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Showing results for "incident".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867226/psn-pdf
     December 04, 2024 - The nature of the response to airway management incident reports in high income countries: a scoping … The nature of the response to airway management incident reports in high income countries: a scoping … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review

242. 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.

243. Practising open disclosure: clinical incident communication and systems improvement. | PSNet
     psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement
     November 23, 2016 - Commentary Practising open disclosure: clinical incident communication and systems … Practising Open Disclosure: clinical incident communication and systems improvement. … Practising Open Disclosure: clinical incident communication and systems improvement. … September 6, 2017 Narrativizing errors of care: critical incident reporting in clinical … Patients' and family members' views on how clinicians enact and how they should enact incident

244. 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

245. Critical incident stress debriefing after adverse patient safety events. | PSNet
     psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
     April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events.

246. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
     October 12, 2016 - In this mixed methods study, researchers analyzed incident reports involving sick pediatric primary care … An accompanying editorial discusses the value of incident reports with regard to improving care for … July 3, 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 … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

247. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet
     psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
     October 12, 2016 - Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … 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

248. How to mitigate the effects of cognitive biases during patient safety incident investigations. | PSNet
     psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations
     June 29, 2022 - Commentary How to mitigate the effects of cognitive biases during patient safety incident … How to mitigate the effects of cognitive biases during patient safety incident investigations. … How to mitigate the effects of cognitive biases during patient safety incident investigations. … Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident … Analysis of incident reports from a patient safety organization.

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46391/psn-pdf
     February 08, 2018 - Nature of blame in patient safety incident reports: mixed methods analysis of a national database. … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … https://psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national … - database Poor safety culture has been identified as a barrier to incident reporting. … Researchers analyzed a sample of family practice patient safety incident reports from the England and

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44987/psn-pdf
     February 01, 2017 - International recommendations for national patient safety incident reporting systems: an expert Delphi … International recommendations for national patient safety incident reporting systems: an expert Delphi … https://psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting … - systems-expert Although incident reporting systems remain central to most patient safety programs … Consistent with prior research, experts agreed that incident reporting systems should not be used to

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47076/psn-pdf
     August 15, 2018 - Incident learning in radiation oncology: a review. August 15, 2018 Ford E, Evans SB. … Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. … https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review Learning from adverse events … https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review https://psnet.ahrq.gov/issue … /radiation-oncology-incident-learning-system

252. Cultural and associated enablers of, and barriers to, adverse incident reporting. | PSNet
     psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
     March 23, 2011 - Study Cultural and associated enablers of, and barriers to, adverse incident reporting … Cultural and associated enablers of, and barriers to, adverse incident reporting. … Cultural and associated enablers of, and barriers to, adverse incident reporting. … June 14, 2011 Attitudes toward the large-scale implementation of an incident reporting … June 29, 2011 Implementation of a patient safety incident management system as viewed

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74014/psn-pdf
     October 27, 2021 - Adopting system models for multiple incident analysis: utility and usability. … Adopting systems models for multiple incident analysis: utility and usability. … https://psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability … and Systems Engineering Initiative for Patient Safety (SEIPS) – to better understand patient safety incident … https://psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851196/psn-pdf
     July 05, 2023 - Patient falls while under supervision: trends from incident reporting. July 5, 2023 Roberts M. … Patient falls while under supervision: trends from incident reporting. … https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting Preventing … This study used one health system’s incident reporting tool in the United Kingdom to ascertain the incidence … https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting https://

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864857/psn-pdf
     March 20, 2024 - Safety on the ground: using critical incident technique to explore the factors influencing medical registrars … Safety on the ground: using critical incident technique to explore the factors influencing medical registrars … https://psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing … https://psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical … https://psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37612/psn-pdf
     February 15, 2011 - Can we use incident reports to detect hospital adverse events? … https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events Incident reporting … As shown in prior research, incident reports identified only a small proportion of adverse events. … A framework for analyzing and responding to incident reports was presented in an earlier study. … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36962/psn-pdf
     June 15, 2011 - Rates and types of events reported to established incident reporting systems in two US hospitals. … Rates and types of events reported to established incident reporting systems in two US hospitals. … https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two … - us-hospitals Despite mandates for US hospitals to maintain incident reporting systems, little is … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38454/psn-pdf
     January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Incident reporting (IR) systems serve as an important mechanism to understand, analyze, and potentially … This study categorized more than 2200 incident reports into whether they described aberrant care processes … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61049/psn-pdf
     January 01, 2021 - The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective … The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36266/psn-pdf
     October 21, 2010 - Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? … Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? … https://psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical … https://psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical