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psnet.ahrq.gov/issue/social-determinants-health-and-patient-safety-analysis-patient-safety-event-reports-related
October 17, 2018 - Social determinants of health and patient safety: an analysis of patient safety event reports … Social determinants of health and patient safety: an analysis of patient safety event reports related … Of 1,553 included reports, 13% were likely or plausibly related to a patient’s language barrier. … Social determinants of health and patient safety: an analysis of patient safety event reports related … from patient safety event report databases.
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psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports … Using a national database of patient safety incident reports in the United Kingdom, this study characterized … Over 1,100 incident reports were identified; nearly half resulted in some degree of harm but most (39% … September 26, 2018
Nature of blame in patient safety incident reports: mixed methods … Diagnostic error in the emergency department: learning from national patient safety incident report
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psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
September 15, 2021 - Study
Pathology trainees rarely report safety incidents: a review of 13,722 safety … reports and a call to action. … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … July 26, 2011
Getting doctors to report medical errors: project DISCLOSE.
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psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
March 23, 2022 - Special or Theme Issue
TQIP Mortality Reporting System Case Reports. … Citation Text:
TQIP Mortality Reporting System Case Reports. … Cite
Citation
Citation Text:
TQIP Mortality Reporting System Case Reports … August 31, 2024
Eliminating Unintentionally Retained Surgical Items - Special Report.
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psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
September 23, 2020 - Study
Accuracy of a proprietary large language model in labeling obstetric incident reports … Accuracy of a proprietary large language model in labeling obstetric incident reports. … reporting is an important resource for identifying adverse events and near misses, but the volume of reports … large language model (LLM) ChatGPT-3.5 in a secure environment to label a sample of obstetric incident reports … Accuracy of a proprietary large language model in labeling obstetric incident reports.
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psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
December 06, 2023 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports … Report descriptions included all the SEIPS components and resilience capacities (e.g., preparedness, … July 29, 2020
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
January 31, 2024 - Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports … Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … This study analyzed 1,310 reports of unprofessional behavior across eight Australian hospitals between … Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across … A content analysis of accreditation reports.
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psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
November 03, 2015 - Study
Automated identification of extreme-risk events in clinical incident reports … Automated identification of extreme-risk events in clinical incident reports. … error reports is time intensive and often low yield. … This study reports on the use of informatics technology to screen incident reports in order to identify … Automated identification of extreme-risk events in clinical incident reports.
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psnet.ahrq.gov/issue/use-prescribing-safety-quality-improvement-reports-uk-general-practices-qualitative
December 08, 2021 - Four themes were identified: receiving the report, facilitators and barriers to acting upon the report … , acting upon the report, and how the report contributes to a quality culture. … upon the reports. … to acting upon the reports. … opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report
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psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
October 19, 2022 - Study
Excess cost and length of stay associated with voluntary patient safety event reports … Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. … Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. … July 19, 2023
The Research on Adverse Drug Events and Reports (RADAR) project. … Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report
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psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
October 31, 2014 - Study
Can patient safety incident reports be used to compare hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? … Incident reports provide one lens into patient safety, despite concerns about under-reporting . … In this study, investigators analyzed all incident reports from the national reporting system in the … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety?
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psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
April 03, 2005 - Theme Issue
Health Care Quality and Disparities: Lessons from the First National Reports … Citation Text:
Health Care Quality and Disparities: Lessons from the First National Reports. … Highlights from AHRQ's two inaugural reports, the 2003 National Healthcare Quality Report and the 2003 … National Healthcare Disparities Report (NHDR), are provided in this special issue. … A review of initial findings from these reports is included.
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psnet.ahrq.gov/issue/review-adverse-event-reports-emergency-departments-veterans-health-administration
November 17, 2021 - Study
A review of adverse event reports from emergency departments in the Veterans … A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. … This retrospective cohort study used root cause analysis (RCA) to examine safety reports from emergency … A Review of Adverse Event Reports From Emergency Departments in the Veterans Health Administration. … bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports
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psnet.ahrq.gov/issue/association-coworker-reports-about-unprofessional-behavior-surgeons-surgical-complications
June 27, 2018 - Study
Association of coworker reports about unprofessional behavior by surgeons with … Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications … Surgeons at two academic medical centers who had coworker reports of unprofessional behavior in the 3 … These findings highlight the importance of empowering team members to report unprofessional behavior … Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications
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psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
December 14, 2022 - Study
Content analysis of patient safety incident reports for older adult patient … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … , orthopedics and stroke to identify the types of transitions involved and whether reports included any … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … August 5, 2020
Closing the loop with ambulatory staff on safety reports.
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psnet.ahrq.gov/issue/quality-assessment-spontaneous-triggered-adverse-event-reports-received-food-and-drug
August 07, 2024 - Study
Quality assessment of spontaneous triggered adverse event reports received … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … This study evaluates the quality of such reports and identifies areas where the reports could be improved … Quality assessment of spontaneous triggered adverse event reports received by the Food and Drug Administration … July 10, 2008
Special report: suicidal ideation among American surgeons.
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psnet.ahrq.gov/issue/analysis-intervention-employability-pharmacy-related-medication-safety-reports-tertiary
November 21, 2021 - of the reports on the ISMP hierarchy. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis. … June 16, 2019
ISMP medication error report analysis.
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psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
December 21, 2022 - 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 … 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. … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident Report
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psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
December 18, 2019 - detecting medication errors: a secondary analysis of medication administration errors using incident reports … detecting medication errors: a secondary analysis of medication administration errors using incident reports … Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … For example, incident reports most commonly identified wrong dose and wrong time errors. … The contribution of staffing to medication administration errors: a text mining analysis of incident report
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psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
September 14, 2022 - Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports … This study analyzed more than 100 serious adverse event (SAE) reports in acute care using four investigation … Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports … September 29, 2017
Strategies for improving the value of the radiology report: a retrospective