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Total Results: over 10,000 records

Showing results for "incident".

161. 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 .

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74141/psn-pdf
     December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful … Incident reporting systems: what will it take to make them less frustrating and achieve anything useful … https://psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and … - achieve-anything Incident reporting has long been advocated as a central strategy supporting error … https://psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45526/psn-pdf
     January 01, 2019 - Improving incident reporting among physician trainees. … Improving Incident Reporting Among Physician Trainees. … https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees Incident reporting … The authors suggest that this intervention may enhance incident reporting in other institutions. … https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees https://psnet.ahrq.gov

164. 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

165. 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.

166. Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial. | PSNet
     psnet.ahrq.gov/issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice-cluster
     September 07, 2016 - Study Effects of patient safety culture interventions on incident reporting in general … Effects of patient safety culture interventions on incident reporting in general practice: a cluster … Effects of patient safety culture interventions on incident reporting in general practice: a cluster … September 7, 2016 Feasibility of centre-based incident reporting in primary healthcare … August 20, 2018 Nature of blame in patient safety incident reports: mixed methods analysis

167. 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

168. 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:

169. 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

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47571/psn-pdf
     December 12, 2018 - Enhancing safety culture through improved incident reporting: a case study in translational research … Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research … https://psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study- … of interventions employed at a large health care provider in London over a 2-year period to improve incident … efforts to improve culture survey results, reduce health care–associated patient harm, and increase incident

171. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet
     psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
     January 19, 2011 - non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident … non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident … This review of operating room incident reports found that anesthetic technicians' situational awareness … non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836784/psn-pdf
     March 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … https://psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident … - reports Effective incident reporting systems play an essential role in identifying and mitigating … content analysis can support incident analysis and help identify risk mitigation strategies, performance

173. 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.

174. 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

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73086/psn-pdf
     January 01, 2022 - Barriers to incident reporting among nurses: a qualitative systematic review. … Barriers to incident reporting among nurses: a qualitative systematic review. … https://psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review … Incident reporting plays an essential role in identifying patient safety threats. … This study aggregated findings from qualitative studies to identify barriers to incident reporting among

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867637/psn-pdf
     February 26, 2025 - Patient safety incident reporting and learning guidelines implemented by health care professionals in … Patient safety incident reporting and learning guidelines implemented by health care professionals in … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health … - care Patient safety incident reporting and learning (PSIRL) systems are integral to ensuring patient … https://psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866311/psn-pdf
     January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and systems used for safety incident … psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used- safety-incident … Incident reporting systems are commonly used to detect threats to patient safety. … This systematic review of 106 studies examined the characteristics of incident reporting processes in

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73530/psn-pdf
     July 28, 2021 - The nature, severity and causes of medication incidents from an Australian community pharmacy incident … The nature, severity and causes of medication incidents from an Australian community pharmacy incident … psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community- pharmacy-incident … This study analyzed medication incident (MI) reports from thirty community pharmacies in Australia. … https://psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73065/psn-pdf
     March 24, 2021 - Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop- learning-incident … Incident reporting systems are a common method for hospitals to detect patient safety events, but prior … Conducted in a nursing home, this study found that an existing incident reporting system redesigned

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842768/psn-pdf
     January 18, 2023 - Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review … Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review … https://psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals … - systematic Incident reporting systems are common tools to detect patient safety hazards. … This systematic review synthesized evidence from 41 studies using incident reporting system data to