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Total Results: over 10,000 records

Showing results for "incident".

161. Final Progress Report: Patient Safety in Hospice Care (pdf file)
     www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
     January 01, 2024 - or to increase the risk of an incident. 3. … Incident characteristics: These are selected attributes of the incident itself. … , the agents and activities related to the incident, timing, place, and other basic attributes. … each patient safety incident fit within. 3. … moderate the progression of the incident toward harming the patient” (mitigating factors)?

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. Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study. | PSNet
     psnet.ahrq.gov/issue/worries-and-concerns-experienced-nurse-specialists-during-inter-hospital-transports
     September 19, 2016 - experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident … experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident … This Swedish study used critical incident debriefing techniques to explore factors leading to potential … experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident … January 30, 2019 How well do incident reporting systems work on inpatient psychiatric

164. Rates of safety incident reporting in MRI in a large academic medical center. | PSNet
     psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center
     May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center … Rates of safety incident reporting in MRI in a large academic medical center. … This analysis of incident reports related to magnetic resonance imaging found that, similar to other … settings , incident reports are infrequent, and most do not result in patient harm. … Rates of safety incident reporting in MRI in a large academic medical center.

165. 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

166. Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. | PSNet
     psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study
     October 05, 2011 - Study Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL … Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. … This study investigates the local implementation and feasibility of an incident reporting system for … Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. … September 7, 2016 Effects of patient safety culture interventions on incident reporting

167. 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

168. 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

169. Critical incident stress debriefing after adverse patient safety events. | PSNet
     psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
     April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events.

170. ADE and Near Miss Incident Classification Form | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/ade-and-near-miss-incident
     January 01, 2023 - ADE and Near Miss Incident Classification Form Description This form is used … Source Statewide Implementation of Electronic Health Records PDF ADE and Near Miss Incident

171. 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

172. 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

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866351/psn-pdf
     July 24, 2024 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic- review-incident … Incident reports provide valuable learning opportunities at individual, team, and organizational levels … This study used incident reports involving anticoagulant medication errors to demonstrate the effectiveness

174. Efficacy of an incident-reporting system in cellular pathology: a practical experience. | PSNet
     psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience
     August 21, 2024 - Study Efficacy of an incident-reporting system in cellular pathology: a practical … Efficacy of an incident-reporting system in cellular pathology: a practical experience. … Efficacy of an incident-reporting system in cellular pathology: a practical experience. … impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident … February 15, 2010 Classifying laboratory incident reports to identify problems that jeopardize

175. 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

176. 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

177. 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

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867641/psn-pdf
     February 26, 2025 - Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional … Open disclosure among general practitioners as second victim of a patient safety incident: a cross-sectional … https://psnet.ahrq.gov/issue/open-disclosure-among-general-practitioners-second-victim-patient-safety- incident-cross … included 78 general practitioners in Belgium, found that 87% had been involved in a patient safety incident … Only half of respondents were involved in an open discourse process after the incident, but participation

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866590/psn-pdf
     August 28, 2024 - Risk controls identified in action plans following serious incident investigations in secondary care … Risk controls identified in action plans following serious incident investigations in secondary care … https://psnet.ahrq.gov/issue/risk-controls-identified-action-plans-following-serious-incident-investigations … - secondary Patient safety incident investigations offer unique opportunities to encourage continuous … hospital in the United Kingdom to assess how well the proposed patient safety actions generated from incident

180. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet
     psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
     March 14, 2022 - After implementation, incident reporting increased by 41% in the first quarter of 2023 (to 1 in every … September 4, 2024 Uncovering the risks of anticancer therapy through incident report … analysis using a newly developed medical oncology incident taxonomy. … November 16, 2022 The impact of COVID-19 workflow changes on radiation oncology incident … November 2, 2022 Evaluating incident learning systems and safety culture in two radiation