Results

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Showing results for "incident".

141. To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? | PSNet
     psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare
     January 21, 2009 - found in patient records reported by patients and healthcare professionals via complaints, claims and incident … found in patient records reported by patients and healthcare professionals via complaints, claims and incident … This Dutch study found that patient complaints , malpractice claims , and incident reports identified … July 2, 2014 Unit-based incident reporting and root cause analysis: variation at three … January 13, 2021 Integrating incident data from five reporting systems to assess patient

142. A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA. | PSNet
     psnet.ahrq.gov/issue/comparative-analysis-incident-reporting-lag-times-academic-medical-centres-japan-and-usa
     March 23, 2011 - Study A comparative analysis of incident reporting lag times in academic medical … A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA … This study compared incident reporting practices at two hospitals and noted significantly longer lag … A comparative analysis of incident reporting lag times in academic medical centres in Japan and the USA … Same Author(s) Impact of system-level activities and reporting design on the number of incident

143. Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting system. | PSNet
     psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical-incident-reporting
     August 03, 2017 - Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … This retrospective review of anesthesia and critical care cases in the German incident reporting system … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident

144. Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. | PSNet
     psnet.ahrq.gov/issue/incident-learning-pursuit-high-reliability-implementing-comprehensive-low-threshold-reporting
     September 27, 2017 - Study Incident learning in pursuit of high reliability: implementing a comprehensive … Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting … This study describes the experience of an incident learning program in a radiation oncology department … Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting … July 1, 2015 Radiation Oncology Incident Learning System.

145. Risk controls identified in action plans following serious incident investigations in secondary care: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations-secondary
     April 22, 2017 - Study Risk controls identified in action plans following serious incident investigations … Risk controls identified in action plans following serious incident investigations in secondary care: … Patient safety incident investigations offer unique opportunities to encourage continuous learning … hospital in the United Kingdom to assess how well the proposed patient safety actions generated from incident … Risk controls identified in action plans following serious incident investigations in secondary care:

146. Does error and adverse event reporting by physicians and nurses differ? | PSNet
     psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
     February 24, 2011 - Hospital incident reporting systems are ubiquitous but limited, as their voluntary nature results in … Prior research has documented that physicians, in particular, do not file incident reports.  … This evaluation of more than 260,000 incident reports from a broad cross-section of hospitals examined … links between the severity of the incident and who reported the incident. … A successful intervention to improve physician incident reporting was described in a prior study .

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867694/psn-pdf
     March 05, 2025 - Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident … Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of incident … psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and- deadlock-incident … Incident reporting systems are considered an essential tool for learning from patient safety events … https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm

148. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
     February 22, 2019 - This study used patient safety incident reports in the UK to characterize and explore safety issues arising … Over a ten-year period, there were 70 reports of an ACP-related patient safety incident (due to incomplete … February 22, 2019 Characterising the nature of primary care patient safety incident reports … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

149. Patient-assisted incident reporting: including the patient in patient safety. | PSNet
     psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
     June 16, 2011 - Commentary Patient-assisted incident reporting: including the patient in patient … Patient-assisted incident reporting: including the patient in patient safety. … This commentary suggests that patient-assisted incident reporting following an adverse event can reveal … Patient-assisted incident reporting: including the patient in patient safety. … December 15, 2011 Establishing a global learning community for incident-reporting systems

150. Analysis of critical incident reports using natural language processing. | PSNet
     psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
     June 14, 2023 - Study Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73209/psn-pdf
     May 05, 2021 - Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting … Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting … - pharmacy-incident Community pharmacists play an important role in patient safety. … https://psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident … https://psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident

152. Unit-based incident reporting and root cause analysis: variation at three hospital unit types. | PSNet
     psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital-unit-types
     April 14, 2011 - Study Unit-based incident reporting and root cause analysis: variation at three hospital … Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … Incident reporting systems and root cause analyses remain the main mechanisms by which adverse events … This study sought to determine whether more localized, unit-based incident reporting systems might provide … Unit-based incident reporting and root cause analysis: variation at three hospital unit types.

153. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. | PSNet
     psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system-reduce-adverse
     June 18, 2008 - Study Benchmarking surgical incident reports using a database and a triage system … Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes … This study, like most studies of data derived from incident reports, is limited because voluntary reports … Nonetheless, the study illustrates how to use incident reporting data within an appropriate conceptual … Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes

154. Chapter 4. Results | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/shuttered/acfselection/chapter4.html
     July 01, 2018 - Incident command of an ACF is probably best done by a physician or nurse who understands both incident … May also refer to the Incident or Team Commander. Command Post: See Incident Command Post. … to the Incident Commander. … The Incident Command Post may be collocated with the Base. There is only one Base per incident. … for the management of all incident operations at the incident site.

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853065/psn-pdf
     August 30, 2023 - Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … analysis of NHS England staff survey and incident data. … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … analysis of NHS England staff survey and incident data. … - learning-analysis Voluntary incident reporting rates may be an indicator of organizational safety

156. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
     December 29, 2014 - Study Learning from patient safety incidents in incident review meetings: organisational … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … This observational study of incident report review meetings found that high workload, lack of organizational … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … Healthcare practitioners' views of the effectiveness of incident reporting.

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865711/psn-pdf
     May 01, 2024 - 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. … https://psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-

158. Attitudes and barriers to incident reporting: a collaborative hospital study. | PSNet
     psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
     June 15, 2011 - Study Attitudes and barriers to incident reporting: a collaborative hospital study … Attitudes and barriers to incident reporting: a collaborative hospital study. … The researchers surveyed physicians and nurses in South Australia regarding their use of incident reporting … Attitudes and barriers to incident reporting: a collaborative hospital study. … Resources From the Same Author(s) Evaluation of an intervention aimed at improving voluntary incident

159. Narrativizing errors of care: critical incident reporting in clinical practice. | PSNet
     psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice
     September 06, 2017 - Commentary Narrativizing errors of care: critical incident reporting in clinical … Narrativizing errors of care: critical incident reporting in clinical practice. … The authors propose that critical incident reporting can help to involve clinicians in evaluating and … Narrativizing errors of care: critical incident reporting in clinical practice. … September 6, 2017 Practising open disclosure: clinical incident communication and systems

160. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
     www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
     January 01, 2024 - The PSET and hospital incident report data were used to develop a hospital incident reporting ontology … code and incident report number. … Incident Report Classification. … month incident report data collection period. … Information Collected by Incident Reporting Systems.