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Showing results for "incident".

101. 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

102. 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

103. 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

104. 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

105. 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.

106. 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?

107. 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.

108. 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.

109. 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

110. 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.

111. 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.

112. 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

113. 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.

114. DEcIDE 32: The Incident User Design in Comparative Effectiveness Research (pdf file)
     effectivehealthcare-admin.ahrq.gov/sites/default/files/pdf/incident-user-design_research.pdf
     May 01, 2012 - The Incident User Design in Comparative Effectiveness Research. … We also reviewed methods papers on the incident user design. … If the study used a 180-day window to define incident users, he would appear to be an incident user, … The Incident User Design Complements Propensity Score Analyses The incident user design results in … When they compared incident statin users to incident users of other lipid-lowering drugs (i.e., active

115. 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

116. 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

117. 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.

118. 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

119. 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

120. 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