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Showing results for "incident".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842768/psn-pdf
     January 18, 2023 - Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review … Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review … https://psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals … - systematic Incident reporting systems are common tools to detect patient safety hazards. … This systematic review synthesized evidence from 41 studies using incident reporting system data to

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73530/psn-pdf
     July 28, 2021 - The nature, severity and causes of medication incidents from an Australian community pharmacy incident … The nature, severity and causes of medication incidents from an Australian community pharmacy incident … psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community- pharmacy-incident … This study analyzed medication incident (MI) reports from thirty community pharmacies in Australia. … https://psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867641/psn-pdf
     February 26, 2025 - Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional … Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional … https://psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety- incident-cross … 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

164. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet
     psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
     March 14, 2022 - After implementation, incident reporting increased by 41% in the first quarter of 2023 (to 1 in every … September 4, 2024 Uncovering the risks of anticancer therapy through incident report … analysis using a newly developed medical oncology incident taxonomy. … November 16, 2022 The impact of COVID-19 workflow changes on radiation oncology incident … November 2, 2022 Evaluating incident learning systems and safety culture in two radiation

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72856/psn-pdf
     March 17, 2021 - The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … https://psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven … The authors propose a method which leverages a radiation oncology incident learning system with a simplified … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system https://psnet.ahrq.gov/issue

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74264/psn-pdf
     January 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. … Characteristics of critical incident reporting systems in primary care: an international survey. … https://psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international … - survey Critical incident reporting systems (CIRS) are used to improve learning and patient safety … ., nurses, physicians, patients); whether reporting is mandatory or voluntary or both depending on incident

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867082/psn-pdf
     November 06, 2024 - Learning in radiation oncology: 12-month experience with a new incident learning system. … month experience with a new incident learning system. … https://psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning- … system An incident learning system (ILS) can highlight system weaknesses and promote organizational … https://psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system

168. 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

169. The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest reliability and hospital-level reliability. | PSNet
     psnet.ahrq.gov/issue/patient-reported-incident-hospital-instrument-prih-i-assessments-data-quality-test-retest
     March 20, 2015 - Study The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments … The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test-retest … The Patient-Reported Incident in Hospital Instrument, which consists of 13 questions about patient-perceived … The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test-retest … June 18, 2013 A comprehensive overview of medical error in hospitals using incident-reporting

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866351/psn-pdf
     July 24, 2024 - 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 … psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic- review-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

171. The impact of COVID-19 workflow changes on radiation oncology incident reporting. | PSNet
     psnet.ahrq.gov/issue/impact-covid-19-workflow-changes-radiation-oncology-incident-reporting
     June 30, 2021 - Study The impact of COVID-19 workflow changes on radiation oncology incident reporting … The impact of COVID‐19 workflow changes on radiation oncology incident reporting. … The impact of COVID‐19 workflow changes on radiation oncology incident reporting. … Resources From the Same Author(s) Impact of technological and departmental changes on incident … June 30, 2021 Evaluating incident learning systems and safety culture in two radiation

172. Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet
     psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
     March 21, 2017 - The limitations of standard incident reporting systems have been well documented.  … A prior article presented a framework for using incident reporting data to improve patient safety. … July 13, 2022 Characteristics of critical incident reporting systems in primary care: … August 24, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian … : description of 4846 incident reports.

173. Classification of patient-safety incidents in primary care. | PSNet
     psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
     October 12, 2016 - Health Organization International Classification for Patient Safety enables measurement of safety incident … October 12, 2016 Nature of blame in patient safety incident reports: mixed methods analysis … December 16, 2020 Harms from discharge to primary care: mixed methods analysis of incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … February 11, 2015 Incident reporting practices in the preanalytical phase: low reported

174. 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

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50775/psn-pdf
     January 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … https://psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers … Half of all incident reports involved interunit/department/team transfers and the majority (69%) of … Few incident reports referenced individual or organizational learning (e.g., team discussions, root

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866590/psn-pdf
     August 28, 2024 - Risk controls identified in action plans following serious incident investigations in secondary care … Risk controls identified in action plans following serious incident investigations in secondary care … https://psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations … - secondary Patient safety incident investigations offer unique opportunities to encourage continuous … hospital in the United Kingdom to assess how well the proposed patient safety actions generated from incident

177. Challenges and opportunities of patient safety event reporting. | PSNet
     psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
     June 23, 2021 - This article discusses the technological challenges of incident reporting and offers recommendations … 2022 View More Related Resources Characteristics of critical incident … January 19, 2022 Incident reporting systems: what will it take to make them less frustrating … March 7, 2012 Voluntary incident reporting by anaesthetic trainees in an Australian hospital … June 29, 2011 Implementation of a patient safety incident management system as viewed

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866814/psn-pdf
     September 25, 2024 - Accuracy of a proprietary large language model in labeling obstetric incident reports. … Accuracy of a proprietary large language model in labeling obstetric incident reports. … https://psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports … Voluntary incident reporting is an important resource for identifying adverse events and near misses … https://psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60872/psn-pdf
     September 02, 2020 - How incident reporting systems can stimulate social and participative learning: a mixed-methods study … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … https://psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning … - mixed-methods Using qualitative and quantitative data, this study evaluated how incident reporting … The authors identified five core areas related to incident reporting: (1) changed staff attitudes and

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50659/psn-pdf
     November 13, 2019 - Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. … Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. … https://psnet.ahrq.gov/issue/barriers-and-facilitators-incident-reporting-mental-healthcare-settings- … 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