Study Patient reports of undesirable events during hospitalization. Citation Text: Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL October 12, 2005 Agoritsas T, Bovier PA, Perneger T. J Gen Intern Med. 2005;20(10):922-8. View more articles from the same authors. The authors surveyed adults recently discharged from a Swiss hospital and found that patients can effectively pinpoint in-hospital adverse events. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Agoritsas T, Bovier PA, Perneger T. Patient reports of undesirable events during hospitalization. J Gen Intern Med. 2005;20(10):922-8. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. April 19, 2006 The Swiss cheese model of safety incidents: are there holes in the metaphor? November 30, 2005 Rate of undesirable events at beginning of academic year: retrospective cohort study. October 28, 2009 Detecting drug interactions using personal digital assistants in an out-patient clinic. October 31, 2007 Hand hygiene among physicians: performance, beliefs, and perceptions. March 27, 2005 The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. January 15, 2020 Integrating systemic accident analysis into patient safety incident investigation practices. November 21, 2018 Measuring the rate of manual transcription error in outpatient point-of-care testing. March 13, 2019 Prevalence and nature of adverse medical device events in hospitalized children. June 26, 2013 Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. September 25, 2019 Drug selection errors in relation to medication labels: a simulation study. October 24, 2007 Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. February 18, 2009 Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. October 8, 2008 A critical review of the systems approach within patient safety research. October 14, 2009 A simple checklist for preventing major complications associated with cesarean delivery. January 5, 2011 Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. May 10, 2023 Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. March 20, 2019 Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. June 1, 2022 Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. July 16, 2008 Three Australian whistleblowing sagas: lessons for internal and external regulation. March 6, 2005 Analysis of medical malpractice claims to improve quality of care: cautionary remarks. June 12, 2019 Dispensing errors and counseling quality in 100 pharmacies. July 15, 2009 Safer out of hours primary care. July 7, 2010 Using standardized OR checklists and creating extended time-out checklists. October 5, 2016 Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. May 2, 2012 Cutting-edge efforts in surgical patient safety. June 14, 2017 Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 27, 2005 Guideline for opioid therapy and chronic noncancer pain. May 31, 2017 Human factors in healthcare: welcome progress, but still scratching the surface. June 29, 2016 Maintaining maternal-newborn safety during the COVID-19 pandemic. May 26, 2021 To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. May 5, 2021 Considering the safety and quality of artificial intelligence in health care. September 16, 2020 An unsuspected MR projectile: a "wooden" chair with metal bracing. May 3, 2006 Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. March 1, 2006 Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. November 4, 2020 Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. November 9, 2005 An organization-specific and modifiable inpatient safety composite measure. May 8, 2019 The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature. October 5, 2022 Telemedicine consultations and medication errors in rural emergency departments. December 11, 2013 Reducing errors through discharge medication reconciliation by pharmacy services. August 26, 2015 Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. May 7, 2008 Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. February 17, 2016 Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. November 23, 2011 Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. December 2, 2009 The aging physician and the medical profession: a review. August 9, 2017 Race differences in reported harmful patient safety events in healthcare system high reliability organizations. January 23, 2019 Bending the patient safety curve: how much can AI help? February 1, 2023 Measuring safety of healthcare: an exercise in futility? January 15, 2020 Content analysis of patient complaints. October 29, 2008 Understanding diagnostic errors in medicine: a lesson from aviation. June 21, 2006 Some unintended effects of teamwork in healthcare. March 10, 2010 A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. January 29, 2014 Safety culture across cultures. January 8, 2020 Transformation of health care at the front line. February 25, 2009 'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. February 27, 2008 Accidental deaths, saved lives, and improved quality. October 5, 2005 Safe injection, infusion, and medication vial practices in health care (2016). April 6, 2016 A systematic review of interventions to follow-up test results pending at discharge. February 7, 2018 Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. April 1, 2020 Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. October 12, 2011 Charter on Physician Well-being. April 11, 2018 Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. November 29, 2006 Safety of patients isolated for infection control. March 27, 2005 A middle ground on public accountability. March 6, 2005 Major congenital malformations after first-trimester exposure to ACE inhibitors. June 21, 2006 Enhancing communication in surgery through team training interventions: a systematic literature review. December 22, 2010 Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. March 21, 2018 Are they safe in there? Patient safety and trainees in the practice. February 8, 2012 Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. June 16, 2021 Clinical progress note: situation awareness for clinical deterioration in hospitalized children. May 11, 2022 Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. April 27, 2022 Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. May 30, 2007 Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. December 15, 2010 Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. July 10, 2013 Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. August 13, 2008 Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. March 18, 2015 Quality-related event learning in community pharmacies: manual versus computerized reporting processes. September 19, 2012 Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. December 7, 2022 An educational and audit tool to reduce prescribing error in intensive care. October 29, 2008 Electronic results management in pediatric ambulatory care: qualitative assessment. January 28, 2009 What happens when things go wrong? February 16, 2011 Surgical safety and hospital volume across a wide range of interventions. September 29, 2010 Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system. April 25, 2018 Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. December 6, 2017 Burnout syndrome among healthcare professionals. December 13, 2017 Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? June 8, 2022 How often are potential patient safety events present on admission? February 27, 2008 Teamwork behaviours and errors during neonatal resuscitation. March 24, 2010 Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. January 23, 2019 A communication training program to encourage speaking-up behavior in surgical oncology. October 11, 2017 Evaluation of an anonymous system to report medical errors in pediatric inpatients. August 22, 2007 Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. May 18, 2011 Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. January 20, 2010 Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. October 15, 2014 Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. March 13, 2019 Perceptions of effective and ineffective nurse–physician communication in hospitals. August 25, 2010 A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Access to prescription opioids—Primum Non Nocere: a teachable moment. July 27, 2016 Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial. November 29, 2017 Assessing and supporting late career practitioners: four key questions. September 30, 2020 View More Related Resources It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. November 29, 2023 Medical errors kill thousands of people each year. But are hospitals getting any safer? May 17, 