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Showing results for "incident".

241. 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://

242. 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

243. 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.

244. 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

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73246/psn-pdf
     May 12, 2021 - 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 … https://psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience … https://psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health … https://psnet.ahrq.gov/issue/self-reported-learning-srl-voluntary-incident-reporting-system-experience-within-large-health

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846161/psn-pdf
     March 15, 2023 - Ten years of online incident reporting and learning using CPiRLS: implications for improved patient … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient … https://psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications … - improved-patient Patient safety incident reporting is an important tool for characterizing events … https://psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient

247. 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.

248. 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

249. 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

250. 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

251. 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.

252. 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.

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864857/psn-pdf
     March 20, 2024 - Safety on the ground: using critical incident technique to explore the factors influencing medical registrars … Safety on the ground: using critical incident technique to explore the factors influencing medical registrars … https://psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing … https://psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical … https://psnet.ahrq.gov/issue/safety-ground-using-critical-incident-technique-explore-factors-influencing-medical

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37612/psn-pdf
     February 15, 2011 - Can we use incident reports to detect hospital adverse events? … https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events Incident reporting … As shown in prior research, incident reports identified only a small proportion of adverse events. … A framework for analyzing and responding to incident reports was presented in an earlier study. … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

255. 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

256. 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

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36962/psn-pdf
     June 15, 2011 - Rates and types of events reported to established incident reporting systems in two US hospitals. … Rates and types of events reported to established incident reporting systems in two US hospitals. … https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two … - us-hospitals Despite mandates for US hospitals to maintain incident reporting systems, little is … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38454/psn-pdf
     January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Incident reporting (IR) systems serve as an important mechanism to understand, analyze, and potentially … This study categorized more than 2200 incident reports into whether they described aberrant care processes … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36266/psn-pdf
     October 21, 2010 - Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? … Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? … https://psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical … https://psnet.ahrq.gov/issue/scrutinizing-incident-reporting-anaesthesia-why-incident-perceived-critical

260. 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