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Showing results for "incident".

381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44917/psn-pdf
     November 30, 2016 - Canadian Incident Analysis Framework. November 30, 2016 Incident Analysis Collaborating Parties. … https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework Performing incident analysis can help … https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework https://psnet.ahrq.gov/primer/root-cause-analysis

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36410/psn-pdf
     June 29, 2011 - Voluntary incident reporting by anaesthetic trainees in an Australian hospital. … Voluntary incident reporting by anaesthetic trainees in an Australian hospital. … https://psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital The … authors assessed residents' incident reporting using personal digital assistants (PDAs) and found that … https://psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital https

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39902/psn-pdf
     December 29, 2014 - Clinical handover incident reporting in one UK general hospital. … Clinical handover incident reporting in one UK general hospital. … https://psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital Analysis of … incident reports revealed a lower than expected number of reports involving handoffs, most of which … https://psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital https://psnet.ahrq.gov

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37318/psn-pdf
     January 04, 2012 - The meaning of justice in safety incident reporting. … The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. … https://psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting This article describes how the …  principles of just culture can inform the design of effective incident reporting systems. … https://psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting https://psnet.ahrq.gov/perspective

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40238/psn-pdf
     February 23, 2011 - Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. … Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. … https://psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study … This study investigates the local implementation and feasibility of an incident reporting system for … https://psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38316/psn-pdf
     March 04, 2009 - Practising open disclosure: clinical incident communication and systems improvement. … Practising Open Disclosure: clinical incident communication and systems improvement. … https://psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems- … https://psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement … https://psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39818/psn-pdf
     January 04, 2011 - Diagnostic error in a national incident reporting system in the UK. … Diagnostic error in a national incident reporting system in the UK. … https://psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk This study found … a 0.5% diagnostic error rate among events filed as incident reports, with the greatest harm associated … https://psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk https://psnet.ahrq.gov

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45442/psn-pdf
     October 12, 2016 - Radiotherapy Incident Reporting and Analysis System. … https://psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system Patient Safety Organizations … dedicated to radiation safety improvement offers a mechanism for voluntary reporting of radiation oncology incident … https://psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system https://psnet.ahrq.gov … patient-safety-organization-pso-program https://psnet.ahrq.gov/primer/radiation-safety https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858163/psn-pdf
     December 13, 2023 - issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday- practice Critical incident … The authors emphasize the importance of including safety culture and critical incident reporting in … glossary-heading-term-73774 https://psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic … https://psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement

390. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. | PSNet
     psnet.ahrq.gov/issue/medical-trainees-formal-and-informal-incident-reporting-across-five-hospital-academic-medical
     May 10, 2016 - Study Medical trainees' formal and informal incident reporting across a five-hospital … Medical trainees' formal and informal incident reporting across a five-hospital academic medical center … Medical trainees' formal and informal incident reporting across a five-hospital academic medical center … October 5, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian … June 29, 2011 Trends in healthcare incident reporting and relationship to safety and

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50404/psn-pdf
     January 01, 2020 - Using the WHO International Classification of patient safety framework to identify incident characteristics … Using the WHO International Classification of patient safety framework to identify incident characteristics … https://psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident … https://psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47570/psn-pdf
     December 05, 2018 - surveillance-and Most health care organizations primarily rely on retrospective techniques such as incident … substantial proportion of patient safety events and are not effective for real-time feedback or safety incident … //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/hospital-incident-reporting-systems-do-not-capture-most-patient-harm https … ://psnet.ahrq.gov/issue/problem-incident-reporting https://psnet.ahrq.gov/primer/triggers-and-trigger-tools

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35585/psn-pdf
     March 28, 2011 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis … psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical- incident … //psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident … //psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36976/psn-pdf
     June 15, 2011 - Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … https://psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals … The investigators describe an  incident reporting intervention that included education on reportable … https://psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33916/psn-pdf
     December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty Incident. … Publication No. 04-E015-1 https://psnet.ahrq.gov/issue/training-hospital-staff-respond-mass-casualty-incident-summary-evidence … simulations, and tabletop or similar exercises in training hospital staff to respond to a mass casualty incident … https://psnet.ahrq.gov/issue/training-hospital-staff-respond-mass-casualty-incident-summary-evidence-reporttechnology … https://psnet.ahrq.gov/issue/training-hospital-staff-respond-mass-casualty-incident-summary-evidence-reporttechnology

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41279/psn-pdf
     September 19, 2016 - Medical error, incident investigation and the second victim: doing better but feeling worse? … Medical error, incident investigation and the second victim: doing better but feeling worse? … https://psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling … https://psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse … https://psnet.ahrq.gov/issue/medical-error-incident-investigation-and-second-victim-doing-better-feeling-worse

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35375/psn-pdf
     January 02, 2017 - Integrating the intensive care unit safety reporting system with existing incident reporting systems … Integrating the intensive care unit safety reporting system with existing incident reporting systems … https://psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident … https://psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems … https://psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38472/psn-pdf
     March 11, 2009 - Feedback from incident reporting: information and action to improve patient safety. … Feedback from incident reporting: information and action to improve patient safety. … https://psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety … Despite the widespread use of incident reporting and other error detection systems, there remains little … https://psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38312/psn-pdf
     March 09, 2010 - Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units … https://psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal … https://psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care … https://psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39623/psn-pdf
     June 23, 2010 - Safety learning system development--incident reporting component for family practice. … Safety learning system development--incident reporting component for family practice. … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family- … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice … https://psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice