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Showing results for "incident".

421. Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices. | PSNet
     psnet.ahrq.gov/issue/sociocultural-factors-influencing-incident-reporting-among-physicians-and-nurses
     May 18, 2016 - Study Sociocultural factors influencing incident reporting among physicians and nurses … Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Understanding Frames … Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Understanding Frames … Fix and forget or fix and report: a qualitative study of tensions at the front line of incident … June 11, 2014 Motivational antecedents of incident reporting: evidence from a survey

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867046/psn-pdf
     October 30, 2024 - This article summarizes practices to advance the quality and safety of radiation oncology, including incident … psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43287/psn-pdf
     July 02, 2014 - Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and- lessons-aftermath-incident … psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident … psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46134/psn-pdf
     September 24, 2017 - Sources of unsafe primary care for older adults: a mixed- methods analysis of patient safety incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient- safety-incident … psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident … psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862153/psn-pdf
     February 07, 2024 - https://psnet.ahrq.gov/issue/anticipating-patient-safety-events-psychiatric-care Incident reporting … study, researchers evaluated safety incidents reported using the Psychiatry Morbidity and Mortality Incident … becoming-high-reliability-organization-through-shared-learning-safety-events https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41333/psn-pdf
     April 25, 2012 - Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. … https://psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans … This report describes an investigation into a 5-year delay in action plans for critical incident reviews … https://psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35121/psn-pdf
     September 07, 2005 - Classifying laboratory incident reports to identify problems that jeopardize patient safety. … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36382/psn-pdf
     October 28, 2010 - 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. … https://psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry The authors describe the … https://psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41611/psn-pdf
     November 23, 2012 - Self-reported uptake of recommendations after dissemination of medication incident alerts. … Self-reported uptake of recommendations after dissemination of medication incident alerts. … https://psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication- incident-alerts … https://psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication-incident-alerts … https://psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication-incident-alerts

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41703/psn-pdf
     November 08, 2012 - Anatomy of an incident disclosure: the importance of dialogue. … Anatomy of an incident disclosure: the importance of dialogue. … https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue Physician organizations … This detailed case study discusses a unique incident disclosure process that involved prolonged dialogue … https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue https://psnet.ahrq.gov/primer

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35967/psn-pdf
     January 02, 2017 - Physician perception of hospital safety and barriers to incident reporting. … Physician perception of hospital safety and barriers to incident reporting. … https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting The … https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40898/psn-pdf
     February 06, 2012 - Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system. … https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system This study … https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system https://psnet.ahrq.gov

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33970/psn-pdf
     March 07, 2005 - Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. … https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting … The author provides engineers and others with practical information on setting up a successful incident … https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45831/psn-pdf
     January 25, 2017 - Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a … Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a … https://psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions … https://psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications … https://psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - Incident reporting is frequently used as a general term for all voluntary patient safety event reporting … Characteristics of Incident Reporting Systems An effective event reporting system should have four key … https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system https:/ … adverse-event-reporting-practices-us-hospitals-results-national-survey https://psnet.ahrq.gov/issue/problem-incident-reporting … https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please

436. Health care provider use of private sector internal error-reporting systems. | PSNet
     psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
     May 29, 2019 - July 13, 2022 Characteristics of critical incident reporting systems in primary care: … July 26, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian hospital … June 29, 2011 Implementation of a patient safety incident management system as viewed … June 15, 2011 Using incident reporting to improve patient safety: a conceptual model. … June 15, 2011 Design and implementation of an ICU incident registry.

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36922/psn-pdf
     June 22, 2015 - Fluorouracil Incident Root Cause Analysis Report. … https://psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report This report shares findings … from a root cause analysis of a medication error incident that led to a patient's death. … https://psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report https://psnet.ahrq.gov/

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33892/psn-pdf
     May 03, 2016 - Critical Incident Technique Bibliography—2001. … May 3, 2016 Fivars G; Fitzpatrick R https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography … https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001 https://psnet.ahrq.gov/issue … /preventable-anesthesia-mishaps-study-human-factors https://psnet.ahrq.gov/issue/critical-incident-technique

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47851/psn-pdf
     May 22, 2019 - Communication and Resolution After an Adverse Health Care Incident. … https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident Communication-and-resolution … https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident https://

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46586/psn-pdf
     January 01, 2020 - adverse-event-reporting-harnessing-residents-improve-patient-safety Physicians are known to underuse voluntary incident … physicians and simplifying their reporting system, investigators observed a 230% increase in trainee incident … A prior WebM&M commentary discussed the value of incident reporting for errors and near misses.