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Showing results for "incident".

381. 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

382. 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

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50886/psn-pdf
     February 12, 2020 - areas related to medication administrations - text mining analysis using free-text descriptions of incident … areas related to medication administrations - text mining analysis using free-text descriptions of incident … retrospective study used text mining to analyze the free text descriptions in 72,390 medication administration incident … ://psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report

384. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72670/psn-pdf
     January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis Patients … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis https

385. 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

386. 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

387. 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

388. 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

389. 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

390. 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

391. 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

392. 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

393. Increased risk of burnout for physicians and nurses involved in a patient safety incident. | PSNet
     psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
     September 21, 2016 - Increased risk of burnout for physicians and nurses involved in a patient safety incident … Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. … Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. … A critical incident study among doctors and nurses. … January 21, 2015 Critical incident stress management (CISM) in complex systems: cultural

394. 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

395. A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. | PSNet
     psnet.ahrq.gov/issue/comprehensive-quality-assurance-program-personnel-and-procedures-radiation-oncology-value
     November 18, 2020 - October 14, 2020 Impact of technological and departmental changes on incident rates in … August 26, 2020 The fusion of incident learning and failure mode and effects analysis … February 23, 2022 View More Related Resources Integrating incident … June 17, 2014 What to do with healthcare incident reporting systems. … January 29, 2014 Motivational antecedents of incident reporting: evidence from a survey

396. Systematic review and meta-analysis of educational interventions designed to improve medication administration skills and safety of registered nurses. | PSNet
     psnet.ahrq.gov/issue/systematic-review-and-meta-analysis-educational-interventions-designed-improve-medication
     June 24, 2020 - methods of detecting medication errors: a secondary analysis of medication administration errors using incident … The contribution of staffing to medication administration errors: a text mining analysis of incident … identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident … Flow of information contributing to medication incidents in home care- an analysis considering incident … areas related to medication administrations - text mining analysis using free-text descriptions of incident

397. What prevents incident disclosure, and what can be done to promote it? | PSNet
     psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
     February 20, 2012 - Study What prevents incident disclosure, and what can be done to promote it? … What prevents incident disclosure, and what can be done to promote it? … What prevents incident disclosure, and what can be done to promote it? … Patients' and family members' views on how clinicians enact and how they should enact incident … November 21, 2016 Anatomy of an incident disclosure: the importance of dialogue.

398. Integrating the intensive care unit safety reporting system with existing incident reporting systems. | PSNet
     psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
     January 12, 2011 - Study Integrating the intensive care unit safety reporting system with existing incident … 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. … December 15, 2011 Using incident reporting to improve patient safety: a conceptual model … &M Cases One Bronchoscopy, Two Errors January 1, 2019 Incident

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