Social determinants of health and patient safety: an analysis of patient safety event reports … Social determinants of health and patient safety: an analysis of patient safety event reports related … Of 1,553 included reports, 13% were likely or plausibly related to a patient’s language barrier. … Social determinants of health and patient safety: an analysis of patient safety event reports related … from patient safety event report databases.

Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. | PSNet

psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative

October 31, 2014 - Study Can patient safety incident reports be used to compare hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? … Incident reports provide one lens into patient safety, despite concerns about under-reporting . … In this study, investigators analyzed all incident reports from the national reporting system in the … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety?

Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet

psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident

December 06, 2023 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports … Report descriptions included all the SEIPS components and resilience capacities (e.g., preparedness, … July 29, 2020 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet

psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions

July 17, 2024 - Study Care home safety incidents and safeguarding reports relating to hospital to … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … July 17, 2024 Content analysis of patient safety incident reports for older adult patient … A content analysis of accreditation reports.

Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. | PSNet

psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary

November 21, 2021 - of the reports on the ISMP hierarchy. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis.

Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet

psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database

October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … Researchers analyzed a sample of family practice patient safety incident reports from the England and … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … the Same Author(s) Characterising the nature of primary care patient safety incident reports

Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet

psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse

June 18, 2008 - Study Benchmarking surgical incident reports using a database and a triage system … up on reports. … This study, like most studies of data derived from incident reports, is limited because voluntary reports … June 18, 2008 A report card system using error profile analysis and concurrent morbidity … May 15, 2019 Annual Benchmarking Report: Malpractice Risks in Surgery.

A machine learning approach to reclassifying miscellaneous patient safety event reports. | PSNet

psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports

July 22, 2020 - A machine learning approach to reclassifying miscellaneous patient safety event reports … A machine learning approach to reclassifying miscellaneous patient safety event reports. … positive user feedback on a machine learning approach to reclassifying “miscellaneous” patient safety reports … A machine learning approach to reclassifying miscellaneous patient safety event reports. … Resources Accuracy of a proprietary large language model in labeling obstetric incident reports

Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command. | PSNet

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.

Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. | PSNet

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.

Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

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 View More Related Resources Analysis of critical incident reports

Accuracy of a proprietary large language model in labeling obstetric incident reports. | PSNet

psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports

September 23, 2020 - Study Accuracy of a proprietary large language model in labeling obstetric incident reports … Accuracy of a proprietary large language model in labeling obstetric incident reports. … reporting is an important resource for identifying adverse events and near misses, but the volume of reports … large language model (LLM) ChatGPT-3.5 in a secure environment to label a sample of obstetric incident reports … Accuracy of a proprietary large language model in labeling obstetric incident reports.

Gender bias in risk management reports involving physicians in training - a retrospective qualitative study. | PSNet

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

Health Care Quality and Disparities: Lessons from the First National Reports. | PSNet

psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports

April 03, 2005 - Theme Issue Health Care Quality and Disparities: Lessons from the First National Reports … Citation Text: Health Care Quality and Disparities: Lessons from the First National Reports. … Highlights from AHRQ's two inaugural reports, the 2003 National Healthcare Quality Report and the 2003 … National Healthcare Disparities Report (NHDR), are provided in this special issue. … A review of initial findings from these reports is included.

Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. | PSNet

psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods

October 12, 2016 - care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports … Using a national database of patient safety incident reports in the United Kingdom, this study characterized … Over 1,100 incident reports were identified; nearly half resulted in some degree of harm but most (39% … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … Diagnostic error in the emergency department: learning from national patient safety incident report

Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet

psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care

January 12, 2022 - Study Getting the whole story: integrating patient complaints and staff reports of … Getting the whole story: Integrating patient complaints and staff reports of unsafe care. … This retrospective study linked patient complaint data with staff incident reports to better understand … Getting the whole story: Integrating patient complaints and staff reports of unsafe care. … July 27, 2022 Stakeholder safety communication: patient and family reports on safety

Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors

June 19, 2024 - Study Diagnostic errors in uncommon conditions: a systematic review of case reports … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … This article uses 560 case reports to classify contributing factors to diagnostic errors in rare conditions … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports

Search AHRQ

Results