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Showing results for "incident".

41. 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.

42. 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.

43. 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?

44. 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

45. Novel telephone-based interactive voice response system for incident reporting. | PSNet
    psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
    September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting … Novel telephone-based interactive voice response system for incident reporting. … Errors and near misses reported via incident reporting systems can highlight emerging patient safety … Novel telephone-based interactive voice response system for incident reporting. … September 8, 2021 Self-Reported Learning (SRL), a voluntary incident reporting system

46. 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.

47. Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. | PSNet
    psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident
    June 09, 2021 - Second victims among baccalaureate nursing students in the aftermath of a patient safety incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an … nursing students in Belgium found that about one in three students were involved in a patient safety incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an … June 9, 2021 Psychological impact and recovery after involvement in a patient safety incident

48. The contribution of staffing to medication administration errors: a text mining analysis of incident report data. | PSNet
    psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
    December 21, 2022 - The contribution of staffing to medication administration errors: a text mining analysis of incident … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident … retrospective study used descriptive statistics, manual analysis, and text mining of medication-related incident … The key importance of this article is the use of an automated system to analyze incident reports. … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident

49. 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.

50. 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?

51. Anatomy of an incident disclosure: the importance of dialogue. | PSNet
    psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
    February 20, 2012 - Commentary Anatomy of an incident disclosure: the importance of dialogue. … Anatomy of an incident disclosure: the importance of dialogue. … This detailed case study discusses a unique incident disclosure process that involved prolonged dialogue … Anatomy of an incident disclosure: the importance of dialogue. … February 20, 2012 What prevents incident disclosure, and what can be done to promote

52. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
    psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - Physicians file only 1%–3% of incident reports.( 10,12 ) Thus, incident reporting is most useful for … Clinical incident reporting. In: Vincent C, ed. … 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

53. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
    psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
    January 12, 2022 - Diagnostic error in the emergency department: learning from national patient safety incident … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … This retrospective study reviewed incident reports to characterize diagnostic errors occurring in … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident

54. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. | PSNet
    psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
    July 22, 2020 - Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … Clinicians who are involved in a patient safety incident often experience significant emotional consequences … This study found that nurses involved in an patient safety incident resulting in patient death were more … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident

55. What to do with healthcare incident reporting systems. | PSNet
    psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
    November 12, 2014 - Review What to do with healthcare incident reporting systems. … What to do with healthcare Incident Reporting Systems. … Incident reporting systems are a popular method for hospitals to detect patient safety hazards. … This review highlights limitations and strengths of incident reporting in safety improvement programs … What to do with healthcare Incident Reporting Systems.

56. 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

57. 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

58. Incident reporting behaviours following the Francis report: a cross-sectional survey. | PSNet
    psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
    October 12, 2016 - Study Incident reporting behaviours following the Francis report: a cross-sectional … Incident reporting behaviours following the Francis report: A cross-sectional survey. … In this mixed-methods study across 11 hospitals in England, researchers surveyed physicians on incident … reporting and found that incident reporting still requires improvement. … Incident reporting behaviours following the Francis report: A cross-sectional survey.

59. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. | PSNet
    psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety
    October 06, 2021 - Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident … Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident … personality traits and traumatic outcome symptoms in nurses who were involved in a patient safety incident … Results indicate a strong relationship between perfectionism and neuroticism and reexperiencing the incident … September 29, 2021 Patient and family involvement in serious incident investigations

60. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. | PSNet
    psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
    May 05, 2021 - Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … Incident reporting systems are a common method for hospitals to detect patient safety events, but prior … Conducted in a nursing home, this study found that an existing incident reporting system redesigned to … A qualitative study of barriers to incident reporting among nurses working in nursing homes.