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Showing results for "incident".

181. 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

182. 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

183. 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

184. 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

185. 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

186. Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. | PSNet
     psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach
     July 29, 2020 - Healthcare professionals' encounters with ethnic minority patients: the critical incident … Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. … Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. … August 25, 2021 Evaluation of older persons' medications: a critical incident technique … October 6, 2021 Long-term care nurses' experiences with patient safety incident management

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73923/psn-pdf
     October 06, 2021 - Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient- safety-incident … Clinicians who are involved in a patient safety incident often experience significant emotional consequences … This study found that nurses involved in an patient safety incident resulting in patient death were

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50753/psn-pdf
     December 18, 2019 - The contribution of staffing to medication administration errors: a text mining analysis of incident … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident … /psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis- incident-report … retrospective study used descriptive statistics, manual analysis, and text mining of medication-related incident … The key importance of this article is the use of an automated system to analyze incident reports.

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837144/psn-pdf
     May 18, 2022 - Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. … Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. … https://psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed … This article describes data collected during the first three years of a new statewide incident reporting … system, California’s Workplace Violent Incident Reporting System (WVIRS) for Hospitals.

190. Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet
     psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
     September 20, 2011 - Book/Report Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. … Citation Text: Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. … Incident reporting systems are ubiquitous, but their effectiveness as a means of monitoring for patient … This follow-up analysis found that incident reports were not filed for the vast majority of these adverse … Copy URL Cite Citation Citation Text: Hospital Incident

191. Adverse event reporting: harnessing residents to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
     July 02, 2019 - Physicians are known to underuse voluntary incident reporting systems in hospitals. … physicians and simplifying their reporting system, investigators observed a 230% increase in trainee incident … A prior WebM&M commentary discussed the value of incident reporting for errors and near misses. … February 15, 2017 Improving incident reporting among physician trainees. … July 2, 2014 Possible solutions for barriers in incident reporting by residents.

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50795/psn-pdf
     January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report … Diagnostic error in the emergency department: learning from national patient safety incident report … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety- incident-report … This retrospective study reviewed incident reports to characterize diagnostic errors occurring in emergency … https://psnet.ahrq.gov/issue/problem-incident-reporting https://psnet.ahrq.gov/primer/diagnostic-errors

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858171/psn-pdf
     December 13, 2023 - Uncovering the risks of anticancer therapy through incident report analysis using a newly developed … medical oncology incident taxonomy. … Uncovering the risks of anticancer therapy through incident report analysis using a newly developed … medical oncology incident taxonomy. … https://psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73188/psn-pdf
     April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. … Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. … https://psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident … The authors suggest that integrating these dimensions into existing incident reporting system processes … https://psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74834/psn-pdf
     February 16, 2022 - Evaluating incident learning systems and safety culture in two radiation oncology departments. … Evaluating incident learning systems and safety culture in two radiation oncology departments. … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation- … surveyed radiation oncology staff in two local health districts to assess understanding and use of incident … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72546/psn-pdf
     December 09, 2020 - Learning from incident reporting? … Learning from incident reporting? … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web … - based-system Incident reporting systems and root cause analyses are the primary mechanisms by which … This analysis of incident reports occurring at one hospital in Sweden found that the handling, causes

197. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852444/psn-pdf
     August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global- … difference in adverse events detected using the Global Trigger Tool compared to those detected via incident … than 10% of adverse events detected using the Global Trigger Tool were also found in corresponding incident

198. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. | PSNet
     psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
     October 26, 2022 - Study Self-Reported Learning (SRL), a voluntary incident reporting system experience … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health … Analysis of incident reports from a patient safety organization. … February 12, 2020 Novel telephone-based interactive voice response system for incident

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44744/psn-pdf
     June 21, 2016 - Can patient safety incident reports be used to compare hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? … https://psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results … Incident reports provide one lens into patient safety, despite concerns about under-reporting. … Numerous incident reports may indicate either a high number of errors or a robust safety culture that

200. Toward learning from patient safety reporting systems. | PSNet
     psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
     January 02, 2017 - This study reports the initial findings from a voluntary, Web-based patient safety incident reporting … The authors note that the science of incident reporting systems is still in its infancy and recommend … that future research should study how to use incident reporting data to improve patient safety. … June 16, 2011 Using incident reporting to improve patient safety: a conceptual model. … : description of 4846 incident reports.