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401. The Dropped "No" | PSNet
     psnet.ahrq.gov/web-mm/dropped-no
     October 30, 2019 - 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.

402. 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

403. 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

404. 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.

405. 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.

406. 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

407. 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.

408. 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

409. 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.

410. 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.

411. 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

412. 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

413. Healthcare professionals' views on feedback of a patient safety culture assessment. | PSNet
     psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
     October 25, 2023 - errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report … errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports … May 18, 2022 Using the Generic Analysis Method to analyze sentinel event reports across … Equity in Patient Safety March 27, 2024 Hospital staff reports … of coworker positive and unprofessional behaviours across eight hospitals: who reports what about whom

414. Understanding the types and effects of clinical interruptions and distractions recorded in a multihospital patient safety reporting system. | PSNet
     psnet.ahrq.gov/issue/understanding-types-and-effects-clinical-interruptions-and-distractions-recorded
     February 22, 2019 - From the Same Author(s) Identifying health information technology related safety event reports … from patient safety event report databases. … Developing an evaluation strategy to assess large language models for patient safety event report analysis … Social determinants of health and patient safety: an analysis of patient safety event reports … May 29, 2024 A text mining approach to categorize patient safety event reports by medication

415. 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

416. 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

417. 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

418. 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.

419. 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

420. 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.