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Showing results for "incident".

21. Improving incident reporting among physician trainees. | PSNet
    psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
    October 08, 2016 - Study Improving incident reporting among physician trainees. … Improving Incident Reporting Among Physician Trainees. … Incident reporting is widely implemented to detect adverse events, but its effectiveness is hindered … The authors suggest that this intervention may enhance incident reporting in other institutions. … Improving Incident Reporting Among Physician Trainees.

22. Customer focused incident monitoring in anaesthesia. | PSNet
    psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia
    April 24, 2018 - Study Customer focused incident monitoring in anaesthesia. … Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90. … The authors studied anesthesia-related incident reports at one institution and found that many incidents … Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586-90.

23. Fluorouracil Incident Root Cause Analysis Report. | PSNet
    psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
    September 02, 2014 - Book/Report Fluorouracil Incident Root Cause Analysis Report. … Citation Text: Fluorouracil Incident Root Cause Analysis Report. … This report shares findings from a root cause analysis of a medication error incident that led to … Copy URL Cite Citation Citation Text: Fluorouracil Incident … May 11, 2014 External Inquiry into the adverse incident that occurred at Queen's Medical

24. Research from webAIRS incident reporting system. | PSNet
    psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
    February 15, 2023 - Special or Theme Issue Research from webAIRS incident reporting system. … Citation Text: Research from webAIRS incident reporting system. … URL Cite Citation Citation Text: Research from webAIRS incident … October 5, 2011 WebAIRS Anesthesia Incident Reporting System.

25. ADE Incident Identification Form | Digital Healthcare Research
    digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/ade-incident-identification
    January 01, 2023 - ADE Incident Identification Form Description This form identifies an adverse … Document Source Statewide Implementation of Electronic Health Records PDF ADE Incident

26. The frustrating case of incident-reporting systems. | PSNet
    psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
    June 22, 2022 - Commentary The frustrating case of incident-reporting systems. … The frustrating case of incident-reporting systems. … This commentary discusses the limitations of incident reporting systems and provides suggestions for … how data gathered from incident reports may be used to improve safety. … The frustrating case of incident-reporting systems.

27. Critical incident reporting system in emergency medicine. | PSNet
    psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
    August 07, 2019 - Review Critical incident reporting system in emergency medicine. … Critical incident reporting system in emergency medicine. … This article explains how critical incident reporting systems and safety culture  can help ensure  … Critical incident reporting system in emergency medicine. … August 7, 2019 Enhancing patient safety by integrating ethical dimensions to critical incident

28. Incident learning in radiation oncology: a review. | PSNet
    psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review
    October 14, 2020 - Review Emerging Classic Incident learning in radiation … Incident learning in radiation oncology: A review. … the application of this concept in radiation oncology , successful practices, and challenges for incident … Incident learning in radiation oncology: A review. … Prevention of a wrong-location misadministration through the use of an intradepartmental incident

29. Review of the Australian Incident Monitoring System. | PSNet
    psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
    July 23, 2008 - Study Review of the Australian Incident Monitoring System. … Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. … The authors surveyed users of the Australian Incident Monitoring System (AIMS) to determine its value … Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61.

30. Safety incident reports associated with blood transfusions. | PSNet
    psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions
    July 13, 2010 - Study Safety incident reports associated with blood transfusions. … Safety incident reports associated with blood transfusions. … This analysis of transfusion-related safety incident reports found that such events were more commonly … Safety incident reports associated with blood transfusions.

31. Factors influencing incident reporting in surgical care. | PSNet
    psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
    March 03, 2011 - Study Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … Incident reporting (IR) systems continue to consume tremendous energy for providers who submit incidents … Of note, physicians were less likely to report surgical complications compared to other incident types … Factors influencing incident reporting in surgical care.

32. A chemotherapy incident reporting and improvement system. | PSNet
    psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
    November 16, 2022 - Study A chemotherapy incident reporting and improvement system. … A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80. … A chemotherapy incident reporting and improvement system. … Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident

33. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
    January 01, 2025 - Final Progress Report: Incident Reporting Practices in Nursing Homes FINAL PROGRESS REPORT Incident … on a written narrative incident report. … In our pilot research conducted on incident reports in nursing homes, we showed wide variation of incident … Use of Incident Reports for Quality Improvement: Incident reports document clinical errors and other … only that an incident occurred.

34. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident … The Incident Decision Tree is not a “wrongdoer’s charter.” … a patient safety incident. … The Incident Decision Tree has been seen as: • Robust, applicable, and helpful. … “I told her, it’s not me—it’s the Incident Decision Tree.”

35. Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. | PSNet
    psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
    May 01, 2024 - Flow of information contributing to medication incidents in home care- an analysis considering incident … Flow of information contributing to medication incidents in home care— an analysis considering incident … In this study, researchers analyzed 1,027 incident reports involving medication errors and communication … Flow of information contributing to medication incidents in home care— an analysis considering incident … areas related to medication administrations - text mining analysis using free-text descriptions of incident

36. Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
    December 01, 2017 - ________________________           Time of Incident ______________  __  AM  __  PM Day of … __ Yes      __ No The footwear at the time of the incident was: __ Shoes __ Slippers And … Was a restraint in use at the time of the incident? … What was the incident outcome?   __ Injury (complete Part B) __ Noninjury Part B. … If necessary, please provide a brief narrative of this incident: ___________________________________

37. Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active-incident
    July 24, 2024 - Patient safety incidents are common in primary care: a national prospective active incident … Patient safety incidents are common in primary care: A national prospective active incident reporting … This prospective study elicited incident reports from general practitioners for all types of adverse … Patient safety incidents are common in primary care: A national prospective active incident reporting … April 10, 2013 Incident reporting practices in the preanalytical phase: low reported

38. Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet
    psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
    January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis … using a newly developed medical oncology incident taxonomy. … Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical … oncology incident taxonomy. … oncology incident taxonomy.

39. Data consistency in a voluntary medical incident reporting system. | PSNet
    psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system
    August 21, 2024 - Study Data consistency in a voluntary medical incident reporting system. … Data consistency in a voluntary medical incident reporting system. … This retrospective study found that nearly one quarter of incident reports lacked sufficient information … to accurately classify and analyze the incident. … Data consistency in a voluntary medical incident reporting system.

40. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
    psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
    December 18, 2019 - methods of detecting medication errors: a secondary analysis of medication administration errors using incident … methods of detecting medication errors: a secondary analysis of medication administration errors using incident … This study compared medication errors detected using incident reports , the Global Trigger Tool method … Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … For example, incident reports most commonly identified wrong dose and wrong time errors.