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441. 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

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36604/psn-pdf
     June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. … https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report The National … Since 2003, Minnesota hospitals have been required to report such incidents. … The 2024 report summarizes information about 610 adverse events that were reported, representing a significant … Reports from previous years are available.

443. 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

444. 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

445. 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.

446. 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 to

447. 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

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33729/psn-pdf
     May 01, 2012 - emergence-trigger-tool-premier-measurement-strategy-patient-safety Perspective In the landmark 1999 report … is the use of occurrence ("incident") reports submitted by caregivers. … it seems likely that the Centers for Medicaid and Medicare Services (CMS) will require hospitals to report … "all cause" harm rates and perhaps report such results publicly or tie them to reimbursement. … Report No. OEI-06-09-00090. [Available at] 26.

449. 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

450. 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

451. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet
     psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
     November 03, 2015 - January 7, 2015 Using FDA reports to inform a classification for health information technology … December 31, 2014 Automated identification of extreme-risk events in clinical incident reports … safety problems associated with information technology in general practice: an analysis of incident reports … March 12, 2014 Root cause analysis reports help identify common factors in delayed diagnosis

452. An Amendment of the Medical Care Availability and Reduction of Error (Mcare) Act. | PSNet
     psnet.ahrq.gov/issue/amendment-medical-care-availability-and-reduction-error-mcare-act
     June 03, 2009 - requires that Pennsylvania hospitals and nursing homes implement an internal infection control plan and report … Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports … View More Related Resources Adverse Health Events in Minnesota: Annual Reports … June 4, 2024 Patient Safety Authority Annual Reports. … April 30, 2024 National Healthcare Quality and Disparities Reports.

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50753/psn-pdf
     December 18, 2019 - The contribution of staffing to medication administration errors: a text mining analysis of incident report … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident Report … psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis- incident-report … study used descriptive statistics, manual analysis, and text mining of medication-related incident reports … The key importance of this article is the use of an automated system to analyze incident reports.

454. 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

455. Improving the Working Environment for Safe Surgical Care. | PSNet
     psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care
     July 29, 2015 - Book/Report Improving the Working Environment for Safe Surgical Care. … Short-Life Working Group on Hospital Reports. … Linkedin Copy URL August 23, 2017 Short-Life Working Group on Hospital Reports … The report recommends changes to improve work climate and reduce the potential for error, including … Short-Life Working Group on Hospital Reports.

456. 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

457. SafeMedicationUse.ca. | PSNet
     psnet.ahrq.gov/issue/safemedicationuseca
     October 10, 2012 - December 10, 2014 Fluorouracil Incident Root Cause Analysis Report. … June 22, 2015 ALERT: reports of severe harm after intravenous administration of breast … April 25, 2018 View More Related Resources Annual Speak Up Data Reports … October 19, 2020 Organisation Patient Safety Incident Reports.

458. 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

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839828/psn-pdf
     October 14, 2016 - Reporting Diagnostic Accuracy Studies (STARD), a checklist for researchers when writing diagnostic research … reports.

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