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Showing results for "incident".

161. 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

162. 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:

163. 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

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47571/psn-pdf
     December 12, 2018 - Enhancing safety culture through improved incident reporting: a case study in translational research … Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research … https://psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study- … of interventions employed at a large health care provider in London over a 2-year period to improve incident … efforts to improve culture survey results, reduce health care–associated patient harm, and increase incident

165. 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

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836784/psn-pdf
     March 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … https://psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident … - reports Effective incident reporting systems play an essential role in identifying and mitigating … content analysis can support incident analysis and help identify risk mitigation strategies, performance

167. 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

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73086/psn-pdf
     January 01, 2022 - Barriers to incident reporting among nurses: a qualitative systematic review. … Barriers to incident reporting among nurses: a qualitative systematic review. … https://psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review … Incident reporting plays an essential role in identifying patient safety threats. … This study aggregated findings from qualitative studies to identify barriers to incident reporting among

169. 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

170. 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

171. 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

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73065/psn-pdf
     March 24, 2021 - Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop- learning-incident … Incident reporting systems are a common method for hospitals to detect patient safety events, but prior … Conducted in a nursing home, this study found that an existing incident reporting system redesigned

173. 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

174. 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

175. 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

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46867/psn-pdf
     February 20, 2019 - Connecting perspectives on quality and safety: patient- level linkage of incident, adverse event and … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and … https://psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident … - adverse-event-and Safety events in hospitalized patients are captured in three ways: incident reports … Among Dutch surgical patients, the three methods captured unique problems, but patients with an incident

177. 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

178. 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

179. 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

180. 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