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Showing results for "incident".

141. Using incident reporting to improve patient safety: a conceptual model. | PSNet
     psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
     June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model … Using Incident Reporting to Improve Patient Safety. … Though all hospitals are mandated to maintain an incident reporting system, there is limited evidence … In this study, the authors provide a conceptual framework for using data from incident reporting systems … Using Incident Reporting to Improve Patient Safety.

142. 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

143. 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

144. How well do incident reporting systems work on inpatient psychiatric units? | PSNet
     psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
     September 05, 2018 - Study How well do incident reporting systems work on inpatient psychiatric units? … How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? … A number of studies have shown that incident reporting systems only capture a small proportion of suspected … A recent commentary discussed the inherent limitations of incident reporting systems and suggested … How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units?

145. Evaluating incident learning systems and safety culture in two radiation oncology departments. | PSNet
     psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
     June 30, 2021 - Study Evaluating incident learning systems and safety culture in two radiation oncology … Evaluating incident learning systems and safety culture in two radiation oncology departments. … surveyed radiation oncology staff in two local health districts to assess understanding and use of incident … Evaluating incident learning systems and safety culture in two radiation oncology departments. … September 7, 2022 Impact of technological and departmental changes on incident rates

146. A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths. | PSNet
     psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
     October 16, 2013 - Study A comprehensive overview of medical error in hospitals using incident-reporting … A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints … Comparing adverse events detected by the hospital's voluntary incident reporting system , retrospective … September 7, 2011 Which aspects of safety culture predict incident reporting behavior … January 9, 2014 Motivational antecedents of incident reporting: evidence from a survey

147. 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

148. Incident and error reporting systems in intensive care: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature
     November 10, 2015 - Review Incident and error reporting systems in intensive care: a systematic review … Incident and error reporting systems in intensive care: a systematic review of the literature. … This systematic review found that incident reporting systems used in intensive care units failed to meet … Incident and error reporting systems in intensive care: a systematic review of the literature. … November 6, 2012 Design and implementation of an ICU incident registry.

149. "Every error counts": a web-based incident reporting and learning system for general practice. | PSNet
     psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice
     January 08, 2014 - Study "Every error counts": a web-based incident reporting and learning system for … "Every error counts": a web-based incident reporting and learning system for general practice. … This article reports on the development and dissemination of a web-based, German language incident reporting … "Every error counts": a web-based incident reporting and learning system for general practice. … August 14, 2013 Improving critical incident reporting in primary care through education

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47366/psn-pdf
     October 31, 2018 - Patient and family engagement in incident investigations: exploring hospital manager and incident investigators … Patient and family engagement in incident investigations: exploring hospital manager and incident investigators … - manager-and-incident Patient and family engagement enriches both incident reporting and adverse event … https://psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident … https://psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident

151. Classification of patient-safety incidents in primary care. | PSNet
     psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
     October 12, 2016 - Health Organization International Classification for Patient Safety enables measurement of safety incident … October 12, 2016 Nature of blame in patient safety incident reports: mixed methods analysis … December 16, 2020 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 … February 11, 2015 Incident reporting practices in the preanalytical phase: low reported

152. Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
     September 22, 2021 - of Dutch nurses and doctors found that most respondents (86%) had been involved in a patient safety incident … some point during their career but only a small proportion sought out support in the aftermath of the incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident … February 15, 2023 Psychological impact and recovery after involvement in a patient safety incident … study measuring the difference of healthcare workers reactions among those involved in a patent safety incident

153. 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

154. 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

155. 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-

156. A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19. | PSNet
     psnet.ahrq.gov/issue/comparative-study-measuring-difference-healthcare-workers-reactions-among-those-involved
     February 15, 2023 - study measuring the difference of healthcare workers reactions among those involved in a patent safety incident … study measuring the difference of healthcare workers reactions among those involved in a patent safety incident … the mental health and well-being of healthcare workers compared to involvement in a patient safety incident … study measuring the difference of healthcare workers reactions among those involved in a patent safety incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident

157. 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

158. Impact of system-level activities and reporting design on the number of incident reports for patient safety. | PSNet
     psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports-patient-safety
     January 20, 2011 - Study Impact of system-level activities and reporting design on the number of incident … Impact of system-level activities and reporting design on the number of incident reports for patient … Impact of system-level activities and reporting design on the number of incident reports for patient … Citation Related Resources From the Same Author(s) A comparative analysis of incident … June 10, 2020 A web-based incident reporting system and multidisciplinary collaborative

159. Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet
     psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
     January 15, 2020 - Using the WHO International Classification of patient safety framework to identify incident … Using the WHO International Classification of patient safety framework to identify incident characteristics … Using the WHO International Classification of patient safety framework to identify incident characteristics … February 1, 2017 Harms from discharge to primary care: mixed methods analysis of incident … September 7, 2016 Integrating incident reporting into an electronic patient record system

160. Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place. | PSNet
     psnet.ahrq.gov/issue/hospital-staff-should-use-more-one-method-detect-adverse-events-and-potential-adverse-events
     November 12, 2014 - Hospital staff should use more than one method to detect adverse events and potential adverse events: incident … Hospital staff should use more than one method to detect adverse events and potential adverse events: incident … All hospitals are required to have an incident reporting system, but the voluntary nature of such systems … Most adverse events were detected by record review, not by incident reporting; pharmacy surveillance … The failure of incident reporting systems to detect ADEs has been previously reported .