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461. 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

462. 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.

463. 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.

464. 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.

465. Five Years of Quality: Working Together to Improve Care. | PSNet
     psnet.ahrq.gov/issue/five-years-quality-working-together-improve-care
     December 30, 2021 - Book/Report Five Years of Quality: Working Together to Improve Care. … This report outlines successful state initiatives to address safety concerns in health care, including … Copy Citation Related Resources National Healthcare Quality and Disparities Reports … September 14, 2011 Patient Safety Authority Annual Reports.

466. 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.

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34001/psn-pdf
     April 16, 2018 - The PA-PRS releases annual reports summarizing incidents and serious safety events.  … psnet.ahrq.gov/issue/patient-safety-authority https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35290/psn-pdf
     July 01, 2009 - psnet.ahrq.gov/issue/speaking-same-language-ahrq-seeks-common-method-safety-reporting This article reports … on the need to develop a common framework for categorizing medical error reports according to the Patient

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43434/psn-pdf
     August 06, 2014 - issue/maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say This news article reports … Limited public access to comprehensive incident reports and insufficient performance measurement hinder … maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say https://psnet.ahrq.gov/issue/maryland-hospital-patient-safety-program-annual-report

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39522/psn-pdf
     May 12, 2010 - /reporting-trends-regional-medication-error-data-sharing-system Sharing voluntary medication error reports … Pennsylvania hospitals resulted in increased reporting rates, but it was unclear if the increase in reports

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39902/psn-pdf
     December 29, 2014 - psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital Analysis of incident reports … revealed a lower than expected number of reports involving handoffs, most of which did not result in

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39863/psn-pdf
     January 04, 2011 - improving-quality-drug-error-reporting This analysis of voluntarily reported medication errors found that the reports … error theory, to improve reporting systems to enhance the ease of reporting and the quality of error reports

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45047/psn-pdf
     April 13, 2016 - https://psnet.ahrq.gov/issue/misdiagnosis-inevitable This news article reports on the prevalence of … frequency-diagnostic-errors-outpatient-care-estimations-three-large-observational-studies https://psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41538/psn-pdf
     August 15, 2012 - Consumer reports. 2012;77(8):20-8. … psnet.ahrq.gov/issue/how-safe-your-hospital-our-new-ratings-find-some-are-riskier-others This news article reports

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44480/psn-pdf
     October 14, 2015 - Improving radiology report quality by rapidly notifying radiologist of report errors. … Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. … https://psnet.ahrq.gov/issue/improving-radiology-report-quality-rapidly-notifying-radiologist-report-errors … In this study, researchers designed an algorithm for flagging radiology reports that may contain gender … https://psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports

476. Lost surgical specimens, lost opportunities. | PSNet
     psnet.ahrq.gov/issue/lost-surgical-specimens-lost-opportunities
     April 16, 2018 - November 28, 2018 Patient Safety Authority Annual Reports. … Analysis of incident reports from a patient safety organization. … February 15, 2010 Classifying laboratory incident reports to identify problems that jeopardize

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44442/psn-pdf
     August 26, 2015 - August 26, 2015 Consumer Reports. July 29, 2015. … https://psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick This news article reports on health

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44636/psn-pdf
     November 04, 2015 - This news article discusses bedside shift reports as a strategy to improve communication among nursing … bedside-shift-shift-handoffs-systematic-review-literature https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44300/psn-pdf
     July 29, 2015 - Learning From Serious Failings in Care: Main Report. … July 29, 2015 Short-Life Working Group on Hospital Reports. … https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report Substantive reports of failures … https://psnet.ahrq.gov/issue/learning-serious-failings-care-main-report https://psnet.ahrq.gov/issue/ … report-mid-staffordshire-nhs-foundation-trust-public-inquiry https://psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45581/psn-pdf
     October 19, 2016 - This news article reports how health systems, academic medical centers, and ambulatory care facilities … diagnostic-performance-medical-students-working-individually-or-teams https://psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine