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Showing results for "incident".

121. Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/barriers-and-facilitators-incident-reporting-mental-healthcare-settings-qualitative-study
     February 05, 2020 - Study Barriers and facilitators to incident reporting in mental healthcare settings … Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. … qualitative study of staff in mental healthcare settings and assessed the barriers and facilitators to incident … The authors identified unique challenges to incident reporting in mental health, including the incidence … Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study.

122. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet
     psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
     November 03, 2021 - Commentary Incident reporting systems: what will it take to make them less frustrating … Incident reporting systems: what will it take to make them less frustrating and achieve anything useful … Incident reporting has long been advocated as a central strategy supporting error reduction, transparency … Incident reporting systems: what will it take to make them less frustrating and achieve anything useful … April 12, 2011 Incident reporting in one UK accident and emergency department.

123. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. | PSNet
     psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
     October 16, 2013 - Study A comprehensive overview of medical error in hospitals using incident-reporting … A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints … Comparing adverse events detected by the hospital's voluntary incident reporting system , retrospective … September 7, 2011 Which aspects of safety culture predict incident reporting behavior … January 9, 2014 Motivational antecedents of incident reporting: evidence from a survey

124. Impact of system-level activities and reporting design on the number of incident reports for patient safety. | PSNet
     psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety
     January 20, 2011 - Study Impact of system-level activities and reporting design on the number of incident … Impact of system-level activities and reporting design on the number of incident reports for patient … Impact of system-level activities and reporting design on the number of incident reports for patient … Citation Related Resources From the Same Author(s) A comparative analysis of incident … June 10, 2020 A web-based incident reporting system and multidisciplinary collaborative

125. Barriers to incident notification in a regional prehospital setting. | PSNet
     psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting
     December 21, 2022 - Study Barriers to incident notification in a regional prehospital setting. … Barriers to incident notification in a regional prehospital setting. … Barriers to incident notification in a regional prehospital setting.

126. Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place. | PSNet
     psnet.ahrq.gov/issue/hospital-staff-should-use-more-one-method-detect-adverse-events-and-potential-adverse-events
     November 12, 2014 - Hospital staff should use more than one method to detect adverse events and potential adverse events: incident … Hospital staff should use more than one method to detect adverse events and potential adverse events: incident … All hospitals are required to have an incident reporting system, but the voluntary nature of such systems … Most adverse events were detected by record review, not by incident reporting; pharmacy surveillance … The failure of incident reporting systems to detect ADEs has been previously reported . 

127. Learning in radiation oncology: 12-month experience with a new incident learning system. | PSNet
     psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system
     February 16, 2022 - Study Learning in radiation oncology: 12-month experience with a new incident learning … Learning in radiation oncology: 12‐month experience with a new incident learning system. … An incident learning system (ILS) can highlight system weaknesses and promote organizational learning … Learning in radiation oncology: 12‐month experience with a new incident learning system. … Download Citation Related Resources From the Same Author(s) Evaluating incident

128. Older folks in hospitals: the contributing factors and recommendations for incident prevention. | PSNet
     psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
     April 13, 2022 - Study Older folks in hospitals: the contributing factors and recommendations for incident … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … This retrospective review of incident reports at a tertiary care hospital revealed that errors related … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident

129. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. | PSNet
     psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
     January 19, 2022 - Review Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … Incident reporting systems (IRS) allow providers, staff, and, in some cases, patients and families, to … Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … July 19, 2023 Comparing rates of adverse events detected in incident reporting and the

130. 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

131. Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet
     psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
     January 15, 2020 - Using the WHO International Classification of patient safety framework to identify incident … Using the WHO International Classification of patient safety framework to identify incident characteristics … Using the WHO International Classification of patient safety framework to identify incident characteristics … February 1, 2017 Harms from discharge to primary care: mixed methods analysis of incident … September 7, 2016 Integrating incident reporting into an electronic patient record system

132. Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary
     April 22, 2017 - Study Risk controls identified in action plans following serious incident investigations … Risk controls identified in action plans following serious incident investigations in secondary care: … Patient safety incident investigations offer unique opportunities to encourage continuous learning … hospital in the United Kingdom to assess how well the proposed patient safety actions generated from incident … Risk controls identified in action plans following serious incident investigations in secondary care:

133. A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. | PSNet
     psnet.ahrq.gov/issue/comparative-analysis-incident-reporting-lag-times-academic-medical-centres-japan-and-usa
     March 23, 2011 - Study A comparative analysis of incident reporting lag times in academic medical … A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA … This study compared incident reporting practices at two hospitals and noted significantly longer lag … A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA … Same Author(s) Impact of system-level activities and reporting design on the number of incident

134. Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial. | PSNet
     psnet.ahrq.gov/issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice-cluster
     September 07, 2016 - Study Effects of patient safety culture interventions on incident reporting in general … Effects of patient safety culture interventions on incident reporting in general practice: a cluster … Effects of patient safety culture interventions on incident reporting in general practice: a cluster … September 7, 2016 Feasibility of centre-based incident reporting in primary healthcare … August 20, 2018 Nature of blame in patient safety incident reports: mixed methods analysis

135. To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? | PSNet
     psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare
     January 21, 2009 - found in patient records reported by patients and healthcare professionals via complaints, claims and incident … found in patient records reported by patients and healthcare professionals via complaints, claims and incident … This Dutch study found that patient complaints , malpractice claims , and incident reports identified … July 2, 2014 Unit-based incident reporting and root cause analysis: variation at three … January 13, 2021 Integrating incident data from five reporting systems to assess patient

136. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet
     psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
     August 03, 2017 - Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … This retrospective review of anesthesia and critical care cases in the German incident reporting system … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident

137. Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. | PSNet
     psnet.ahrq.gov/issue/incident-learning-pursuit-high-reliability-implementing-comprehensive-low-threshold-reporting
     September 27, 2017 - Study Incident learning in pursuit of high reliability: implementing a comprehensive … Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting … This study describes the experience of an incident learning program in a radiation oncology department … Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting … July 1, 2015 Radiation Oncology Incident Learning System.

138. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. | PSNet
     psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
     March 29, 2023 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident … Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident … Researchers analyzed two years of incident reports (IR) to ascertain potential system issues contributing … Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident … Related Resources Accuracy of a proprietary large language model in labeling obstetric incident

139. Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence. | PSNet
     psnet.ahrq.gov/issue/patient-and-family-involvement-serious-incident-investigations-perspectives-key-stakeholders
     March 02, 2022 - Review Patient and family involvement in serious incident investigations from the … Patient and family involvement in serious incident investigations from the perspectives of key stakeholders … qualitative evidence review concluded that patients and families value involvement in patient safety incident … Patient and family involvement in serious incident investigations from the perspectives of key stakeholders … Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867694/psn-pdf
     March 05, 2025 - Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident … Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of incident … psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and- deadlock-incident … Incident reporting systems are considered an essential tool for learning from patient safety events … https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm