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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863650/psn-pdf
     February 28, 2024 - and their ability to read or interpret performance reports. … This bridge of knowledge connects clinical practice with IT data infrastructure so that reports are … 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

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74705/psn-pdf
     January 26, 2022 - https://psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research … - patient-safety The release of the Institute of Medicine (IOM)’s To Err is Human report in 1999 was … but that the themes of recent research do not necessarily align with the initial focus of the IOM report … https://psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety … https://psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60199/psn-pdf
     April 08, 2020 - framework, the authors used a mixed-methods approach to retrospectively analyze root cause analysis (RCA) reports … low-to-moderate effectiveness, and that despite identifying systems challenges and weaknesses, many reports … vulnerabilities and opportunities for strengthening the RCA system and improving the quality of RCA reports

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74033/psn-pdf
     November 03, 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.

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50886/psn-pdf
     February 12, 2020 - related to medication administrations - text mining analysis using free-text descriptions of incident reports … related to medication administrations - text mining analysis using free-text descriptions of incident reports … used text mining to analyze the free text descriptions in 72,390 medication administration incident reports … psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report

406. Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. | PSNet
     psnet.ahrq.gov/issue/process-failures-increase-risk-infection-through-respiratory-droplets-study-patient-safety
     March 24, 2021 - Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports … 2022 Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports … May 26, 2021 Rapid-cycle improvement during the COVID-19 pandemic: using safety reports

407. Advancing Health Care Safety for All. | PSNet
     psnet.ahrq.gov/issue/advancing-health-care-safety-all
     July 19, 2024 - RIS Download Citation Related Resources Annual Speak Up Data Reports … July 19, 2024 Adverse Health Events in Minnesota: Annual Reports. … May 16, 2018 Serious Adverse Events Reports.

408. 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

409. Learning Management System. | PSNet
     psnet.ahrq.gov/issue/learning-management-system
     April 30, 2024 - Related Resources From the Same Author(s) Patient Safety Authority Annual Reports … Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports … September 25, 2019 CHPSO Annual Reports.

410. Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. | PSNet
     psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
     September 25, 2024 - investigation process, are involved throughout the investigation, and receive some kind of post-investigation report … September 9, 2020 Hospital staff reports of coworker positive and unprofessional behaviours … across eight hospitals: who reports what about whom? … 2024 View More Related Resources Analysis of critical incident reports … detecting medication errors: a secondary analysis of medication administration errors using incident reports

411. Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. | PSNet
     psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying-opportunities-improvement
     March 17, 2011 - Book/Report Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying … Citation Text: Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities … October 6, 2021 Association of patient and family reports of hospital safety climate … 2022 View More Related Resources Patient Safety Authority Annual Reports … April 30, 2024 National Healthcare Quality and Disparities Reports.

412. 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

413. Adult Hospital Stays with Infections Due to Medical Care, 2007. | PSNet
     psnet.ahrq.gov/issue/adult-hospital-stays-infections-due-medical-care-2007
     April 27, 2011 - Book/Report Adult Hospital Stays with Infections Due to Medical Care, 2007. … This report presents data on health care–associated infections (HAI) that reveals a reduction of … 2018 View More Related Resources Patient Safety Authority Annual Reports … April 30, 2024 National Healthcare Quality and Disparities Reports. … January 9, 2024 National and State Healthcare-Associated Infections Progress Report.

414. Nurse reports of adverse events during sedation procedures at a pediatric hospital. | PSNet
     psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
     November 02, 2016 - Study Nurse reports of adverse events during sedation procedures at a pediatric hospital … Nurse reports of adverse events during sedation procedures at a pediatric hospital. … This study discovered that perianesthesia nurses more consistently report serious adverse events … Nurse reports of adverse events during sedation procedures at a pediatric hospital.

415. 2014 Guide to State Adverse Event Reporting Systems. | PSNet
     psnet.ahrq.gov/issue/2014-guide-state-adverse-event-reporting-systems
     November 29, 2009 - Book/Report 2014 Guide to State Adverse Event Reporting Systems. … The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives—Summary … Report. … January 9, 2025 Patient Safety Authority Annual Reports. … December 5, 2018 Confidential Physician Feedback Reports: Designing for Optimal Impact

416. Your Safety in our Hands in Hospital. | PSNet
     psnet.ahrq.gov/issue/your-safety-our-hands-hospital
     July 07, 2021 - Book/Report Your Safety in our Hands in Hospital. … Latest report: free full text (PDF) Report archive Related news Save Save to your … View More Related Resources Adverse Health Events in Minnesota: Annual Reports … October 25, 2023 Organisation Patient Safety Incident Reports. … May 18, 2018 Serious Adverse Events Reports.

417. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. | PSNet
     psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic
     December 13, 2023 - A content analysis of accreditation reports. … Diagnostic error in the emergency department: learning from national patient safety incident report … care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports … April 1, 2020 Characterising the nature of primary care patient safety incident reports … February 1, 2017 Harms from discharge to primary care: mixed methods analysis of incident reports

418. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
     psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
     September 01, 2011 - evaluations or litigation, uncertainty about what to report, and doubts about whether hospitals use … In one study based at two hospitals, a third of report narratives provided insufficient information to … Contributing factors identified by hospital incident report narratives. … But if there's a very simple way of initiating an incident report from within the sign out system, then … May 21, 2014 "To Err Is Human" Report Retrospective and the Decade Ahead.

419. In Conversation With…Kaveh G. Shojania, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
     September 01, 2011 - He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer , and was awarded … But if there's a very simple way of initiating an incident report from within the sign out system, then … evaluations or litigation, uncertainty about what to report, and doubts about whether hospitals use … In one study based at two hospitals, a third of report narratives provided insufficient information to … Contributing factors identified by hospital incident report narratives.

420. Your safer-surgery survival guide. | PSNet
     psnet.ahrq.gov/issue/your-safer-surgery-survival-guide
     November 15, 2024 - Consumer reports. 2013;78(9):31-41. … Facebook Twitter Linkedin Copy URL November 5, 2014 Consumer reports … This report analyzed Medicare claims data on 27 types of procedures to develop surgical safety ratings … Consumer reports. 2013;78(9):31-41.