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Showing results for "incident".

281. Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. | PSNet
     psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
     March 02, 2022 - Comprehensive implementation of reporting and learning systems (RLS, also known as incident reporting … January 26, 2022 Characteristics of critical incident reporting systems in primary care … identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident … areas related to medication administrations - text mining analysis using free-text descriptions of incident … The contribution of staffing to medication administration errors: a text mining analysis of incident

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73980/psn-pdf
     October 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large academic … Descriptive analysis of patient misidentification from incident report system data in a large academic … https://psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large … https://psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic … https://psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74109/psn-pdf
     November 24, 2021 - Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. … Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. … https://psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods- … https://psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis … https://psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis

284. Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. | PSNet
     psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses-working-nursing
     March 31, 2021 - A qualitative study of barriers to incident reporting among nurses working in nursing homes. … A qualitative study of barriers to incident reporting among nurses working in nursing homes. … A qualitative study of barriers to incident reporting among nurses working in nursing homes. … Download Citation Related Resources From the Same Author(s) Barriers to incident … October 20, 2021 Barriers and facilitators to incident reporting in mental healthcare

285. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. | PSNet
     psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
     March 09, 2022 - Study Show me the money, I'll show you my complications: impacts of incentivized incident … Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among … Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among … 19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident … Reflections on incident reporting in a department of pediatric surgery.

286. Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. | PSNet
     psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
     March 11, 2020 - Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … A critical incident study among doctors and nurses. … August 14, 2014 Improved incident reporting following the implementation of a standardized

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38570/psn-pdf
     April 22, 2009 - Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care Incident reporting … Of note, physicians were less likely to report surgical complications compared to other incident types … https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care https://psnet.ahrq.gov

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36734/psn-pdf
     March 10, 2011 - Integrating incident reporting into an electronic patient record system. … Integrating incident reporting into an electronic patient record system. … https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system This cohort … study, conducted in an Australian hospital, reports on the implementation of an incident reporting … psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47257/psn-pdf
     September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation … The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation … Incident reporting systems are widely implemented in health care systems, but they are often underutilized … This institution implemented a psychiatry-specific incident reporting tool. … Researchers found that physicians submitted more incident reports but there was no significant change

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46475/psn-pdf
     April 16, 2018 - Incident reporting behaviours following the Francis report: a cross-sectional survey. … Incident reporting behaviours following the Francis report: A cross-sectional survey. … https://psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey … In this mixed-methods study across 11 hospitals in England, researchers surveyed physicians on incident … reporting and found that incident reporting still requires improvement.

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44861/psn-pdf
     February 17, 2016 - Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical … - errors After introducing a web-based voluntary incident reporting system in an academic emergency … A prior PSNet perspective discussed incident reporting systems and the importance of not only increasing

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44737/psn-pdf
     December 16, 2015 - How effective are incident-reporting systems for improving patient safety? … https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety- … systematic-literature This systematic review found little evidence that incident reporting systems performed … Although incident reporting systems did help enhance processes of care, there was no evidence that even … The limitations of incident reporting were discussed in a previous PSNet perspective.

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44043/psn-pdf
     September 20, 2017 - Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting … Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting … https://psnet.ahrq.gov/issue/incident-learning-pursuit-high-reliability-implementing-comprehensive-low … - threshold-reporting This study describes the experience of an incident learning program in a radiation … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system https://psnet.ahrq.gov/issue

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853238/psn-pdf
     September 06, 2023 - Potentially inappropriate medication use is associated with increased risk of incident disability in … Potentially inappropriate medication use is associated with increased risk of incident disability in … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73443/psn-pdf
     June 30, 2021 - Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year … Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen … https://psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation- … https://psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over … https://psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33716/psn-pdf
     September 01, 2011 - that incident reporting was designed to capture. … Harm doesn't actually play a role in the value of an incident. … In fact, the original definition of a "critical incident" was basically an incident involving the potential … But the biggest limitation for incident reporting is not the incident reporting itself; it's the actual … In general you want to look for patterns across incident reports.

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38434/psn-pdf
     June 15, 2011 - Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals … Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals … - acute-hospitals Incident reporting systems are an important method for capturing, analyzing, and … However, using the number of incident reports filed as a metric of safety is not a proven relationship … This study examined hospital-based incident reports to the United Kingdom's National Patient Safety

298. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet
     psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
     March 28, 2012 - evidence of patient safety incidents and compared these results to data from the hospital's voluntary incident … Nearly one-quarter of all patients experienced a safety incident, but virtually all of them were detected … via medical record review, and few through incident report review.  … This finding corroborates prior research in this area and suggests that incident reporting systems … July 26, 2011 Using incident reporting to improve patient safety: a conceptual model.

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847716/psn-pdf
     April 19, 2023 - psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic- review Incident … 22 studies identified barriers and facilitators influencing how health systems use and learn from incident … Factors supporting continuous improvement based on incident reporting systems included continuous training … for staff, a just culture, leadership investment, and tangible improvements stemming from incident … psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38026/psn-pdf
     March 21, 2017 - /psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ Hospital incident … Prior research has documented that physicians, in particular, do not file incident reports.  … This evaluation of more than 260,000 incident reports from a broad cross-section of hospitals examined … links between the severity of the incident and who reported the incident. … A successful intervention to improve physician incident reporting was described in a prior study.