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Showing results for "incident".

301. Long-term care nurses' experiences with patient safety incident management: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study
     March 24, 2021 - Study Long-term care nurses' experiences with patient safety incident management: … 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. … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … 19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident

302. 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

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36769/psn-pdf
     June 15, 2011 - Using incident reporting to improve patient safety: a conceptual model. … Using Incident Reporting to Improve Patient Safety. … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model Though … all hospitals are mandated to maintain an incident reporting system, there is limited evidence that … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model https:/

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39985/psn-pdf
     November 10, 2010 - Establishing a global learning community for incident- reporting systems. … Establishing a global learning community for incident-reporting systems. … https://psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems Voluntary … together an international group of error reporting experts in order to develop a learning community for incident … https://psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems https:

305. 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.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44628/psn-pdf
     September 12, 2016 - Rates of safety incident reporting in MRI in a large academic medical center. … Rates of safety incident reporting in MRI in a large academic medical center. … https://psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center This … analysis of incident reports related to magnetic resonance imaging found that, similar to other settings … , incident reports are infrequent, and most do not result in patient harm.

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44797/psn-pdf
     March 15, 2016 - Incident and error reporting systems in intensive care: a systematic review of the literature. … Incident and error reporting systems in intensive care: a systematic review of the literature. … https://psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review- … literature This systematic review found that incident reporting systems used in intensive care units … https://psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38653/psn-pdf
     May 20, 2009 - The frustrating case of incident-reporting systems. May 20, 2009 Shojania KG. … The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. … https://psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems This commentary discusses the … limitations of incident reporting systems and provides suggestions for how data gathered from incident … https://psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45207/psn-pdf
     August 17, 2016 - Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … https://psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital … - unit-types Incident reporting systems and root cause analyses remain the main mechanisms by which … This study sought to determine whether more localized, unit-based incident reporting systems might provide

310. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet
     psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting
     January 19, 2016 - Review Development of a theoretical framework of factors affecting patient safety incident … Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical … Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical … February 8, 2018 Critical incident stress debriefing after adverse patient safety events … February 18, 2017 International recommendations for national patient safety incident

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37985/psn-pdf
     July 14, 2010 - Incident reporting in surgical trainees-revisited. … Incident Reporting in Surgical Trainees-Revisited. … https://psnet.ahrq.gov/issue/incident-reporting-surgical-trainees-revisited The majority of physicians … in this UK study felt that incident reporting was of limited utility, primarily because they did not … receive feedback after reporting an incident.

312. 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

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40822/psn-pdf
     October 05, 2011 - Data consistency in a voluntary medical incident reporting system. October 5, 2011 Gong Y. … Data consistency in a voluntary medical incident reporting system. J Med Syst. 2011;35(4):609-15. … https://psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system This retrospective … study found that nearly one quarter of incident reports lacked sufficient information to accurately … classify and analyze the incident.

314. Integrating systemic accident analysis into patient safety incident investigation practices. | PSNet
     psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
     October 27, 2021 - Study Integrating systemic accident analysis into patient safety incident investigation … Integrating systemic accident analysis into patient safety incident investigation practices. … Integrating systemic accident analysis into patient safety incident investigation practices. … Related Resources From the Same Author(s) Adopting system models for multiple incident

315. Classifying laboratory incident reports to identify problems that jeopardize patient safety. | PSNet
     psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
     May 13, 2020 - Study Classifying laboratory incident reports to identify problems that jeopardize … Citation Text: Classifying laboratory incident reports to identify problems that jeopardize patient … Cite Citation Citation Text: Classifying laboratory incident

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34931/psn-pdf
     April 06, 2011 - Relationship between tort claims and patient incident reports in the Veterans Health Administration. … Relationship between tort claims and patient incident reports in the Veterans Health Administration. … https://psnet.ahrq.gov/issue/relationship-between-tort-claims-and-patient-incident-reports-veterans-health … - administration This data review revealed a bias toward filing patient incident reports and settling … https://psnet.ahrq.gov/issue/relationship-between-tort-claims-and-patient-incident-reports-veterans-health-administration

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42762/psn-pdf
     November 27, 2013 - Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. … Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. … https://psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and- … physicians This survey examined the barriers to incident reporting faced by nurses and physicians in … https://psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and-physicians

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45441/psn-pdf
     September 21, 2016 - Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … https://psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident … Investigators surveyed more than 900 clinicians involved in a patient safety incident across 33 Belgian … other findings, the study showed that supportive environments reduced the psychological impact of the incident

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41098/psn-pdf
     March 04, 2015 - Automated identification of extreme-risk events in clinical incident reports. … Automated identification of extreme-risk events in clinical incident reports. … https://psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports … Incident reports can yield useful information about safety problems, but manual review of all voluntary … This study reports on the use of informatics technology to screen incident reports in order to identify

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39963/psn-pdf
     December 06, 2010 - Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient … Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient … https://psnet.ahrq.gov/issue/critical-incident-monitoring-paediatric-and-adult-critical-care-reporting … - improved-patient This review discusses critical incident reporting mechanisms and how system changes … https://psnet.ahrq.gov/issue/critical-incident-monitoring-paediatric-and-adult-critical-care-reporting-improved-patient