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psnet.ahrq.gov/node/44266/psn-pdf
May 19, 2019 - Exploring health care professionals' perceptions of
incidents and incident reporting in rehabilitation … Exploring Health Care Professionals' Perceptions of Incidents and
Incident Reporting in Rehabilitation … https://psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident- … reporting
The limitations of standard incident reporting systems have been well documented. … This interview study
investigated health care providers' perceptions of safety events and incident reporting
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psnet.ahrq.gov/node/74083/psn-pdf
November 17, 2021 - Novel telephone-based interactive voice response system
for incident reporting. … Novel telephone-based interactive voice response system for incident reporting. … https://psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting … Errors and near misses reported via incident reporting systems can highlight emerging patient safety … https://psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
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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
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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
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Related Resources
Incident reporting systems … April 12, 2011
Incident reporting in one UK accident and emergency department.
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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
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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
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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
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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.
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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
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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
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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
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psnet.ahrq.gov/node/854825/psn-pdf
October 25, 2023 - Exploring the "Black Box" of recommendation generation
in local health care incident investigations: … Exploring the "Black Box" of recommendation generation in local
health care incident investigations: … https://psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident … -
investigations
Organizational incident reporting allows for investigation of contributing factors … https://psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
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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
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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
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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
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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
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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
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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
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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?
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psnet.ahrq.gov/node/866247/psn-pdf
July 10, 2024 - Analysis of critical incident reports using natural
language processing. … Analysis of critical incident reports using natural language processing. … https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
Natural … https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
https … ://psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting