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Showing results for "incident".

201. 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

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858171/psn-pdf
     December 13, 2023 - 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. … https://psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/852444/psn-pdf
     August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global- … difference in adverse events detected using the Global Trigger Tool compared to those detected via incident … than 10% of adverse events detected using the Global Trigger Tool were also found in corresponding incident

204. 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

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50795/psn-pdf
     January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report … Diagnostic error in the emergency department: learning from national patient safety incident report … https://psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety- incident-report … This retrospective study reviewed incident reports to characterize diagnostic errors occurring in emergency … https://psnet.ahrq.gov/issue/problem-incident-reporting https://psnet.ahrq.gov/primer/diagnostic-errors

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44532/psn-pdf
     December 21, 2018 - The problem with incident reporting. December 21, 2018 Macrae C. … The problem with incident reporting. … https://psnet.ahrq.gov/issue/problem-incident-reporting This commentary discusses weaknesses in health … care incident reporting systems that limit their ability to contribute to improvements, including overreporting … https://psnet.ahrq.gov/issue/problem-incident-reporting https://psnet.ahrq.gov/primer/reporting-patient-safety-events

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44744/psn-pdf
     June 21, 2016 - Can patient safety incident reports be used to compare hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? … https://psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results … Incident reports provide one lens into patient safety, despite concerns about under-reporting. … Numerous incident reports may indicate either a high number of errors or a robust safety culture that

208. 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.

209. 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

210. 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.

211. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
     ce.effectivehealthcare.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.”

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74834/psn-pdf
     February 16, 2022 - Evaluating incident learning systems and safety culture in two radiation oncology departments. … Evaluating incident learning systems and safety culture in two radiation oncology departments. … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation- … surveyed radiation oncology staff in two local health districts to assess understanding and use of incident … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73188/psn-pdf
     April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. … Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. … https://psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident … The authors suggest that integrating these dimensions into existing incident reporting system processes … https://psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72546/psn-pdf
     December 09, 2020 - Learning from incident reporting? … Learning from incident reporting? … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web … - based-system Incident reporting systems and root cause analyses are the primary mechanisms by which … This analysis of incident reports occurring at one hospital in Sweden found that the handling, causes

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42019/psn-pdf
     December 29, 2014 - Can incident reporting improve safety? … Can incident reporting improve safety? … https://psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views- effectiveness-incident … https://psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident … https://psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854829/psn-pdf
     January 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 … psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis- considering-incident … In this study, researchers analyzed 1,027 incident reports involving medication errors and communication … psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident

217. 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

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865522/psn-pdf
     April 10, 2024 - An analysis of incident reports related to electronic medication management: how they change over time … An analysis of incident reports related to electronic medication management: how they change over time … https://psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they … This study analyzed types of incident reports related to EMM at three hospitals over the course of its … https://psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74083/psn-pdf
     November 17, 2021 - Novel telephone-based interactive voice response system for incident reporting. … Novel telephone-based interactive voice response system for incident reporting. … https://psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting … Errors and near misses reported via incident reporting systems can highlight emerging patient safety … https://psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting

220. Creating a web-based incident analysis and communication system. | PSNet
     psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system
     May 01, 2003 - Study Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system.