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Showing results for "incident".

61. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. | PSNet
    psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
    June 08, 2022 - Review Addressing patient safety hazards using critical incident reporting in hospitals … Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review … Incident reporting systems are common tools to detect patient safety hazards. … Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review … September 14, 2022 Patient and family involvement in serious incident investigations

62. 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.

63. Improving critical incident reporting in primary care through education and involvement. | PSNet
    psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
    September 07, 2022 - Study Improving critical incident reporting in primary care through education and … Improving critical incident reporting in primary care through education and involvement. … Critical incident reporting systems  (CIRS) can be important for identifying organizational safety needs … Improving critical incident reporting in primary care through education and involvement. … September 7, 2022 Characteristics of critical incident reporting systems in primary care

64. Can we use incident reports to detect hospital adverse events? | PSNet
    psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
    March 06, 2005 - Study Can we use incident reports to detect hospital adverse events? … Citation Text: Can we use incident reports to detect hospital adverse events? … As shown in prior research , incident reports identified only a small proportion of adverse events. … A framework for analyzing and responding to incident reports was presented in an earlier study . … April 4, 2018 Critical Incident Technique Bibliography—2001.

65. A critical review: moral injury in nurses in the aftermath of a patient safety incident. | PSNet
    psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
    July 22, 2020 - Classic A critical review: moral injury in nurses in the aftermath of a patient safety incident … A critical review: moral injury in nurses in the aftermath of a patient safety incident. … provides a critical review of the literature about moral injury observed in nurses after a patient safety incident … A critical review: moral injury in nurses 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

66. 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.

67. 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

68. Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet
    psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
    January 26, 2022 - Study Ten years of incident reports on in-hospital cardiac arrest - Are they useful … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … This study reviewed and categorized incident reports regarding in-hospital cardiac arrest (IHCA) at two … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … using a newly developed medical oncology incident taxonomy.

69. Characteristics of critical incident reporting systems in primary care: an international survey. | PSNet
    psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey
    September 07, 2022 - Study Characteristics of critical incident reporting systems in primary care: an … Characteristics of critical incident reporting systems in primary care: an international survey. … Critical incident reporting systems (CIRS) are used to improve learning and patient safety. … Characteristics of critical incident reporting systems in primary care: an international survey. … December 1, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian

70. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet
    psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
    March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist … The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in … This institution implemented a psychiatry-specific incident reporting tool. … Researchers found that physicians submitted more incident reports but there was no significant change … The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in

71. Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system. | PSNet
    psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
    January 18, 2023 - Study Paediatric medication incident reporting: a multicentre comparison study of … medication errors identified at audit, detected by staff and reported to an incident system. … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified … at audit, detected by staff and reported to an incident system. … at audit, detected by staff and reported to an incident system.

72. Identifying risks areas related to medication administrations - text mining analysis using free-text descriptions of incident reports. | PSNet
    psnet.ahrq.gov/issue/identifying-risks-areas-related-medication-administrations-text-mining-analysis-using-free
    December 18, 2019 - 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 … study used text mining to analyze the free text descriptions in 72,390 medication administration  incident … areas related to medication administrations - text mining analysis using free-text descriptions of incident … The contribution of staffing to medication administration errors: a text mining analysis of incident

73. Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. | PSNet
    psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
    March 28, 2011 - Study Trends in healthcare incident reporting and relationship to safety and quality … Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals … Incident reporting systems are an important method for capturing, analyzing, and learning about a broad … However, using the number of incident reports filed as a metric of safety is not a proven relationship … This study examined hospital-based incident reports to the United Kingdom's  National Patient Safety

74. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet
    psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - Study Rates and types of events reported to established incident reporting systems … Rates and types of events reported to established incident reporting systems in two US hospitals. … Despite mandates for US hospitals to maintain incident reporting systems, little is known about the … Rates and types of events reported to established incident reporting systems in two US hospitals. … : description of 4846 incident reports.

75. Attitudes toward the large-scale implementation of an incident reporting system. | PSNet
    psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
    March 23, 2011 - Study Attitudes toward the large-scale implementation of an incident reporting system … Attitudes toward the large-scale implementation of an incident reporting system. … Nurses were more likely than physicians to utilize a new incident reporting system and were also more … Attitudes toward the large-scale implementation of an incident reporting system. … June 23, 2010 Review of the Australian Incident Monitoring System.

76. How incident reporting systems can stimulate social and participative learning: a mixed-methods study. | PSNet
    psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
    November 04, 2020 - Study How incident reporting systems can stimulate social and participative learning … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … The authors identified five core areas related to incident reporting: (1) changed staff attitudes and … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … March 31, 2021 Learning from incident reporting?

77. Qualitative content analysis: a framework for the substantive review of hospital incident reports. | PSNet
    psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
    March 16, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … Effective incident reporting systems play an essential role in identifying and mitigating patient safety … content analysis can support incident analysis and help identify risk mitigation strategies, performance … Qualitative content analysis: a framework for the substantive review of hospital incident reports.

78. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet
    psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
    October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … Poor safety culture has been identified as a barrier to incident reporting . … Researchers analyzed a sample of family practice patient safety incident reports from the England and … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database.

79. International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. | PSNet
    psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
    February 14, 2018 - Study International recommendations for national patient safety incident reporting … International recommendations for national patient safety incident reporting systems: an expert Delphi … Researchers interviewed experts to establish consensus on the role of patient safety incident reporting … Consistent with prior research , experts agreed that incident reporting systems should not be used to … International recommendations for national patient safety incident reporting systems: an expert Delphi

80. Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet
    psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
    June 23, 2021 - workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident … workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident … of organizational support for managing risks, individual closure, and providing support after an incident … Resources From the Same Author(s) Evaluation of older persons' medications: a critical incident … September 19, 2016 Critical incident stress management (CISM) in complex systems: cultural