2023 Patient Safety Authority Annual Reports. May 1, 2023 How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. December 21, 2022 Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. August 24, 2022 Family safety reporting in medically complex children: parent, staff, and leader perspectives. July 6, 2022 Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. March 30, 2022 COVID Risk In Hospitals. January 26, 2022 Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. November 3, 2021 Using text mining techniques to identify health care providers with patient safety problems: exploratory study. October 13, 2021 Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. June 16, 2021 Hospital Compare. May 13, 2021 The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. November 4, 2020 Patient. October 19, 2020 Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. July 15, 2020 Lyme disease is baffling, even to experts, but new insights are at last accumulating. September 18, 2019 Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. July 17, 2019 Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. July 10, 2019 Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs. May 15, 2019 Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. May 1, 2019 The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. March 27, 2019 Medicare trims payments to 800 hospitals, citing patient safety incidents. March 13, 2019 "I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. March 6, 2019 Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. February 20, 2019 Patient participation in patient safety—an exploration of promoting factors. February 13, 2019 Heart Failure: The Decline of a Historic Transplant Program. January 30, 2019 A factorial survey on safety behavior providing opportunities to improve safety. December 5, 2018 "Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. November 14, 2018 Provider interruptions and patient perceptions of care: an observational study in the emergency department. November 7, 2018 Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. September 26, 2018 View More See More About The Topic Hospitals Health Care Executives and Administrators Patients Nosocomial Infections Privacy Violations View More
Patient assessments of a hypothetical medical error: effects of health outcome, disclosure, and staff responsiveness. April 19, 2006
Rate of undesirable events at beginning of academic year: retrospective cohort study. October 28, 2009
Detecting drug interactions using personal digital assistants in an out-patient clinic. October 31, 2007
The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. January 15, 2020
Integrating systemic accident analysis into patient safety incident investigation practices. November 21, 2018
Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. September 25, 2019
Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency. February 18, 2009
Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. October 8, 2008
A simple checklist for preventing major complications associated with cesarean delivery. January 5, 2011
Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. May 10, 2023
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions. March 20, 2019
Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. June 1, 2022
Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. July 16, 2008
Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. May 2, 2012
Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 27, 2005
To err is system: a comparison of methodologies for the investigation of adverse outcomes in healthcare. May 5, 2021
Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century. March 1, 2006
Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. November 4, 2020
Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education. November 9, 2005
The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature. October 5, 2022
Clinical outcomes of a home-based medication reconciliation program after discharge from a skilled nursing facility. May 7, 2008
Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. February 17, 2016
Using the Agency for Healthcare Research and Quality Patient Safety Indicators for targeting nursing quality improvement. November 23, 2011
Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. December 2, 2009
Race differences in reported harmful patient safety events in healthcare system high reliability organizations. January 23, 2019
A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. January 29, 2014
'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas. February 27, 2008
A systematic review of interventions to follow-up test results pending at discharge. February 7, 2018
Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes. October 12, 2011
Controversies surrounding use of order sets for clinical decision support in computerized provider order entry. November 29, 2006
Enhancing communication in surgery through team training interventions: a systematic literature review. December 22, 2010
Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis. March 21, 2018
Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. June 16, 2021
Clinical progress note: situation awareness for clinical deterioration in hospitalized children. May 11, 2022
Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. April 27, 2022
Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. May 30, 2007
Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. December 15, 2010
Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. August 13, 2008
Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. March 18, 2015
Quality-related event learning in community pharmacies: manual versus computerized reporting processes. September 19, 2012
Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx. December 7, 2022
Assessment of emergency department antibiotic discharge prescription dosing errors for pediatric patients in a community hospital health system. April 25, 2018
Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls? June 8, 2022
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. January 23, 2019
A communication training program to encourage speaking-up behavior in surgical oncology. October 11, 2017
Residents' reflections on quality improvement: temporal stability and associations with preventability of adverse patient events. May 18, 2011
Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. January 20, 2010
Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. October 15, 2014
Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery. March 13, 2019
A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016
Diagnostic accuracy of pediatric teledermatology using parent-submitted photographs: a randomized clinical trial. November 29, 2017
It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. November 29, 2023
How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. December 21, 2022
Feelings of trust and of safety are related facets of the patient's experience in surgery: a descriptive qualitative study in 80 patients. August 24, 2022
Family safety reporting in medically complex children: parent, staff, and leader perspectives. July 6, 2022
Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. March 30, 2022
Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. November 3, 2021
Using text mining techniques to identify health care providers with patient safety problems: exploratory study. October 13, 2021
Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. June 16, 2021
The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety. November 4, 2020
Lyme disease is baffling, even to experts, but new insights are at last accumulating. September 18, 2019
Opportunities for improvement in nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed by the Safety Attitudes Questionnaire. July 17, 2019
Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. July 10, 2019
Can patients contribute to safer care in meetings with healthcare professionals? A cross-sectional survey of patient perceptions and beliefs. May 15, 2019
The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. March 27, 2019
"I am administering medication—please do not interrupt me": red tabards preventing interruptions as perceived by surgical patients. March 6, 2019
Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals. February 20, 2019
"Change is what can actually make the tough times better": a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. November 14, 2018
Provider interruptions and patient perceptions of care: an observational study in the emergency department. November 7, 2018
Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. September 26, 2018