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Showing results for "incident".

201. Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet
     psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
     September 20, 2011 - Book/Report Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. … Citation Text: Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. … Incident reporting systems are ubiquitous, but their effectiveness as a means of monitoring for patient … This follow-up analysis found that incident reports were not filed for the vast majority of these adverse … Copy URL Cite Citation Citation Text: Hospital Incident

202. Adverse event reporting: harnessing residents to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
     July 02, 2019 - Physicians are known to underuse voluntary incident reporting systems in hospitals. … physicians and simplifying their reporting system, investigators observed a 230% increase in trainee incident … A prior WebM&M commentary discussed the value of incident reporting for errors and near misses. … February 15, 2017 Improving incident reporting among physician trainees. … July 2, 2014 Possible solutions for barriers in incident reporting by residents.

203. 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

204. 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

205. 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

206. 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

207. 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

208. 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

209. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
     January 01, 2007 - Responses were coded by type of incident, consequences for the patient, responsible party, process-of-care … deficiencies, and preventability of the incident. … deficiencies, severity, and the preventability of the incident. … Physician perception of hospital safety and barriers to incident reporting. … A qualitative study of the intra-hospital variations in incident reporting.

210. Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health care organization. | PSNet
     psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health
     October 26, 2022 - Study Self-Reported Learning (SRL), a voluntary incident reporting system experience … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health … Self-Reported Learning (SRL), a voluntary incident reporting system experience within a large health … Analysis of incident reports from a patient safety organization. … February 12, 2020 Novel telephone-based interactive voice response system for incident

211. 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

212. Toward learning from patient safety reporting systems. | PSNet
     psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
     January 02, 2017 - This study reports the initial findings from a voluntary, Web-based patient safety incident reporting … The authors note that the science of incident reporting systems is still in its infancy and recommend … that future research should study how to use incident reporting data to improve patient safety. … June 16, 2011 Using incident reporting to improve patient safety: a conceptual model. … : description of 4846 incident reports.

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44266/psn-pdf
     May 19, 2019 - Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation … https://psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident- … reporting The limitations of standard incident reporting systems have been well documented. … This interview study investigated health care providers' perceptions of safety events and incident reporting

214. 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

215. 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

216. Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet
     psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
     August 03, 2022 - Voluntary incident reports are critical to identifying adverse events, but reading through the text … This study found that a machine learning approach to electronically analyze incident reports successfully … The authors conclude that it is feasible to apply automated text analysis to incident reports to categorize … May 4, 2022 View More Related Resources Incident reporting systems … April 12, 2011 Incident reporting in one UK accident and emergency department.

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73570/psn-pdf
     January 01, 2022 - Long-term care nurses' experiences with patient safety incident management: a qualitative study. … Long-term care nurses' experiences with patient safety incident management: a qualitative study. … https://psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management- qualitative-study … https://psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study … https://psnet.ahrq.gov/issue/long-term-care-nurses-experiences-patient-safety-incident-management-qualitative-study

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844791/psn-pdf
     September 18, 2019 - Review of alternatives to root cause analysis: developing a robust system for incident report analysis … Review of alternatives to root cause analysis: developing a robust system for incident report analysis … https://psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident … This review highlights alternative approaches to incident analysis that address some of the concerns … https://psnet.ahrq.gov/issue/review-alternatives-root-cause-analysis-developing-robust-system-incident-report-analysis

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60575/psn-pdf
     June 10, 2020 - Applying principles from aviation safety investigations to root cause analysis of a critical incident … Applying principles from aviation safety investigations to root cause analysis of a critical incident … psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical- incident … This case study describes the use of root cause analysis to investigate a critical incident occurring … psnet.ahrq.gov/issue/applying-principles-aviation-safety-investigations-root-cause-analysis-critical-incident

220. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet
     psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
     June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? … Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? … reporting in neonatal intensive care: description of 4846 incident reports. … : description of 4846 incident reports.