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Showing results for "incident".

201. Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet
     psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
     March 21, 2017 - The limitations of standard incident reporting systems have been well documented.  … A prior article presented a framework for using incident reporting data to improve patient safety. … July 13, 2022 Characteristics of critical incident reporting systems in primary care: … August 24, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian … : description of 4846 incident reports.

202. 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

203. 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

204. 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

205. Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. | PSNet
     psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting
     November 23, 2016 - Book/Report Failure in Safety-Critical Systems: A Handbook of Accident and Incident … Citation Text: Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. … The author provides engineers and others with practical information on setting up a successful incident … Citation Citation Text: Failure in Safety-Critical Systems: A Handbook of Accident and Incident

206. 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

207. 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

208. 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

209. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet
     psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
     March 14, 2022 - After implementation, incident reporting increased by 41% in the first quarter of 2023 (to 1 in every … September 4, 2024 Uncovering the risks of anticancer therapy through incident report … analysis using a newly developed medical oncology incident taxonomy. … November 16, 2022 The impact of COVID-19 workflow changes on radiation oncology incident … November 2, 2022 Evaluating incident learning systems and safety culture in two radiation

210. 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

211. Psn-Pdf (pdf file)
     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

212. Creating a web-based incident analysis and communication system. | PSNet
     psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system
     May 01, 2003 - Study Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system.

213. Communication and Resolution After an Adverse Health Care Incident. | PSNet
     psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
     August 01, 2014 - Legislation/Regulation Communication and Resolution After an Adverse Health Care Incident … Citation Text: Communication and Resolution After an Adverse Health Care Incident. … Citation Citation Text: Communication and Resolution After an Adverse Health Care Incident

214. Psn-Pdf (pdf file)
     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

215. 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

216. 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

217. 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

218. 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

219. 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

220. Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors. | PSNet
     psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment
     January 19, 2011 - Study Factors affecting incident reporting by registered nurses: the relationship … Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment … This survey examined factors influencing nurses' willingness to use incident reporting systems to report … Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment