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441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72687/psn-pdf
     January 27, 2021 - learning-errors-new-covid-19-vaccines Learning from error rests on transparency efforts buttressed by frontline reports … This article examined reports of COVID-19  vaccine errors to highlight common risks that are likely

442. Mississippi Patient Safety Coalition. | PSNet
     psnet.ahrq.gov/issue/mississippi-patient-safety-coalition
     May 01, 2022 - Related Resources From the Same Author(s) Nebraska Coalition for Patient Safety Annual Report … 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 … View More Related Resources Maryland Hospital Patient Safety Program Annual Report … May 22, 2019 Organisation Patient Safety Incident Reports.

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45292/psn-pdf
     September 07, 2016 - psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system Voluntary incident reports … This study found that a machine learning approach to electronically analyze incident reports successfully … The authors conclude that it is feasible to apply automated text analysis to incident reports to categorize

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44120/psn-pdf
     November 06, 2015 - This study demonstrated that modeling based on automated data mining of event reports could identify … reports that were most likely to be associated with subsequent malpractice claims. … programs, could be deployed more efficiently using an automated algorithm to detect high-risk event reports

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35138/psn-pdf
     July 10, 2008 - adverse-drug-event-surveillance-and-drug-withdrawals-united-states-1969- 2002 This study analyzed reports … Using more than 30 years of collected data, investigators discovered nearly 2.3 million case reports … These reports resulted in additional safety warnings, a greater list of known ADEs with specific drugs

446. 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.

447. 2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals. | PSNet
     psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals
     June 07, 2017 - self-assessment scores, compare practices with other hospitals, and allow the development of an ongoing progress … report. … June 28, 2019 ISMP medication error report analysis. … June 16, 2019 ISMP medication error report analysis. … April 24, 2018 How useful are voluntary medication error reports?

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46188/psn-pdf
     June 21, 2017 - 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 … week-hospital-discharge-retrospective-study-root- cause-analysis This review of root cause analysis reports

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44749/psn-pdf
     December 27, 2018 - The Patient Safety and Quality Improvement Act (PSQIA) provides federal protection of adverse event reports … This case tested the ability of the federal law to block access to such reports when conflicting with

450. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet
     psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
     December 16, 2015 - Same Author(s) Harms from discharge to primary care: mixed methods analysis of incident reports … Diagnostic error in the emergency department: learning from national patient safety incident report … January 15, 2020 Characterising the nature of primary care patient safety incident reports … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … or alongside emergency departments: incorporating realist methodology into patient safety incident report

451. 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.

452. Patient Safety: Investigating and Reporting Serious Clinical Incidents. | PSNet
     psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
     November 10, 2017 - Book/Report Patient Safety: Investigating and Reporting Serious Clinical Incidents … Innovation Summary February 26, 2025 Adverse Health Events in Minnesota: Annual Reports … March 27, 2024 Characterising the nature of primary care patient safety incident reports … April 23, 2014 Root cause analysis reports help identify common factors in delayed diagnosis

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60233/psn-pdf
     April 15, 2020 - safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports … safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports

454. Safety incidents in the primary care office setting. | PSNet
     psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
     October 12, 2016 - Given the known under-reporting of adverse events, this report likely underestimates the frequency of … the Same Author(s) 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 … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46197/psn-pdf
     September 24, 2017 - Only 37 errors were reported during the study period of 17 months; most reports did not involve patient … As with prior studies of patient safety reporting, not all reports were related to a safety concern. … psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events

456. Deadly infections: hospitals can lower the risk, but many fail to act. | PSNet
     psnet.ahrq.gov/issue/deadly-infections-hospitals-can-lower-risk-many-fail-act
     May 19, 2010 - Consumer reports. 2010;75(3):16-21. … Facebook Twitter Linkedin Copy URL February 17, 2010 Consumer reports … Consumer reports. 2010;75(3):16-21.

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38434/psn-pdf
     June 15, 2011 - However, using the number of incident reports filed as a metric of safety is not a proven relationship … This study examined hospital-based incident reports to the United Kingdom's  National Patient Safety … However, the authors also point out that increased incident reports failed to correlate with standardized

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46923/psn-pdf
     August 17, 2018 - what-can-patients-tell-us-about-quality-and-safety-hospital-care-findings-uk- multicentre Patients' reports … this cluster-randomized trial of patient engagement, patient volunteers read and classified incident reports … Following classification by patients, reports underwent a standardized, validated review by multiple

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33716/psn-pdf
     September 01, 2011 - He led the team that produced the 2001 AHRQ evidence report, Making Health Care Safer, and was awarded … and case analyses, and you start having more targeted reports. … In fact, not only do they get back about acknowledging and personally thanking them for doing the report … It shows them that not only have they followed up on what they took the time to report, but they're … But if there's a very simple way of initiating an incident report from within the sign out system, then

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35968/psn-pdf
     August 10, 2010 - Compendium of Reports. August 10, 2010 Washington DC: National Quality Forum. … issue/compendium-2000-2005 This website is the complete collection to date of standards, measures and reports