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9941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38307/psn-pdf
      January 07, 2009 - national observational study based on retrospective analysis of 12 months of patient safety incident reports … national observational study based on retrospective analysis of 12 months of patient safety incident reports

9942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38261/psn-pdf
      December 03, 2008 - systematic-assessment-culture-review-tool-assess-errors-clinical-microbiology- laboratory This study discovered that errors from positive culture reports … The authors suggest that careful review of such reports could prevent clinical laboratory errors.

9943. Prohibition of Excessive Overtime for Nurses Act. | PSNet
      psnet.ahrq.gov/issue/prohibition-excessive-overtime-nurses-act
      August 01, 2007 - 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.

9944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37511/psn-pdf
      February 06, 2008 - records as a means of identifying adverse events: comparison between medical records and accident reports … records as a means of identifying adverse events: comparison between medical records and accident reports

9945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40350/psn-pdf
      April 20, 2011 - vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports … vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of case reports

9946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36734/psn-pdf
      March 10, 2011 - integrating-incident-reporting-electronic-patient-record-system This cohort study, conducted in an Australian hospital, reports … integration of incident reporting into routine electronic documentation may help increase physician reports

9947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47099/psn-pdf
      May 16, 2018 - However, weaknesses in feedback, follow-up, and action resulting from incident reports diminish their … The resulting recommendations suggest the need to improve tracking of incident reports and for clarifying

9948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39303/psn-pdf
      February 17, 2010 - Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports … Patient misidentification in laboratory medicine: a qualitative analysis of 227 root cause analysis reports

9949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45989/psn-pdf
      June 07, 2017 - Radiologic errors accounted for 7% of all incident reports, of which the most common were incorrect … safety procedures—were judged to be more common than system factors, though only half of the incident reports

9950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43810/psn-pdf
      March 15, 2016 - partnering-va-stakeholders-develop-comprehensive-patient-safety-data- display-lessons-learned This study reports … medical centers, with input from frontline stakeholders, to integrate data sources including incident reports

9951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38502/psn-pdf
      May 21, 2009 - hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports … hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports

9952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40427/psn-pdf
      May 04, 2011 - This study reports on the early experience with a medication reconciliation tool for use by primary … Although initial uptake was low, the study reports on many lessons learned through initial implementation

9953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46047/psn-pdf
      May 17, 2017 - This news article reports on an evaluation by the Office of Inspector General that found regulator review … of hospital-acquired infection reports submitted to Medicare to be insufficient, which hinders hospitals

9954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45170/psn-pdf
      August 03, 2016 - reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports … reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports

9955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38693/psn-pdf
      June 15, 2011 - Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports … Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports

9956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35645/psn-pdf
      February 24, 2011 - An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):165-70. … voluntary-electronic-reporting-medical-errors-and-adverse-events This descriptive study analyzed nearly 100,000 reports … The authors report that nurses were the most frequent users of the electronic reporting systems, whereas

9957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36552/psn-pdf
      January 12, 2011 - https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems This study reports the … During the study, more than 2000 reports were filed from 23 participating ICUs.

9958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46327/psn-pdf
      October 17, 2017 - that patient age and health as well as safety culture in primary care were associated with patient reports … identifying-patient-and-practice-characteristics-associated-patient-reported-experiences https://psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events

9959. 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. … 2020 View More Related Resources Patient Safety Authority Annual Reports … December 6, 2017 Serious Adverse Events Reports.

9960. Guide to Infection Prevention for Outpatient Settings: Minimum Expectations for Safe Care. | PSNet
      psnet.ahrq.gov/issue/guide-infection-prevention-outpatient-settings-minimum-expectations-safe-care
      June 11, 2014 - Book/Report Guide to Infection Prevention for Outpatient Settings: Minimum Expectations … This report suggests strategies to prevent infections in the outpatient setting and provides links … June 11, 2014 National and State Healthcare-Associated Infections Progress Report. … February 27, 2024 National Healthcare Quality and Disparities Reports. … January 9, 2024 National and State Healthcare-Associated Infections Progress Report.