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Total Results: over 10,000 records

Showing results for "incident".

141. The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. | PSNet
     psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
     May 18, 2022 - impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident … impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident … Researchers analyzed 327 voluntary incident reports from one medical center in the Netherlands and found … impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident … found in patient records reported by patients and healthcare professionals via complaints, claims and incident

142. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
     February 22, 2019 - This study used patient safety incident reports in the UK to characterize and explore safety issues arising … Over a ten-year period, there were 70 reports of an ACP-related patient safety incident (due to incomplete … February 22, 2019 Characterising the nature of primary care patient safety incident reports … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

143. Patient-assisted incident reporting: including the patient in patient safety. | PSNet
     psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
     June 16, 2011 - Commentary Patient-assisted incident reporting: including the patient in patient … Patient-assisted incident reporting: including the patient in patient safety. … This commentary suggests that patient-assisted incident reporting following an adverse event can reveal … Patient-assisted incident reporting: including the patient in patient safety. … December 15, 2011 Establishing a global learning community for incident-reporting systems

144. 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

145. 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

146. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet
     psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
     April 14, 2011 - Study Unit-based incident reporting and root cause analysis: variation at three hospital … Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … Incident reporting systems and root cause analyses remain the main mechanisms by which adverse events … This study sought to determine whether more localized, unit-based incident reporting systems might provide … Unit-based incident reporting and root cause analysis: variation at three hospital unit types.

147. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet
     psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
     June 18, 2008 - Study Benchmarking surgical incident reports using a database and a triage system … Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes … This study, like most studies of data derived from incident reports, is limited because voluntary reports … Nonetheless, the study illustrates how to use incident reporting data within an appropriate conceptual … Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes

148. 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

149. 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.

150. 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-

151. Attitudes and barriers to incident reporting: a collaborative hospital study. | PSNet
     psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
     June 15, 2011 - Study Attitudes and barriers to incident reporting: a collaborative hospital study … Attitudes and barriers to incident reporting: a collaborative hospital study. … The researchers surveyed physicians and nurses in South Australia regarding their use of incident reporting … Attitudes and barriers to incident reporting: a collaborative hospital study. … Resources From the Same Author(s) Evaluation of an intervention aimed at improving voluntary incident

152. Narrativizing errors of care: critical incident reporting in clinical practice. | PSNet
     psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice
     September 06, 2017 - Commentary Narrativizing errors of care: critical incident reporting in clinical … Narrativizing errors of care: critical incident reporting in clinical practice. … The authors propose that critical incident reporting can help to involve clinicians in evaluating and … Narrativizing errors of care: critical incident reporting in clinical practice. … September 6, 2017 Practising open disclosure: clinical incident communication and systems

153. 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

154. Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. | PSNet
     psnet.ahrq.gov/issue/worries-and-concerns-experienced-nurse-specialists-during-inter-hospital-transports
     September 19, 2016 - experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident … experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident … This Swedish study used critical incident debriefing techniques to explore factors leading to potential … experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident … January 30, 2019 How well do incident reporting systems work on inpatient psychiatric

155. Rates of safety incident reporting in MRI in a large academic medical center. | PSNet
     psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center
     May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center … Rates of safety incident reporting in MRI in a large academic medical center. … This analysis of incident reports related to magnetic resonance imaging found that, similar to other … settings , incident reports are infrequent, and most do not result in patient harm. … Rates of safety incident reporting in MRI in a large academic medical center.

156. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet
     psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
     January 19, 2011 - non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident … non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident … This review of operating room incident reports found that anesthetic technicians' situational awareness … non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident

157. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. | PSNet
     psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study
     October 05, 2011 - Study Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL … Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. … This study investigates the local implementation and feasibility of an incident reporting system for … Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. … September 7, 2016 Effects of patient safety culture interventions on incident reporting

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867637/psn-pdf
     February 26, 2025 - Patient safety incident reporting and learning guidelines implemented by health care professionals in … Patient safety incident reporting and learning guidelines implemented by health care professionals in … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health … - care Patient safety incident reporting and learning (PSIRL) systems are integral to ensuring patient … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866311/psn-pdf
     January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and systems used for safety incident … psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used- safety-incident … Incident reporting systems are commonly used to detect threats to patient safety. … This systematic review of 106 studies examined the characteristics of incident reporting processes in

160. Critical incident stress debriefing after adverse patient safety events. | PSNet
     psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
     April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events.