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Showing results for "incident".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45562/psn-pdf
     October 12, 2016 - Characterising the nature of primary care patient safety incident reports in the England and Wales National … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National … https://psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england … - and-wales-national Management and analysis of incident reporting data must be enhanced in order to … were able to categorize the types of incidents and prioritize system improvements needed to optimize incident

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46328/psn-pdf
     August 09, 2017 - Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events. … https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events … https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events … https://psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures

343. 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

344. 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

345. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet
     psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
     February 18, 2015 - Analysis of incident reports revealed common types of errors in cardiopulmonary resuscitation and identified … August 3, 2016 Scrutinizing incident reporting in anaesthesia: why is an incident perceived … April 28, 2021 Learning from incident reporting? … December 9, 2020 How incident reporting systems can stimulate social and participative

346. Errors, incidents and accidents in anaesthetic practice. | PSNet
     psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice
     April 06, 2011 - The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. … relationships between, errors, incidents, and accidents while drawing examples from the Australian Incident … The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. … March 28, 2011 Establishing a global learning community for incident-reporting systems … 2009 Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44902/psn-pdf
     February 24, 2016 - Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned … Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned … https://psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory … - planned-behavior Incident reporting systems are an important method for identifying system failures … https://psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44418/psn-pdf
     September 23, 2015 - Learning from patient safety incidents in incident review meetings: organisational factors and indicators … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational … - factors-and This observational study of incident report review meetings found that high workload, … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42425/psn-pdf
     August 13, 2013 - The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest … The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test-retest … https://psnet.ahrq.gov/issue/patient-reported-incident-hospital-instrument-prih-i-assessments-data-quality … - test-retest The Patient-Reported Incident in Hospital Instrument, which consists of 13 questions … https://psnet.ahrq.gov/issue/patient-reported-incident-hospital-instrument-prih-i-assessments-data-quality-test-retest

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34914/psn-pdf
     February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring … Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring … https://psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident- … study provides a detailed analysis of incidents due to medication errors collected from the Australian Incident … https://psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43528/psn-pdf
     October 01, 2014 - Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts … Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts … https://psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural- adaptation-and-safety … Critical incident stress management (CISM) is a peer support program that has previously been utilized … https://psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39479/psn-pdf
     January 20, 2011 - A comparative analysis of incident reporting lag times in academic medical centres in Japan and the … A comparative analysis of incident reporting lag times in academic medical centres in Japan and the … https://psnet.ahrq.gov/issue/comparative-analysis-incident-reporting-lag-times-academic-medical-centres … - japan-and-usa This study compared incident reporting practices at two hospitals and noted significantly … https://psnet.ahrq.gov/issue/comparative-analysis-incident-reporting-lag-times-academic-medical-centres-japan-and-usa

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74106/psn-pdf
     November 24, 2021 - identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident … identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident … found that artificial intelligence can be used to accurately classify the free text of medication incident … ://psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36699/psn-pdf
     March 28, 2011 - Hospital staff should use more than one method to detect adverse events and potential adverse events: incident … Hospital staff should use more than one method to detect adverse events and potential adverse events: incident … This prospective cohort study compared the rate of errors detected by incident reporting, pharmacy surveillance … Most adverse events were detected by record review, not by incident reporting; pharmacy surveillance … The failure of incident reporting systems to detect ADEs has been previously reported. 

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46941/psn-pdf
     August 01, 2018 - Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety … Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric Patient Safety … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric … Using data from the Pediatric Emergency Care Applied Research Network, researchers analyzed incident … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43894/psn-pdf
     February 25, 2015 - The impact of a standardized incident reporting system in the perioperative setting: a single center … The impact of a standardized incident reporting system in the perioperative setting: a single center … https://psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single … https://psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience … https://psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43499/psn-pdf
     September 03, 2014 - Older folks in hospitals: the contributing factors and recommendations for incident prevention. … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident- … prevention This retrospective review of incident reports at a tertiary care hospital revealed that … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43769/psn-pdf
     December 17, 2014 - Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … https://psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care … This method identified more errors than traditional incident reporting, as expected given the known … https://psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34812/psn-pdf
     March 05, 2008 - The critical incident technique. March 5, 2008 FLANAGAN JC. The critical incident technique. … https://psnet.ahrq.gov/issue/critical-incident-technique This review details the background of a methodology … The author describes the development of the "critical incident technique," the history of its evolution … https://psnet.ahrq.gov/issue/critical-incident-technique https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors … https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46761/psn-pdf
     February 14, 2018 - 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 … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting