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Showing results for "incident".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837857/psn-pdf
     August 17, 2022 - Patient and family involvement in serious incident investigations from the perspectives of key stakeholders … Patient and family involvement in serious incident investigations from the perspectives of key stakeholders … https://psnet.ahrq.gov/issue/patient-and-family-involvement-serious-incident-investigations-perspectives … qualitative evidence review concluded that patients and families value involvement in patient safety incident … https://psnet.ahrq.gov/issue/patient-and-family-involvement-serious-incident-investigations-perspectives-key-stakeholders

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853428/psn-pdf
     September 13, 2023 - Intensive care unit critical incident analysis as an objective tool to select content for a simulation … Intensive care unit critical incident analysis as an objective tool to select content for a simulation … https://psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content … This process of integrating critical incident data with trainee self-assessment can be generalized to … https://psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation

243. 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

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865874/psn-pdf
     May 15, 2024 - Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … https://psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review Incident … https://psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review https://

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48152/psn-pdf
     July 17, 2019 - Safety incident reports associated with blood transfusions. … Safety incident reports associated with blood transfusions. … https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions This analysis of … transfusion-related safety incident reports found that such events were more commonly reported for pediatric … https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions https://psnet.ahrq.gov

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73083/psn-pdf
     March 31, 2021 - Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after … https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations … https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide … https://psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide

247. 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

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34804/psn-pdf
     January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. … The incident reporting system does not detect adverse drug events: a problem for quality improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem- … report and whether differences existed among hospital personnel as to whether an incident report should … After identifying ADEs in this single-center study, only 6% had a corresponding incident report submitted

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867226/psn-pdf
     December 04, 2024 - The nature of the response to airway management incident reports in high income countries: a scoping … The nature of the response to airway management incident reports in high income countries: a scoping … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review

250. 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.

251. Practising open disclosure: clinical incident communication and systems improvement. | PSNet
     psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement
     November 23, 2016 - Commentary Practising open disclosure: clinical incident communication and systems … Practising Open Disclosure: clinical incident communication and systems improvement. … Practising Open Disclosure: clinical incident communication and systems improvement. … September 6, 2017 Narrativizing errors of care: critical incident reporting in clinical … Patients' and family members' views on how clinicians enact and how they should enact incident

252. Communication and Resolution After an Adverse Health Care Incident. | PSNet
     psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
     August 01, 2014 - Legislation/Regulation Communication and Resolution After an Adverse Health Care Incident … Citation Text: Communication and Resolution After an Adverse Health Care Incident. … Citation Citation Text: Communication and Resolution After an Adverse Health Care Incident

253. Critical incident stress debriefing after adverse patient safety events. | PSNet
     psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
     April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events. … Critical incident stress debriefing after adverse patient safety events.

254. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
     October 12, 2016 - In this mixed methods study, researchers analyzed incident reports involving sick pediatric primary care … An accompanying editorial discusses the value of incident reports with regard to improving care for … July 3, 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

255. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet
     psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
     October 12, 2016 - Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

256. How to mitigate the effects of cognitive biases during patient safety incident investigations. | PSNet
     psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations
     June 29, 2022 - Commentary How to mitigate the effects of cognitive biases during patient safety incident … How to mitigate the effects of cognitive biases during patient safety incident investigations. … How to mitigate the effects of cognitive biases during patient safety incident investigations. … Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident … Analysis of incident reports from a patient safety organization.

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46391/psn-pdf
     February 08, 2018 - Nature of blame in patient safety incident reports: mixed methods analysis of a national database. … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … https://psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national … - database Poor safety culture has been identified as a barrier to incident reporting. … Researchers analyzed a sample of family practice patient safety incident reports from the England and

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44987/psn-pdf
     February 01, 2017 - International recommendations for national patient safety incident reporting systems: an expert Delphi … International recommendations for national patient safety incident reporting systems: an expert Delphi … https://psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting … - systems-expert Although incident reporting systems remain central to most patient safety programs … Consistent with prior research, experts agreed that incident reporting systems should not be used to

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47076/psn-pdf
     August 15, 2018 - Incident learning in radiation oncology: a review. August 15, 2018 Ford E, Evans SB. … Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. … https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review Learning from adverse events … https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review https://psnet.ahrq.gov/issue … /radiation-oncology-incident-learning-system

260. Cultural and associated enablers of, and barriers to, adverse incident reporting. | PSNet
     psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
     March 23, 2011 - Study Cultural and associated enablers of, and barriers to, adverse incident reporting … Cultural and associated enablers of, and barriers to, adverse incident reporting. … Cultural and associated enablers of, and barriers to, adverse incident reporting. … June 14, 2011 Attitudes toward the large-scale implementation of an incident reporting … June 29, 2011 Implementation of a patient safety incident management system as viewed