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81. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
    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

82. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet
    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

83. Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania. | PSNet
    psnet.ahrq.gov/issue/ambulatory-surgery-facilities-comprehensive-review-medication-error-reports-pennsylvania
    April 17, 2017 - Article Ambulatory surgery facilities: a comprehensive review of medication error reports … Citation Text: Ambulatory surgery facilities: a comprehensive review of medication error reports in … Analyzing reports of medication errors in ambulatory surgery centers, this article discusses common error … Citation Citation Text: Ambulatory surgery facilities: a comprehensive review of medication error reports … Patient Safety 101 June 15, 2024 Patient Safety Authority Annual Reports

84. Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. | PSNet
    psnet.ahrq.gov/issue/does-one-size-fit-all-developing-evaluation-strategy-assess-large-language-models-patient
    December 07, 2022 - Developing an evaluation strategy to assess large language models for patient safety event report analysis … Developing an evaluation strategy to assess large language models for patient safety event report analysis … Developing an evaluation strategy to assess large language models for patient safety event report analysis … from patient safety event report databases. … Related Resources Enhanced free-text search for aggregated medication error report

85. Time to listen: a review of methods to solicit patient reports of adverse events. | PSNet
    psnet.ahrq.gov/issue/time-listen-review-methods-solicit-patient-reports-adverse-events
    November 23, 2016 - Review Time to listen: a review of methods to solicit patient reports of adverse … Time to listen: a review of methods to solicit patient reports of adverse events. … Research has shown that patient reports can identify errors that were not found through traditional … Time to listen: a review of methods to solicit patient reports of adverse events. … July 2, 2014 Can we rely on patients' reports of adverse events?

86. Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. | PSNet
    psnet.ahrq.gov/issue/learning-different-lenses-reports-medical-errors-primary-care-clinicians-staff-and-patients
    June 11, 2008 - Study Learning from different lenses: reports of medical errors in primary care by … Learning From Different Lenses: Reports of Medical Errors in Primary Care by Clinicians, Staff, and Patients … : a report from the American Academy of Family Physicians National Research Network (AAFP NRN). … , 2011 Mitigation of patient harm from testing errors in family medicine offices: a report … February 10, 2021 ISMP medication error report analysis.

87. Can we use incident reports to detect hospital adverse events? | PSNet
    psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
    March 06, 2005 - Study Can we use incident reports to detect hospital adverse events? … Citation Text: Can we use incident reports to detect hospital adverse events? … As shown in prior research , incident reports identified only a small proportion of adverse events. … A framework for analyzing and responding to incident reports was presented in an earlier study . … September 16, 2015 Fix and forget or fix and report: a qualitative study of tensions

88. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet
    psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
    October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … Researchers analyzed a sample of family practice patient safety incident reports from the England and … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … the Same Author(s) Characterising the nature of primary care patient safety incident reports

89. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet
    psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
    June 18, 2008 - Study Benchmarking surgical incident reports using a database and a triage system … up on reports. … This study, like most studies of data derived from incident reports, is limited because voluntary reports … June 18, 2008 A report card system using error profile analysis and concurrent morbidity … May 15, 2019 Annual Benchmarking Report: Malpractice Risks in Surgery.

90. Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports. | PSNet
    psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
    May 11, 2022 - long-term care for people with intellectual disability: an interrupted time series analysis of incident reports … long‐term care for people with intellectual disability: an interrupted time series analysis of incident reports … response to COVID-19 coincided with an increase in aggression incidents and a decrease in medication error reports … long‐term care for people with intellectual disability: an interrupted time series analysis of incident reports

91. Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. | PSNet
    psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety-foundations-lucian-leape
    November 23, 2016 - Book/Report Transforming Health Care: A Compendium of Reports From the National Patient … Citation Text: Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's … This compendium combines the findings of five reports published between 2010 and 2015 to help foster … October 14, 2015 The Francis Report: One Year On. … November 2, 2012 Improving America's Hospitals: The Joint Commission's Annual Report

92. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. | PSNet
    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.

93. SHOT Annual Report. | PSNet
    psnet.ahrq.gov/issue/shot-annual-report-2019
    July 10, 2019 - Book/Report SHOT Annual Report. Citation Text: SHOT Annual Report. … The 2023 report recommends enhancing focus on patient identification errors and the effect of staffing … Previous reports in the series are available. … Available at Free full text (PDF) Previous reports Save Save to your library … July 20, 2009 Adverse outcomes of blood transfusion in children: analysis of UK reports

94. FDA to end program that hid millions of reports on faulty medical devices. | PSNet
    psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices
    May 17, 2017 - Newspaper/Magazine Article FDA to end program that hid millions of reports on faulty … Citation Text: FDA to end program that hid millions of reports on faulty medical devices. … This news article reports on a government alternative summary reporting program that allowed medical … device makers to conceal safety events and malfunction reports associated with medical devices. … Cite Citation Citation Text: FDA to end program that hid millions of reports

95. Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet
    psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
    June 26, 2019 - Government Resource Critical Incident Reviews, Significant Adverse Event Reports … Citation Text: 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 … February 17, 2021 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental … January 9, 2025 National Healthcare Quality and Disparities Reports.

96. Online medication error graphic reports: a pilot in North Carolina nursing homes. | PSNet
    psnet.ahrq.gov/issue/online-medication-error-graphic-reports-pilot-north-carolina-nursing-homes
    March 24, 2011 - Online medication error graphic reports: a pilot in North Carolina nursing homes. … All North Carolina nursing homes are required to report medication error data . … Online medication error graphic reports: a pilot in North Carolina nursing homes. … July 19, 2023 The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong … March 10, 2021 Predictors of nursing home nurses' willingness to report medication near-misses

97. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. | PSNet
    psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
    September 25, 2008 - Study Completeness of serious adverse drug event reports received by the US Food … Completeness of serious adverse drug event reports received by the US Food and Drug Administration in … Completeness of serious adverse drug event reports received by the US Food and Drug Administration in … November 16, 2022 The computerized rounding report: implementation of a model system … July 31, 2013 Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities

98. Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over. | PSNet
    psnet.ahrq.gov/issue/patients-reports-adverse-events-data-linkage-study-australian-adults-aged-45-years-and-over
    June 21, 2016 - Study Patients' reports of adverse events: a data linkage study of Australian adults … Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over … This study elicited patients' reports of adverse events during hospitalization. … Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over

99. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. | PSNet
    psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
    February 17, 2016 - Study Using voluntary reports from physicians to learn from diagnostic errors in … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. … This study examined voluntary incident reports for diagnostic errors and found that common conditions … Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine.

100. An analysis of incident reports related to electronic medication management: how they change over time. | PSNet
     psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
     March 10, 2021 - Study An analysis of incident reports related to electronic medication management … An analysis of incident reports related to electronic medication management: how they change over time … This study analyzed types of incident reports related to EMM at three hospitals over the course of its … An analysis of incident reports related to electronic medication management: how they change over time