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Showing results for "incident".

81. 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

82. 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.

83. 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

84. 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.

85. The impact of incident disclosure behaviors on medical malpractice claims. | PSNet
    psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims
    September 27, 2023 - Study The impact of incident disclosure behaviors on medical malpractice claims. … The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. … The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims.

86. 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.

87. 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

88. 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

89. Learning from excellence in healthcare: a new approach to incident reporting. | PSNet
    psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
    August 31, 2022 - Commentary Learning from excellence in healthcare: a new approach to incident reporting … Learning from excellence in healthcare: a new approach to incident reporting. … Learning from excellence in healthcare: a new approach to incident reporting. … priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting

90. 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

91. 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

92. 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.

93. 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?

94. Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet
    psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
    January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis … using a newly developed medical oncology incident taxonomy. … Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical … oncology incident taxonomy. … oncology incident taxonomy.

95. 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.

96. 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

97. 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.

98. 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.

99. 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

100. 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.