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401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40692/psn-pdf
     October 04, 2011 - Patient safety incidents associated with obesity: a review of reports to the National Patient Safety … Patient safety incidents associated with obesity: a review of reports to the National Patient Safety … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and

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. 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

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45945/psn-pdf
     April 24, 2018 - prospective study conducted in multiple pediatric inpatient settings used medical record review, clinician reports … , and hospital incident reports to identify adverse events. … Family- reported error rates were similar to error rates drawn from actively eliciting error reports … Error rates calculated from hospital incident reports were much lower than those drawn from either clinician … or family reports, consistent with prior studies.

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39438/psn-pdf
     March 23, 2011 - Time to listen: a review of methods to solicit patient reports of adverse events. … Time to listen: a review of methods to solicit patient reports of adverse events. … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events Identification … Research has shown that patient reports can identify errors that were not found through traditional … https://psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events https:

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44736/psn-pdf
     December 16, 2015 - Logo Harms from discharge to primary care: mixed methods analysis of incident reports. … Harms from discharge to primary care: mixed methods analysis of incident reports. … https://psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports Adverse … https://psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports https

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44585/psn-pdf
     November 04, 2015 - Evaluation of near-miss wrong-patient events in radiology reports. … JOURNAL CLUB: Evaluation of Near-Miss Wrong-Patient Events in Radiology Reports. … https://psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports Despite The … https://psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports https://psnet.ahrq.gov

408. 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

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44628/psn-pdf
     September 12, 2016 - /issue/rates-safety-incident-reporting-mri-large-academic-medical-center This analysis of incident reports … related to magnetic resonance imaging found that, similar to other settings, incident reports are infrequent … Common reasons for reports were associated with test orders, adverse drug reactions, and safety of intravenous … psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events

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. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42510/psn-pdf
     August 21, 2013 - Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients … Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment … https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34995/psn-pdf
     February 03, 2011 - The Research on Adverse Drug Events and Reports (RADAR) project. … The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40. … https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project This article summarizes … https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project https://psnet.ahrq.gov

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46357/psn-pdf
     May 17, 2018 - Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review … https://psnet.ahrq.gov/issue/safe-labeling-practices-minimize-medication-errors-anesthesia-5-case-reports-and-review

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38157/psn-pdf
     October 22, 2008 - Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives The … This analysis of traditional paper-based incident reports from two hospitals sought to classify the … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives https

415. 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

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40543/psn-pdf
     March 23, 2012 - Can we rely on patients' reports of adverse events? … Can we rely on patients' reports of adverse events? … https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events Traditional methods of error … https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events https://psnet.ahrq.gov/primer

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36698/psn-pdf
     February 24, 2011 - The impact of duty hours on resident self reports of errors. … The impact of duty hours on resident self reports of errors. J Gen Intern Med. 2007;22(2):205-9. … https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors Residency programs have … https://psnet.ahrq.gov/issue/impact-duty-hours-resident-self-reports-errors https://psnet.ahrq.gov/issue

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45813/psn-pdf
     January 18, 2017 - Considering chance in quality and safety performance measures: an analysis of performance reports by … psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis- performance-reports … psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports … psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39913/psn-pdf
     October 13, 2010 - The frequency of diagnostic errors in radiologic reports depends on the patient's age. … The frequency of diagnostic errors in radiologic reports depends on the patient's age. … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age Relatively … https://psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age https

420. 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