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Showing results for "incident".

21. Fluorouracil Incident Root Cause Analysis Report. | PSNet
    psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
    September 02, 2014 - Book/Report Fluorouracil Incident Root Cause Analysis Report. … Citation Text: Fluorouracil Incident Root Cause Analysis Report. … This report shares findings from a root cause analysis of a medication error incident that led to … Copy URL Cite Citation Citation Text: Fluorouracil Incident … May 11, 2014 External Inquiry into the adverse incident that occurred at Queen's Medical

22. Multiple accountabilities in incident reporting and management. | PSNet
    psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management
    August 28, 2024 - Slideset Multiple accountabilities in incident reporting and management. … Multiple accountabilities in incident reporting and management. … This ethnographic study explored incident reporting systems and their management practices, and found … Multiple accountabilities in incident reporting and management. … February 11, 2015 Barriers to incident notification in a regional prehospital setting

23. Research from webAIRS incident reporting system. | PSNet
    psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
    February 15, 2023 - Special or Theme Issue Research from webAIRS incident reporting system. … Citation Text: Research from webAIRS incident reporting system. … URL Cite Citation Citation Text: Research from webAIRS incident … October 5, 2011 WebAIRS Anesthesia Incident Reporting System.

24. The frustrating case of incident-reporting systems. | PSNet
    psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
    June 22, 2022 - Commentary The frustrating case of incident-reporting systems. … The frustrating case of incident-reporting systems. … This commentary discusses the limitations of incident reporting systems and provides suggestions for … how data gathered from incident reports may be used to improve safety. … The frustrating case of incident-reporting systems.

25. Critical incident reporting system in emergency medicine. | PSNet
    psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
    August 07, 2019 - Review Critical incident reporting system in emergency medicine. … Critical incident reporting system in emergency medicine. … This article explains how critical incident reporting systems and safety culture  can help ensure  … Critical incident reporting system in emergency medicine. … August 7, 2019 Enhancing patient safety by integrating ethical dimensions to critical incident

26. Incident learning in radiation oncology: a review. | PSNet
    psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
    October 14, 2020 - Review Emerging Classic Incident learning in radiation … Incident learning in radiation oncology: A review. … the application of this concept in radiation oncology , successful practices, and challenges for incident … Incident learning in radiation oncology: A review. … Prevention of a wrong-location misadministration through the use of an intradepartmental incident

27. Review of the Australian Incident Monitoring System. | PSNet
    psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
    July 23, 2008 - Study Review of the Australian Incident Monitoring System. … Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. … The authors surveyed users of the Australian Incident Monitoring System (AIMS) to determine its value … Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61.

28. Safety incident reports associated with blood transfusions. | PSNet
    psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions
    July 13, 2010 - Study Safety incident reports associated with blood transfusions. … Safety incident reports associated with blood transfusions. … This analysis of transfusion-related safety incident reports found that such events were more commonly … Safety incident reports associated with blood transfusions.

29. Factors influencing incident reporting in surgical care. | PSNet
    psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
    March 03, 2011 - Study Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … Incident reporting (IR) systems continue to consume tremendous energy for providers who submit incidents … Of note, physicians were less likely to report surgical complications compared to other incident types … Factors influencing incident reporting in surgical care.

30. A chemotherapy incident reporting and improvement system. | PSNet
    psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
    November 16, 2022 - Study A chemotherapy incident reporting and improvement system. … A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80. … A chemotherapy incident reporting and improvement system. … Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident

31. Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. | PSNet
    psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
    May 01, 2024 - Flow of information contributing to medication incidents in home care- an analysis considering incident … Flow of information contributing to medication incidents in home care— an analysis considering incident … In this study, researchers analyzed 1,027 incident reports involving medication errors and communication … Flow of information contributing to medication incidents in home care— an analysis considering incident … areas related to medication administrations - text mining analysis using free-text descriptions of incident

32. Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active-incident
    July 24, 2024 - Patient safety incidents are common in primary care: a national prospective active incident … Patient safety incidents are common in primary care: A national prospective active incident reporting … This prospective study elicited incident reports from general practitioners for all types of adverse … Patient safety incidents are common in primary care: A national prospective active incident reporting … April 10, 2013 Incident reporting practices in the preanalytical phase: low reported

33. Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet
    psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
    January 29, 2018 - Study 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. … oncology incident taxonomy.

34. Data consistency in a voluntary medical incident reporting system. | PSNet
    psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
    August 21, 2024 - Study Data consistency in a voluntary medical incident reporting system. … Data consistency in a voluntary medical incident reporting system. … This retrospective study found that nearly one quarter of incident reports lacked sufficient information … to accurately classify and analyze the incident. … Data consistency in a voluntary medical incident reporting system.

35. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
    psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
    December 18, 2019 - methods of detecting medication errors: a secondary analysis of medication administration errors using incident … methods of detecting medication errors: a secondary analysis of medication administration errors using incident … This study compared medication errors detected using incident reports , the Global Trigger Tool method … Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … For example, incident reports most commonly identified wrong dose and wrong time errors.

36. The meaning of justice in safety incident reporting. | PSNet
    psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
    April 11, 2011 - Commentary The meaning of justice in safety incident reporting. … The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. … This article describes how the principles of just culture can inform the design of effective incident … The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13.

37. How effective are incident-reporting systems for improving patient safety? A systematic literature review. | PSNet
    psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
    January 18, 2023 - Review How effective are incident-reporting systems for improving patient safety? … Citation Text: How effective are incident-reporting systems for improving patient safety? … Although incident reporting systems did help enhance processes of care, there was no evidence that even … The limitations of incident reporting were discussed in a previous PSNet perspective . … April 8, 2019 The problem with incident reporting.

38. Enhancing safety culture through improved incident reporting: a case study in translational research. | PSNet
    psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
    March 10, 2021 - Commentary Enhancing safety culture through improved incident reporting: a case study … 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. … February 26, 2020 International recommendations for national patient safety incident … July 23, 2019 The problem with incident reporting.

39. Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. | PSNet
    psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
    February 21, 2024 - Study Exploring the impact of safety culture on incident reporting: lessons learned … from machine learning analysis of NHS England staff survey and incident data. … of NHS England staff survey and incident data. … Voluntary incident reporting rates may be an indicator of organizational safety culture. … of NHS England staff survey and incident data.

40. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet
    psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
    November 15, 2023 - 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 … Incident reporting systems are considered an essential tool for learning from patient safety events, … found that nurses struggle to define “report-worthy” events and question whether actions stemming from incident … November 20, 2015 Incident and error reporting systems in intensive care: a systematic