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Showing results for "incident".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34804/psn-pdf
     January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. … The incident reporting system does not detect adverse drug events: a problem for quality improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem- … report and whether differences existed among hospital personnel as to whether an incident report should … After identifying ADEs in this single-center study, only 6% had a corresponding incident report submitted

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73083/psn-pdf
     March 31, 2021 - Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after … https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations … https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide … https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide

243. 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

244. 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

245. Possible solutions for barriers in incident reporting by residents. | PSNet
     psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
     April 14, 2011 - Study Possible solutions for barriers in incident reporting by residents. … Possible solutions for barriers in incident reporting by residents. … Possible solutions for barriers in incident reporting by residents. … impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident

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. 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

253. 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://

254. 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

255. 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

256. 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

257. 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

258. 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

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38366/psn-pdf
     January 28, 2009 - Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes … Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes … https://psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system- … Nonetheless, the study illustrates how to use incident reporting data within an appropriate conceptual … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38693/psn-pdf
     June 15, 2011 - Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident … Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident … https://psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care- description … -4846 Incident reporting systems are one mechanism for hospitals to both identify and potentially prevent … https://psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description