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Showing results for "incident".

181. Surgical Patient Experience of Care Survey Design Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
     June 02, 2025 - ResearchAmerican Institutes for Research Literature Review Results Focus Group Results Critical Incident … AnalysisCritical Incident Analysis  Critical Incident study was conducted to help inform development … ResultsCritical Incident Results Surgeon Incidents % Other Provider Incidents % Prob. … ResultsCritical Incident Results  In general, the critical incident taxonomic domains measured … ResultsCritical Incident Results  The following were less likely to characterize visits to a surgeon

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74264/psn-pdf
     January 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. … Characteristics of critical incident reporting systems in primary care: an international survey. … https://psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international … - survey Critical incident reporting systems (CIRS) are used to improve learning and patient safety … ., nurses, physicians, patients); whether reporting is mandatory or voluntary or both depending on incident

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46867/psn-pdf
     February 20, 2019 - Connecting perspectives on quality and safety: patient- level linkage of incident, adverse event and … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and … https://psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident … - adverse-event-and Safety events in hospitalized patients are captured in three ways: incident reports … Among Dutch surgical patients, the three methods captured unique problems, but patients with an incident

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72856/psn-pdf
     March 17, 2021 - The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … https://psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven … The authors propose a method which leverages a radiation oncology incident learning system with a simplified … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system https://psnet.ahrq.gov/issue

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867082/psn-pdf
     November 06, 2024 - Learning in radiation oncology: 12-month experience with a new incident learning system. … month experience with a new incident learning system. … https://psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning- … system An incident learning system (ILS) can highlight system weaknesses and promote organizational … https://psnet.ahrq.gov/issue/learning-radiation-oncology-12-month-experience-new-incident-learning-system

186. Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. | PSNet
     psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
     December 29, 2014 - Study Critical incident stress management (CISM) in complex systems: cultural adaptation … Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts … Critical incident stress management (CISM) is a peer support program that has previously been utilized … Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts … workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident

187. Review of alternatives to root cause analysis: developing a robust system for incident report analysis. | PSNet
     psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis
     November 14, 2018 - Review Review of alternatives to root cause analysis: developing a robust system for incident … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … This review highlights alternative approaches to incident analysis that address some of the concerns … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … September 5, 2018 How well do incident reporting systems work on inpatient psychiatric

188. The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest reliability and hospital-level reliability. | PSNet
     psnet.ahrq.gov/issue/patient-reported-incident-hospital-instrument-prih-i-assessments-data-quality-test-retest
     March 20, 2015 - Study The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments … The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test-retest … The Patient-Reported Incident in Hospital Instrument, which consists of 13 questions about patient-perceived … The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test-retest … June 18, 2013 A comprehensive overview of medical error in hospitals using incident-reporting

189. The impact of COVID-19 workflow changes on radiation oncology incident reporting. | PSNet
     psnet.ahrq.gov/issue/impact-covid-19-workflow-changes-radiation-oncology-incident-reporting
     June 30, 2021 - Study The impact of COVID-19 workflow changes on radiation oncology incident reporting … The impact of COVID‐19 workflow changes on radiation oncology incident reporting. … The impact of COVID‐19 workflow changes on radiation oncology incident reporting. … Resources From the Same Author(s) Impact of technological and departmental changes on incident … June 30, 2021 Evaluating incident learning systems and safety culture in two radiation

190. 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

191. Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet
     psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
     March 21, 2017 - The limitations of standard incident reporting systems have been well documented.  … A prior article presented a framework for using incident reporting data to improve patient safety. … July 13, 2022 Characteristics of critical incident reporting systems in primary care: … August 24, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian … : description of 4846 incident reports.

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50775/psn-pdf
     January 01, 2021 - Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … https://psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers … Half of all incident reports involved interunit/department/team transfers and the majority (69%) of … Few incident reports referenced individual or organizational learning (e.g., team discussions, root

193. Challenges and opportunities of patient safety event reporting. | PSNet
     psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
     June 23, 2021 - This article discusses the technological challenges of incident reporting and offers recommendations … 2022 View More Related Resources Characteristics of critical incident … January 19, 2022 Incident reporting systems: what will it take to make them less frustrating … March 7, 2012 Voluntary incident reporting by anaesthetic trainees in an Australian hospital … June 29, 2011 Implementation of a patient safety incident management system as viewed

194. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866814/psn-pdf
     September 25, 2024 - Accuracy of a proprietary large language model in labeling obstetric incident reports. … Accuracy of a proprietary large language model in labeling obstetric incident reports. … https://psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports … Voluntary incident reporting is an important resource for identifying adverse events and near misses … https://psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports

195. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50659/psn-pdf
     November 13, 2019 - Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. … Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study. … https://psnet.ahrq.gov/issue/barriers-and-facilitators-incident-reporting-mental-healthcare-settings- … qualitative study of staff in mental healthcare settings and assessed the barriers and facilitators to incident … The authors identified unique challenges to incident reporting in mental health, including the incidence

196. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60872/psn-pdf
     September 02, 2020 - How incident reporting systems can stimulate social and participative learning: a mixed-methods study … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … https://psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning … - mixed-methods Using qualitative and quantitative data, this study evaluated how incident reporting … The authors identified five core areas related to incident reporting: (1) changed staff attitudes and

197. Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. | PSNet
     psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach
     July 29, 2020 - Healthcare professionals' encounters with ethnic minority patients: the critical incident … Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. … Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. … August 25, 2021 Evaluation of older persons' medications: a critical incident technique … October 6, 2021 Long-term care nurses' experiences with patient safety incident management

198. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73923/psn-pdf
     October 06, 2021 - Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient- safety-incident … Clinicians who are involved in a patient safety incident often experience significant emotional consequences … This study found that nurses involved in an patient safety incident resulting in patient death were

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50753/psn-pdf
     December 18, 2019 - The contribution of staffing to medication administration errors: a text mining analysis of incident … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident … /psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis- incident-report … retrospective study used descriptive statistics, manual analysis, and text mining of medication-related incident … The key importance of this article is the use of an automated system to analyze incident reports.

200. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837144/psn-pdf
     May 18, 2022 - Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. … Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. … https://psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed … This article describes data collected during the first three years of a new statewide incident reporting … system, California’s Workplace Violent Incident Reporting System (WVIRS) for Hospitals.