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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. 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.

43. 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

44. 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?

45. 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

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. 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

48. 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

49. 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

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. 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?

52. 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.

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. Design and implementation of an ICU incident registry. | PSNet
    psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
    February 14, 2024 - Study Design and implementation of an ICU incident registry. … Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. … Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8.

56. 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

57. 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

58. 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

59. Patient falls while under supervision: trends from incident reporting. | PSNet
    psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
    January 11, 2023 - Study Patient falls while under supervision: trends from incident reporting. … Patient falls while under supervision: trends from incident reporting. … This study used one health system’s incident reporting tool in the United Kingdom to ascertain the incidence … Patient falls while under supervision: trends from incident reporting.

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.