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Showing results for "incident".

  1. 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

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47366/psn-pdf
    October 31, 2018 - Patient and family engagement in incident investigations: exploring hospital manager and incident investigators … Patient and family engagement in incident investigations: exploring hospital manager and incident investigators … - manager-and-incident Patient and family engagement enriches both incident reporting and adverse event … https://psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident … https://psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860722/psn-pdf
    January 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful- improvements … This study reviewed and categorized incident reports regarding in-hospital cardiac arrest (IHCA) at two … https://psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854825/psn-pdf
    October 25, 2023 - Exploring the "Black Box" of recommendation generation in local health care incident investigations: … Exploring the "Black Box" of recommendation generation in local health care incident investigations: … https://psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident … - investigations Organizational incident reporting allows for investigation of contributing factors … https://psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73218/psn-pdf
    January 01, 2022 - Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency … Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency … https://psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident … identified a relationship between work-related factors (e.g., stress, fatigue), unsafe behavior, and safety incident … https://psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50555/psn-pdf
    October 16, 2019 - Improving critical incident reporting in primary care through education and involvement. … Improving critical incident reporting in primary care through education and involvement. … https://psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and … - involvement Critical incident reporting systems  (CIRS) can be important for identifying organizational … https://psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50675/psn-pdf
    November 20, 2019 - A systematic review of natural language processing for classification tasks in the field of incident … A systematic review of natural language processing for classification tasks in the field of incident … https://psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field- incident-reporting … review identified 35 studies demonstrating that NLP can be used to classify narrative text according to incident … https://psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting

  8. 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

  9. Serious incidents after death: content analysis of incidents reported to a national database. | PSNet

    psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database
    October 03, 2018 - Investigators analyzed 132 incident reports from the Strategic Executive Information System database … Diagnostic error in the emergency department: learning from national patient safety incident … January 15, 2020 Characterising the nature of primary care patient safety incident reports … July 18, 2016 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

  10. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet

    psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
    November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide … March 31, 2021 Learning from incident reporting? … October 14, 2020 How incident reporting systems can stimulate social and participative

  11. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. | PSNet

    psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
    August 17, 2022 - Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … September 7, 2022 Descriptive analysis of patient misidentification from incident report … February 16, 2022 Learning from incident reporting?

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866247/psn-pdf
    July 10, 2024 - Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing Natural … https://psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing https … ://psnet.ahrq.gov/issue/systematic-review-natural-language-processing-classification-tasks-field-incident-reporting

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73865/psn-pdf
    September 22, 2021 - Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an … psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient- safety-incident … nursing students in Belgium found that about one in three students were involved in a patient safety incident … //psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841768/psn-pdf
    December 21, 2022 - implementation-online-reporting-system-identify-unprofessional-behaviors-and- mistreatment The effectiveness of incident … This cohort study describes the characteristics of incident reports submitted by trainees in a large … From October 2019 through December 2021, trainees submitted nearly 200 incident reports, primarily describing … Findings suggest that awareness and support for the online incident reporting system among trainees … https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees

  15. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. | PSNet

    psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
    October 12, 2016 - Using a national database of patient safety incident reports in the United Kingdom, this study characterized … Over 1,100 incident reports were identified; nearly half resulted in some degree of harm but most (39% … October 12, 2016 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 … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856640/psn-pdf
    November 29, 2023 - Research from webAIRS incident reporting system. … https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system Centralized de-identified reports … https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system https://psnet.ahrq.gov/primer … /reporting-patient-safety-events https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system … https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system https://psnet.ahrq.gov/web-mm

  17. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. | PSNet

    psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report
    January 22, 2014 - Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident … Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident … Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident … July 18, 2016 Harms from discharge to primary care: mixed methods analysis of incident … report analysis using a newly developed medical oncology incident taxonomy.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60618/psn-pdf
    June 24, 2020 - 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 … differences-between-methods-detecting-medication-errors-secondary-analysis- medication This study compared medication errors detected using incident … 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.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853429/psn-pdf
    September 13, 2023 - Multifaceted intervention to improve patient safety incident reporting in intensive care units. … Multifaceted intervention to improve patient safety incident reporting in intensive care units. … https://psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive … https://psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units … https://psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50750/psn-pdf
    January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting … Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident reporting … ://psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia- incident-reporting … This article presents a descriptive analysis of the MRE reported to the Spanish Anaesthesia Incident … https://psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
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