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Showing results for "incident".

141. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
     September 22, 2021 - of Dutch nurses and doctors found that most respondents (86%) had been involved in a patient safety incident … some point during their career but only a small proportion sought out support in the aftermath of the incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident … February 15, 2023 Psychological impact and recovery after involvement in a patient safety incident … study measuring the difference of healthcare workers reactions among those involved in a patent safety incident

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853065/psn-pdf
     August 30, 2023 - Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … analysis of NHS England staff survey and incident data. … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … analysis of NHS England staff survey and incident data. … - learning-analysis Voluntary incident reporting rates may be an indicator of organizational safety

143. 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

144. Emergency department patient safety incident characterization: an observational analysis of the findings of a standardized peer review process. | PSNet
     psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational-analysis-findings
     July 29, 2020 - Study Emergency department patient safety incident characterization: an observational … Emergency department patient safety incident characterization: an observational analysis of the findings … characterize patient safety incidents in a tertiary care emergency department, researchers investigated incident … Emergency department patient safety incident characterization: an observational analysis of the findings

145. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet
     psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
     November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … This review highlights alternative approaches to incident analysis that address some of the concerns … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … September 5, 2018 How well do incident reporting systems work on inpatient psychiatric

146. 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.

147. Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional study in Flanders (Belgium). | PSNet
     psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety-incident-cross
     February 15, 2023 - Open disclosure among general practitioners as second victim of a patient safety incident … Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional … included 78 general practitioners in Belgium, found that 87% had been involved in a patient safety incident … Only half of respondents were involved in an open discourse process after the incident, but participation … Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865711/psn-pdf
     May 01, 2024 - Paediatric medication incident reporting: a multicentre comparison study of medication errors identified … at audit, detected by staff and reported to an incident system. … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified … at audit, detected by staff and reported to an incident system. … https://psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-

149. A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19. | PSNet
     psnet.ahrq.gov/issue/comparative-study-measuring-difference-healthcare-workers-reactions-among-those-involved
     February 15, 2023 - study measuring the difference of healthcare workers reactions among those involved in a patent safety incident … study measuring the difference of healthcare workers reactions among those involved in a patent safety incident … the mental health and well-being of healthcare workers compared to involvement in a patient safety incident … study measuring the difference of healthcare workers reactions among those involved in a patent safety incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73209/psn-pdf
     May 05, 2021 - Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting … Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting … - pharmacy-incident Community pharmacists play an important role in patient safety. … https://psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident … https://psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident

151. 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

152. 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

153. 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 . 

154. Does error and adverse event reporting by physicians and nurses differ? | PSNet
     psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
     February 24, 2011 - Hospital incident reporting systems are ubiquitous but limited, as their voluntary nature results in … Prior research has documented that physicians, in particular, do not file incident reports.  … This evaluation of more than 260,000 incident reports from a broad cross-section of hospitals examined … links between the severity of the incident and who reported the incident. … A successful intervention to improve physician incident reporting was described in a prior study .

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74141/psn-pdf
     December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful … Incident reporting systems: what will it take to make them less frustrating and achieve anything useful … https://psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and … - achieve-anything Incident reporting has long been advocated as a central strategy supporting error … https://psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45526/psn-pdf
     January 01, 2019 - Improving incident reporting among physician trainees. … Improving Incident Reporting Among Physician Trainees. … https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees Incident reporting … The authors suggest that this intervention may enhance incident reporting in other institutions. … https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees https://psnet.ahrq.gov

157. 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

158. 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

159. 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.

160. 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