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Showing results for "incident".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47457/psn-pdf
     January 17, 2019 - The Joint Commission proposes actions for all organizations to take, including developing incident reporting … //psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm … https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting https … ://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system https://psnet.ahrq.gov … /issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice-cluster https

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860732/psn-pdf
     April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident … psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident … psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident … psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident

323. In Conversation With…Kaveh G. Shojania, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
     September 01, 2011 - that incident reporting was designed to capture. … 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 … Physicians file only 1%–3% of incident reports.( 10,12 ) Thus, incident reporting is most useful for … Clinical incident reporting. In: Vincent C, ed.

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38766/psn-pdf
     November 14, 2011 - Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health … Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health … https://psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies … - primary-health-care Laboratory technicians reported very low usage of incident reporting systems, … https://psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies-primary-health-care

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35473/psn-pdf
     April 06, 2011 - A web-based incident reporting system and multidisciplinary collaborative projects for patient safety … A web-based incident reporting system and multidisciplinary collaborative projects for patient safety … https://psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative- … projects-patient The investigators observed the effects of a voluntary and anonymous Web-based incident … https://psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41364/psn-pdf
     May 09, 2012 - Reflections on incident reporting in a department of pediatric surgery. … Reflections on incident reporting in a department of pediatric surgery. … https://psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department … - pediatric Analysis of data from a voluntary incident reporting system found that very few near misses … https://psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric

327. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37399/psn-pdf
     March 28, 2012 - Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment … Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment … https://psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions … - environment This survey examined factors influencing nurses' willingness to use incident reporting … https://psnet.ahrq.gov/issue/factors-affecting-incident-reporting-registered-nurses-relationship-perceptions-environment

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37996/psn-pdf
     August 20, 2008 - "Every error counts": a web-based incident reporting and learning system for general practice. … "Every error counts": a web-based incident reporting and learning system for general practice. … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general … practice This article reports on the development and dissemination of a web-based, German language incident … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39459/psn-pdf
     March 23, 2011 - Impact of system-level activities and reporting design on the number of incident reports for patient … Impact of system-level activities and reporting design on the number of incident reports for patient … https://psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports … https://psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety … https://psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43243/psn-pdf
     June 11, 2014 - Improved incident reporting following the implementation of a standardized emergency department peer … Improved incident reporting following the implementation of a standardized emergency department peer … https://psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized- emergency-department-peer … The institution of a non-punitive peer review process with standardized feedback for incident reports … https://psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45684/psn-pdf
     January 01, 2020 - A previous PSNet perspective highlighted the importance of providing feedback with regard to incident … reporting-patient-safety-events https://psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting … https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events https://psnet.ahrq.gov … /issue/surveys-patient-safety-culture https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please … https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please

332. Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability
     October 19, 2022 - Study Potentially inappropriate medication use is associated with increased risk of incident … 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

333. 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

334. 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

335. 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.

336. 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.

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44003/psn-pdf
     June 17, 2015 - Effects of patient safety culture interventions on incident reporting in general practice: a cluster … Effects of patient safety culture interventions on incident reporting in general practice: a cluster … https://psnet.ahrq.gov/issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice … team-based workshop and facilitated discussion around safety issues resulted in an increase in voluntary incident … https://psnet.ahrq.gov/issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice-cluster

338. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837982/psn-pdf
     August 31, 2022 - Patient Safety Incident Response Framework. … https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework Effective response to medical … error requires a comprehensive systemic and process-focused incident examination approach to ensure … https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework https://psnet.ahrq.gov/primer

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43501/psn-pdf
     September 10, 2014 - Emergency department patient safety incident characterization: an observational analysis of the findings … Emergency department patient safety incident characterization: an observational analysis of the findings … https://psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational … characterize patient safety incidents in a tertiary care emergency department, researchers investigated incident … https://psnet.ahrq.gov/issue/emergency-department-patient-safety-incident-characterization-observational-analysis-findings

340. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44858/psn-pdf
     February 10, 2016 - Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … //psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical- incident-reporting … This retrospective review of anesthesia and critical care cases in the German incident reporting system … https://psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting