Results

Total Results: over 10,000 records

Showing results for "incident".

81. Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. | PSNet
    psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
    June 26, 2019 - Government Resource Critical Incident Reviews, Significant Adverse Event Reports … Citation Text: 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 … Copy URL Cite Citation Citation Text: Critical Incident … patient safety problems associated with information technology in general practice: an analysis of incident

82. Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. | PSNet
    psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
    July 03, 2016 - priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting … In this mixed-methods study, researchers analyzed patient safety incident reports regarding patients … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

83. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet
    psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
    June 15, 2011 - Study Comparing process- and outcome-oriented approaches to voluntary incident reporting … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Incident reporting (IR) systems serve as an important mechanism to understand, analyze, and potentially … This study categorized more than 2200 incident reports into whether they described aberrant care processes … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.

84. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
    January 08, 2025 - Review Patient safety incident reporting and learning guidelines implemented by health … Patient safety incident reporting and learning guidelines implemented by health care professionals in … Patient safety incident reporting and learning (PSIRL) systems are integral to ensuring patient safety … Patient safety incident reporting and learning guidelines implemented by health care professionals in … 22, 2024 Exploring the "Black Box" of recommendation generation in local health care incident

85. Accuracy of a proprietary large language model in labeling obstetric incident reports. | PSNet
    psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
    September 23, 2020 - Study Accuracy of a proprietary large language model in labeling obstetric incident … Accuracy of a proprietary large language model in labeling obstetric incident reports. … Voluntary incident reporting is an important resource for identifying adverse events and near misses, … used the large language model (LLM) ChatGPT-3.5 in a secure environment to label a sample of obstetric incident … Accuracy of a proprietary large language model in labeling obstetric incident reports.

86. Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. | PSNet
    psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors
    October 21, 2020 - Study Voluntary medical incident reporting tool to improve physician reporting of … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … After introducing a web-based voluntary incident reporting system in an academic emergency department … A prior PSNet perspective discussed incident reporting systems and the importance of not only increasing … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency

87. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet
    psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
    April 28, 2021 - Study Connecting perspectives on quality and safety: patient-level linkage of incident … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint … Safety events in hospitalized patients are captured in three ways: incident reports (process problems … Among Dutch surgical patients, the three methods captured unique problems, but patients with an incident … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint

88. Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. | PSNet
    psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
    January 12, 2022 - Commentary Enhancing patient safety by integrating ethical dimensions to critical incident … Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. … The authors suggest that integrating these dimensions into existing incident reporting system processes … Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. … GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident

89. Patient safety culture: effects on errors, incident reporting, and patient safety grade. | PSNet
    psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade
    August 26, 2020 - Study Patient safety culture: effects on errors, incident reporting, and patient … Patient safety culture: effects on errors, incident reporting, and patient safety grade. … Patient safety culture: effects on errors, incident reporting, and patient safety grade. … February 21, 2024 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

90. 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.

91. Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet
    psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
    August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation … The limitations of standard incident reporting systems have been well documented . … This interview study investigated health care providers' perceptions of safety events and incident reporting … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation

92. Incident reporting system does not detect adverse drug events: a problem for quality improvement. | PSNet
    psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
    February 10, 2011 - Study Classic Incident reporting system does not detect … The incident reporting system does not detect adverse drug events: a problem for quality improvement. … This study determined the rate with which adverse drug events (ADE) resulted in an incident report … The authors offer a plan to improve reporting systems and provide examples of how past incident reports … The incident reporting system does not detect adverse drug events: a problem for quality improvement.

93. Psychological impact and recovery after involvement in a patient safety incident: a repeated measures analysis. | PSNet
    psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
    September 19, 2016 - Study Psychological impact and recovery after involvement in a patient safety incident … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … Investigators surveyed more than 900 clinicians involved in a patient safety incident across 33 Belgian … other findings, the study showed that supportive environments reduced the psychological impact of the incident … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures

94. Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. | PSNet
    psnet.ahrq.gov/issue/implementation-patient-safety-incident-management-system-viewed-doctors-nurses-and-allied
    March 23, 2011 - Study Implementation of a patient safety incident management system as viewed by … Implementation of a patient safety incident management system as viewed by doctors, nurses and allied … Physicians had a more negative view of incident reporting systems and tended to use more narrow and … physician-centric descriptors when reporting an incident. … Implementation of a patient safety incident management system as viewed by doctors, nurses and allied

95. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet
    psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
    December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety … August 19, 2020 The fusion of incident learning and failure mode and effects analysis … September 1, 2021 How incident reporting systems can stimulate social and participative

96. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet
    psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
    November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … The authors propose a method which leverages a radiation oncology incident learning system with a simplified … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … March 8, 2023 Content analysis of patient safety incident reports for older adult patient

97. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. | PSNet
    psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
    August 17, 2005 - Study Voluntary incident reporting by anaesthetic trainees in an Australian hospital … Voluntary incident reporting by anaesthetic trainees in an Australian hospital. … The authors assessed residents' incident reporting  using personal digital assistants (PDAs) and found … Voluntary incident reporting by anaesthetic trainees in an Australian hospital. … October 5, 2011 Implementation of a patient safety incident management system as viewed

98. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet
    psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
    December 06, 2023 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … Incident reports provide valuable learning opportunities at individual, team, and organizational levels … This study used incident reports involving anticoagulant medication errors to demonstrate the effectiveness … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident

99. Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? | PSNet
    psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
    December 14, 2022 - Study Content analysis of patient safety incident reports for older adult patient … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … This study reviewed incident reports involving older adult patient transitions in geriatrics, cardiology … Few incident reports referenced individual or organizational learning (e.g., team discussions, root cause … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and

100. The contribution of nurses to incident disclosure: a narrative review. | PSNet
     psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review
     March 15, 2016 - Review The contribution of nurses to incident disclosure: a narrative review. … The contribution of nurses to incident disclosure: a narrative review. … This systematic review found that nurses regularly support patients and physicians during safety incident … The contribution of nurses to incident disclosure: a narrative review. … Patients' and family members' views on how clinicians enact and how they should enact incident