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Showing results for "incident".

101. 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 … Copy URL Cite Citation Citation Text: Critical Incident … patient safety problems associated with information technology in general practice: an analysis of incident

102. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. | PSNet
     psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
     September 19, 2016 - Study Psychological impact and recovery after involvement in a patient safety incident … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … Investigators surveyed more than 900 clinicians involved in a patient safety incident across 33 Belgian … other findings, the study showed that supportive environments reduced the psychological impact of the incident … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures

103. Incident reporting system does not detect adverse drug events: a problem for quality improvement. | PSNet
     psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
     February 10, 2011 - Study Classic Incident reporting system does not detect … The incident reporting system does not detect adverse drug events: a problem for quality improvement. … This study determined the rate with which adverse drug events (ADE) resulted in an incident report … The authors offer a plan to improve reporting systems and provide examples of how past incident reports … The incident reporting system does not detect adverse drug events: a problem for quality improvement.

104. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
     January 08, 2025 - Review Patient safety incident reporting and learning guidelines implemented by health … Patient safety incident reporting and learning guidelines implemented by health care professionals in … Patient safety incident reporting and learning (PSIRL) systems are integral to ensuring patient safety … Patient safety incident reporting and learning guidelines implemented by health care professionals in … 22, 2024 Exploring the "Black Box" of recommendation generation in local health care incident

105. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet
     psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
     November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … The authors propose a method which leverages a radiation oncology incident learning system with a simplified … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … March 8, 2023 Content analysis of patient safety incident reports for older adult patient

106. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet
     psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
     April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint … Safety events in hospitalized patients are captured in three ways: incident reports (process problems … Among Dutch surgical patients, the three methods captured unique problems, but patients with an incident … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint

107. Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. | PSNet
     psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors
     October 21, 2020 - Study Voluntary medical incident reporting tool to improve physician reporting of … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … After introducing a web-based voluntary incident reporting system in an academic emergency department … A prior PSNet perspective discussed incident reporting systems and the importance of not only increasing … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency

108. Adopting system models for multiple incident analysis: utility and usability. | PSNet
     psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability
     May 19, 2021 - Study Adopting system models for multiple incident analysis: utility and usability … Adopting systems models for multiple incident analysis: utility and usability. … and Systems Engineering Initiative for Patient Safety (SEIPS) – to better understand patient safety incident … Adopting systems models for multiple incident analysis: utility and usability. … methods of detecting medication errors: a secondary analysis of medication administration errors using incident

109. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
     December 29, 2014 - Study Learning from patient safety incidents in incident review meetings: organisational … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … This observational study of incident report review meetings found that high workload, lack of organizational … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … Healthcare practitioners' views of the effectiveness of incident reporting.

110. Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet
     psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
     August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation … The limitations of standard incident reporting systems have been well documented . … This interview study investigated health care providers' perceptions of safety events and incident reporting … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation

111. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet
     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 … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … Incident reports provide valuable learning opportunities at individual, team, and organizational levels … This study used incident reports involving anticoagulant medication errors to demonstrate the effectiveness … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident

112. Incident reporting in one UK accident and emergency department. | PSNet
     psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
     December 12, 2012 - Study Incident reporting in one UK accident and emergency department. … Incident reporting in one UK accident and emergency department. … The investigators analyzed incident reporting data from 1 year to inform recommendations for ensuring … Incident reporting in one UK accident and emergency department. … December 1, 2021 Incident reporting systems: what will it take to make them less frustrating

113. Efficacy of an incident-reporting system in cellular pathology: a practical experience. | PSNet
     psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience
     August 21, 2024 - Study Efficacy of an incident-reporting system in cellular pathology: a practical … Efficacy of an incident-reporting system in cellular pathology: a practical experience. … Efficacy of an incident-reporting system in cellular pathology: a practical experience. … impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident … February 15, 2010 Classifying laboratory incident reports to identify problems that jeopardize

114. Wrong site surgery: a critical incident analysis of a near miss. | PSNet
     psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
     June 15, 2024 - Commentary Wrong site surgery: a critical incident analysis of a near miss. … Wrong site surgery: A critical incident analysis of a near miss. … Wrong site surgery: A critical incident analysis of a near miss.

115. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet
     psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
     December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety … August 19, 2020 The fusion of incident learning and failure mode and effects analysis … September 1, 2021 How incident reporting systems can stimulate social and participative

116. Analysis of critical incident reports using natural language processing. | PSNet
     psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
     June 14, 2023 - Study Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident

117. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. | PSNet
     psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
     December 16, 2015 - Book/Report Characterising the nature of primary care patient safety incident reports … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National … Management and analysis of incident reporting data must be enhanced in order to realize the potential … able to categorize the types of incidents and prioritize system improvements needed to optimize incident … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National

118. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital. | PSNet
     psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient
     October 27, 2010 - Study A web-based incident reporting system and multidisciplinary collaborative projects … A web-based incident reporting system and multidisciplinary collaborative projects for patient safety … The investigators observed the effects of a voluntary and anonymous Web-based incident reporting system … A web-based incident reporting system and multidisciplinary collaborative projects for patient safety … January 6, 2010 A comparative analysis of incident reporting lag times in academic medical

119. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. | PSNet
     psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and-physicians
     March 11, 2013 - Study Motivational antecedents of incident reporting: evidence from a survey of nurses … Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. … This survey examined the barriers to incident reporting faced by nurses and physicians in Switzerland … Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. … June 17, 2014 What to do with healthcare incident reporting systems.

120. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet
     psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
     September 10, 2014 - Study Improved incident reporting following the implementation of a standardized … Improved incident reporting following the implementation of a standardized emergency department peer … The institution of a non-punitive peer review process with standardized feedback for incident reports … Improved incident reporting following the implementation of a standardized emergency department peer … February 27, 2019 Integrating incident data from five reporting systems to assess patient