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Showing results for "incident".

41. Systematic review of types of safety incidents and the processes and systems used for safety incident reporting in care homes. | PSNet
    psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used-safety-incident
    September 11, 2024 - Systematic review of types of safety incidents and the processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and systems used for safety incident … Incident reporting systems are commonly used to detect threats to patient safety. … This systematic review of 106 studies examined the characteristics of incident reporting processes in … Systematic review of types of safety incidents and the processes and systems used for safety incident

42. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet
    psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
    November 15, 2023 - Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident … Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of incident … Incident reporting systems are considered an essential tool for learning from patient safety events, … found that nurses struggle to define “report-worthy” events and question whether actions stemming from incident … November 20, 2015 Incident and error reporting systems in intensive care: a systematic

43. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet
    psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
    May 05, 2021 - The nature, severity and causes of medication incidents from an Australian community pharmacy incident … The nature, severity and causes of medication incidents from an Australian community pharmacy incident … This study analyzed medication incident (MI) reports from thirty community pharmacies in Australia . … The nature, severity and causes of medication incidents from an Australian community pharmacy incident … pharmacy incident reporting system: the QUMwatch study.

44. Possible solutions for barriers in incident reporting by residents. | PSNet
    psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
    April 14, 2011 - Study Possible solutions for barriers in incident reporting by residents. … Possible solutions for barriers in incident reporting by residents. … Possible solutions for barriers in incident reporting by residents. … impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident

45. System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet
    psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
    August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. … February 2, 2022 Learning from incident reporting?

46. Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. | PSNet
    psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
    August 04, 2021 - Study Learning from incident reporting? … Learning from incident reporting? … Incident reporting systems and root cause analyses are the primary mechanisms by which adverse events … This analysis of incident reports occurring at one hospital in Sweden found that the handling, causes … Learning from incident reporting?

47. Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. | PSNet
    psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
    February 21, 2024 - Study Exploring the impact of safety culture on incident reporting: lessons learned … from machine learning analysis of NHS England staff survey and incident data. … of NHS England staff survey and incident data. … Voluntary incident reporting rates may be an indicator of organizational safety culture. … of NHS England staff survey and incident data.

48. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
    psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
    December 18, 2019 - methods of detecting medication errors: a secondary analysis of medication administration errors using incident … methods of detecting medication errors: a secondary analysis of medication administration errors using incident … This study compared medication errors detected using incident reports , the Global Trigger Tool method … Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … For example, incident reports most commonly identified wrong dose and wrong time errors.

49. Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. | PSNet
    psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
    October 31, 2014 - Study Can patient safety incident reports be used to compare hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? … Incident reports provide one lens into patient safety, despite concerns about under-reporting . … In this study, investigators analyzed all incident reports from the national reporting system in the … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety?

50. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. | PSNet
    psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
    December 16, 2020 - Study Evaluation of an intervention aimed at improving voluntary incident reporting … Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … The investigators describe an  incident reporting intervention that included education on reportable … Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … March 28, 2011 Design and implementation of an ICU incident registry.

51. How effective are incident-reporting systems for improving patient safety? A systematic literature review. | PSNet
    psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
    January 18, 2023 - Review How effective are incident-reporting systems for improving patient safety? … Citation Text: How effective are incident-reporting systems for improving patient safety? … Although incident reporting systems did help enhance processes of care, there was no evidence that even … The limitations of incident reporting were discussed in a previous PSNet perspective . … April 8, 2019 The problem with incident reporting.

52. Barriers to incident reporting among nurses: a qualitative systematic review. | PSNet
    psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review
    September 21, 2022 - Review Emerging Classic Barriers to incident reporting … Barriers to incident reporting among nurses: a qualitative systematic review. … Incident reporting plays an essential role in identifying patient safety threats. … Barriers to incident reporting among nurses: a qualitative systematic review. … A qualitative study of barriers to incident reporting among nurses working in nursing homes.

53. Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet
    psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors
    December 18, 2019 - following medication administration errors: a descriptive study using text-mining and content analysis of incident … following medication administration errors: a descriptive study using text-mining and content analysis of incident … Using qualitative methods and text mining of medication error incident reports, researchers in this study … The contribution of staffing to medication administration errors: a text mining analysis of incident … July 14, 2021 Evaluation of older persons' medications: a critical incident technique

54. Enhancing safety culture through improved incident reporting: a case study in translational research. | PSNet
    psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
    March 10, 2021 - Commentary Enhancing safety culture through improved incident reporting: a case study … Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. … Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. … February 26, 2020 International recommendations for national patient safety incident … July 23, 2019 The problem with incident reporting.

55. Integrating incident reporting into an electronic patient record system. | PSNet
    psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system
    June 08, 2010 - Study Integrating incident reporting into an electronic patient record system. … Integrating incident reporting into an electronic patient record system. … This cohort study, conducted in an Australian hospital, reports on the implementation of an incident … , integration of incident reporting into routine electronic documentation may help increase physician … Integrating incident reporting into an electronic patient record system.

56. Interventions to increase clinical incident reporting in health care. | PSNet
    psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
    September 02, 2009 - Review Interventions to increase clinical incident reporting in health care. … Interventions to increase clinical incident reporting in health care. … This systematic review examined the effectiveness of interventions to increase incident reporting by … Interventions to increase clinical incident reporting in health care. … June 18, 2014 What to do with healthcare incident reporting systems.

57. Establishing a global learning community for incident-reporting systems. | PSNet
    psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
    May 24, 2012 - Commentary Establishing a global learning community for incident-reporting systems … Establishing a global learning community for incident-reporting systems. … together an international group of error reporting experts in order to develop a learning community for incident … advantages and challenges of current reporting systems, this article proposes guidelines for maximizing incident … Establishing a global learning community for incident-reporting systems.

58. Contributing factors identified by hospital incident report narratives. | PSNet
    psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
    January 02, 2017 - Study Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … The utility of routine incident reporting data is limited by the voluntary nature of these data, lack … Contributing factors identified by hospital incident report narratives. … January 2, 2017 Rates and types of events reported to established incident reporting

59. Clinical handover incident reporting in one UK general hospital. | PSNet
    psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital
    May 03, 2023 - Study Clinical handover incident reporting in one UK general hospital. … Clinical handover incident reporting in one UK general hospital. … Analysis of incident reports revealed a lower than expected number of reports involving handoffs , … Clinical handover incident reporting in one UK general hospital. … GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident

60. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. | PSNet
    psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global-trigger-tool-systematic
    December 13, 2023 - Review Comparing rates of adverse events detected in incident reporting and the Global … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … than 10% of adverse events detected using the Global Trigger Tool were also found in corresponding incident … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … April 1, 2020 Characterising the nature of primary care patient safety incident reports