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Learning From Serious Failings in Care: Main Report. | PSNet

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August 23, 2017 - Book/Report Learning From Serious Failings in Care: Main Report. … Short-Life Working Group on Hospital Reports. … Linkedin Copy URL July 29, 2015 Short-Life Working Group on Hospital Reports … Substantive reports of failures have transparently discussed problems in the National Health Services … Short-Life Working Group on Hospital Reports.

Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet

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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.

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet

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July 24, 2024 - Pennsylvania requires all acute care facilities to report incidents and serious events to the Pennsylvania … This report compiles reports submitted for Q1 and Q2 2022 and compares results to previous years . … There was a decrease in the total number of reports submitted, but serious and high harm events increased … January 16, 2025 Adverse Health Events in Minnesota: Annual Reports. … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report

Patient reports of undesirable events during hospitalization. | PSNet

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March 28, 2011 - Study Patient reports of undesirable events during hospitalization. … Patient reports of undesirable events during hospitalization. … Patient reports of undesirable events during hospitalization.

Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. | PSNet

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January 23, 2017 - Study Communicating certainty in pathology reports: interpretation differences among … Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians … agreement of commonly-used phrases used to describe diagnostic uncertainty in surgical pathology reports … July 13, 2016 The Rebecca O'Malley Report. … A comparison of intraoperative diagnoses listed in pathology reports and operative notes.

Sentinel Event Program. | PSNet

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October 15, 2008 - information about Maine's statewide incident reporting initiative and includes annual sentinel event reports … View More Related Resources Adverse Health Events in Minnesota: Annual Reports … June 4, 2024 National and State Healthcare-Associated Infections Progress Report. … November 30, 2023 Organisation Patient Safety Incident Reports.

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

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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

Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. | PSNet

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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

Using incident reports to assess communication failures and patient outcomes. | PSNet

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February 06, 2019 - Study Using incident reports to assess communication failures and patient outcomes … Using Incident Reports to Assess Communication Failures and Patient Outcomes. … Investigators examined incident reports at an academic medical center to characterize how communication … Using Incident Reports to Assess Communication Failures and Patient Outcomes.

SHOT Annual Report. | PSNet

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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

Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet

psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event

July 24, 2024 - Nearly 288,000 reports were submitted to PA-PSRS, with serious and high-harm events accounting for 20% … 2020 Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports … 2023 Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports … January 16, 2025 Annual Speak Up Data Reports. … 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report

Does one size fit all? Developing an evaluation strategy to assess large language models for patient safety event report analysis. | PSNet

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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

How safe is your hospital? Our new ratings find that some are riskier than others. | PSNet

psnet.ahrq.gov/issue/how-safe-your-hospital-our-new-ratings-find-some-are-riskier-others

May 22, 2023 - Consumer reports. 2012;77(8):20-8. … This news article reports on hospital ratings of patient safety that were scored using criteria such … Consumer reports. 2012;77(8):20-8. … Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report … April 17, 2013 Critical Incident Reviews, Significant Adverse Event Reports and Action

Improving radiology report quality by rapidly notifying radiologist of report errors. | PSNet

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May 29, 2019 - Study Improving radiology report quality by rapidly notifying radiologist of report … Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. … In this study, researchers designed an algorithm for flagging radiology reports that may contain gender … Improving Radiology Report Quality by Rapidly Notifying Radiologist of Report Errors. … July 9, 2018 The Research on Adverse Drug Events and Reports (RADAR) project.

Identifying health information technology related safety event reports from patient safety event report databases. | PSNet

psnet.ahrq.gov/issue/identifying-health-information-technology-related-safety-event-reports-patient-safety-event

July 07, 2021 - Study Identifying health information technology related safety event reports from … patient safety event report databases. … Identifying health information technology related safety event reports from patient safety event report … Identifying health information technology related safety event reports from patient safety event report … Developing an evaluation strategy to assess large language models for patient safety event report analysis

Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. | PSNet

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October 07, 2020 - Study Harnessing event report data to identify diagnostic error during the COVID- … Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. … language processing, identified additional safety reports involving COVID-19 diagnostic errors and … Harnessing event report data to identify diagnostic error during the COVID-19 pandemic. … Defining diagnostic error: a scoping review to assess the impact of the National Academies' report

Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet

psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis

February 22, 2019 - This study used patient safety incident reports in the UK to characterize and explore safety issues arising … Over a ten-year period, there were 70 reports of an ACP-related patient safety incident (due to incomplete … February 22, 2019 Characterising the nature of primary care patient safety incident reports … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

Electronic health record usability issues and potential contribution to patient harm. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-usability-issues-and-potential-contribution-patient-harm

July 07, 2021 - In this study, investigators analyzed voluntary error reports from the Pennsylvania Patient Safety … Although limited by the nature of the voluntary reports, which contained sparse details precluding assessment … July 7, 2021 Identifying health information technology related safety event reports from … patient safety event report databases. … March 1, 2017 Screening electronic health record–related patient safety reports using

Qualitative content analysis of coworkers' safety reports of unprofessional behavior by physicians and advanced practice professionals. | PSNet

psnet.ahrq.gov/issue/qualitative-content-analysis-coworkers-safety-reports-unprofessional-behavior-physicians-and

February 14, 2017 - Study Qualitative content analysis of coworkers' safety reports of unprofessional … Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by Physicians and … Qualitative Content Analysis of Coworkers' Safety Reports of Unprofessional Behavior by Physicians and … The relationship between patient safety culture and the intentions of the nursing staff to report … July 26, 2011 Getting doctors to report medical errors: project DISCLOSE.

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

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