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Showing results for "incident".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854829/psn-pdf
     January 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 … psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis- considering-incident … In this study, researchers analyzed 1,027 incident reports involving medication errors and communication … psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident

202. Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet
     psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
     August 03, 2022 - Voluntary incident reports are critical to identifying adverse events, but reading through the text … This study found that a machine learning approach to electronically analyze incident reports successfully … The authors conclude that it is feasible to apply automated text analysis to incident reports to categorize … May 4, 2022 View More Related Resources Incident reporting systems … April 12, 2011 Incident reporting in one UK accident and emergency department.

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60575/psn-pdf
     June 10, 2020 - Applying principles from aviation safety investigations to root cause analysis of a critical incident … Applying principles from aviation safety investigations to root cause analysis of a critical incident … psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical- incident … This case study describes the use of root cause analysis to investigate a critical incident occurring … psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844791/psn-pdf
     September 18, 2019 - Review of alternatives to root cause analysis: developing a robust system for incident report analysis … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … https://psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident … This review highlights alternative approaches to incident analysis that address some of the concerns … https://psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73570/psn-pdf
     January 01, 2022 - Long-term care nurses' experiences with patient safety incident management: a qualitative study. … Long-term care nurses' experiences with patient safety incident management: a qualitative study. … https://psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management- qualitative-study … https://psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study … https://psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study

206. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet
     psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
     June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? … reporting in neonatal intensive care: description of 4846 incident reports. … : description of 4846 incident reports.

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860722/psn-pdf
     January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful- improvements … This study reviewed and categorized incident reports regarding in-hospital cardiac arrest (IHCA) at two … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47366/psn-pdf
     October 31, 2018 - Patient and family engagement in incident investigations: exploring hospital manager and incident investigators … Patient and family engagement in incident investigations: exploring hospital manager and incident investigators … - manager-and-incident Patient and family engagement enriches both incident reporting and adverse event … https://psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident … https://psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73218/psn-pdf
     January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency … Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency … https://psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident … identified a relationship between work-related factors (e.g., stress, fatigue), unsafe behavior, and safety incident … https://psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50555/psn-pdf
     October 16, 2019 - Improving critical incident reporting in primary care through education and involvement. … Improving critical incident reporting in primary care through education and involvement. … https://psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and … - involvement Critical incident reporting systems  (CIRS) can be important for identifying organizational … https://psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50675/psn-pdf
     November 20, 2019 - A systematic review of natural language processing for classification tasks in the field of incident … A systematic review of natural language processing for classification tasks in the field of incident … https://psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field- incident-reporting … review identified 35 studies demonstrating that NLP can be used to classify narrative text according to incident … https://psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42019/psn-pdf
     December 29, 2014 - Can incident reporting improve safety? … Can incident reporting improve safety? … https://psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views- effectiveness-incident … https://psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident … https://psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident

213. Serious incidents after death: content analysis of incidents reported to a national database. | PSNet
     psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
     October 03, 2018 - Investigators analyzed 132 incident reports from the Strategic Executive Information System database … Diagnostic error in the emergency department: learning from national patient safety incident … January 15, 2020 Characterising the nature of primary care patient safety incident reports … July 18, 2016 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

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865522/psn-pdf
     April 10, 2024 - An analysis of incident reports related to electronic medication management: how they change over time … An analysis of incident reports related to electronic medication management: how they change over time … https://psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they … This study analyzed types of incident reports related to EMM at three hospitals over the course of its … https://psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time

215. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. | PSNet
     psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
     August 17, 2022 - Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … September 7, 2022 Descriptive analysis of patient misidentification from incident report … February 16, 2022 Learning from incident reporting?

216. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet
     psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
     November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide … March 31, 2021 Learning from incident reporting? … October 14, 2020 How incident reporting systems can stimulate social and participative

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73865/psn-pdf
     September 22, 2021 - Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an … psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient- safety-incident … nursing students in Belgium found that about one in three students were involved in a patient safety incident … //psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841768/psn-pdf
     December 21, 2022 - implementation-online-reporting-system-identify-unprofessional-behaviors-and- mistreatment The effectiveness of incident … This cohort study describes the characteristics of incident reports submitted by trainees in a large … From October 2019 through December 2021, trainees submitted nearly 200 incident reports, primarily describing … Findings suggest that awareness and support for the online incident reporting system among trainees … https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees

219. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. | PSNet
     psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
     November 16, 2016 - Review Exploring the "Black Box" of recommendation generation in local health care incident … Exploring the "Black Box" of recommendation generation in local health care incident investigations: … Organizational incident reporting allows for investigation of contributing factors and formation of … Exploring the "Black Box" of recommendation generation in local health care incident investigations: … Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident

220. 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