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421. 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.

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38454/psn-pdf
     January 02, 2017 - This study categorized more than 2200 incident reports into whether they described aberrant care processes … found that 50% were only process-oriented and that these were more useful than solely outcome-oriented reports … The authors advocate for hospitals to focus their IR systems on process-driven reports that encourage … comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals https://psnet.ahrq.gov//#incidentreporting https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33717/psn-pdf
     September 01, 2011 - reporting systems capture fewer than 10%.(5) Providers have offered several explanations for failing to report … 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 … survey of risk managers found that most hospitals could do a better job of communicating incident report … Contributing factors identified by hospital incident report narratives.

424. 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.

425. 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

426. 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

427. Classification of patient-safety incidents in primary care. | PSNet
     psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
     October 12, 2016 - the Same Author(s) Characterising the nature of primary care patient safety incident reports … October 12, 2016 Nature of blame in patient safety incident reports: mixed methods analysis … December 16, 2020 Harms from discharge to primary care: mixed methods analysis of incident reports … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports

428. Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. | PSNet
     psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through
     August 21, 2019 - bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports … Analysis of incident reports from a patient safety organization. … Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867146/psn-pdf
     November 13, 2024 - ://psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related … ://psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866698/psn-pdf
     September 11, 2024 - https://psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports … https://psnet.ahrq.gov/issue/non-clinical-errors-using-voice-recognition-dictation-software-radiology-reports

431. Analysis of risk factors for patient safety events occurring in the emergency department. | PSNet
     psnet.ahrq.gov/issue/analysis-risk-factors-patient-safety-events-occurring-emergency-department
     January 26, 2022 - bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports … Analysis of incident reports from a patient safety organization. … errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports … September 30, 2020 A review of adverse event reports from emergency departments in the

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42737/psn-pdf
     November 20, 2019 - HANYS' Report on Report Cards. … https://psnet.ahrq.gov/issue/hanys-report-report-cards This publication assessed 12 widely disseminated … hospital report cards by criteria including transparency of methodology, evidence-based measures, and … While inconsistent methods across reports hindered direct comparisons, a few reports received high marks … https://psnet.ahrq.gov/issue/hanys-report-report-cards https://psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate

433. Development of a preliminary patient safety classification system for generative AI. | PSNet
     psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai
     December 21, 2022 - 2024 Artificial intelligence related safety issues associated with FDA medical device reports … safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports … A natural language processing approach to categorise contributing factors from patient safety event reports … 2023 A machine learning approach to reclassifying miscellaneous patient safety event reports

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39946/psn-pdf
     October 20, 2023 - MHA and MHA Keystone Center Annual Reports. … ://psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual- report … This publication annually reports on the successful outcomes of the Michigan Keystone Center collaborative … https://psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report … https://psnet.ahrq.gov/issue/transformation-through-collaboration-2018-2019-mha-keystone-center-annual-report

435. 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.

436. 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

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44966/psn-pdf
     March 16, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. … https://psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance … https://psnet.ahrq.gov/issue/confidential-physician-feedback-reports-designing-optimal-impact-performance

438. Adverse Health Care Events Reporting System: What Have We Learned? | PSNet
     psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
     February 28, 2015 - Book/Report Adverse Health Care Events Reporting System: What Have We Learned? … Through a qualitative evaluation of the Minnesota statewide reporting initiative , this report suggests … February 28, 2015 Adverse Health Events in Minnesota: Annual Reports. … December 6, 2017 Serious Adverse Events Reports. … February 28, 2015 Third Annual Report on Adverse Health Events in Wyoming Healthcare

439. 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.

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46478/psn-pdf
     March 27, 2018 - Promote a culture of safety with good catch reports. … https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports Near misses or good catches present … https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports https://psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability