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Total Results: over 10,000 records

Showing results for "incident".

261. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851196/psn-pdf
     July 05, 2023 - Patient falls while under supervision: trends from incident reporting. July 5, 2023 Roberts M. … Patient falls while under supervision: trends from incident reporting. … https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting Preventing … This study used one health system’s incident reporting tool in the United Kingdom to ascertain the incidence … https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting https://

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38366/psn-pdf
     January 28, 2009 - Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes … Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes … https://psnet.ahrq.gov/issue/benchmarking-surgical-incident-reports-using-database-and-triage-system- … Nonetheless, the study illustrates how to use incident reporting data within an appropriate conceptual … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38693/psn-pdf
     June 15, 2011 - Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident … Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident … https://psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care- description … -4846 Incident reporting systems are one mechanism for hospitals to both identify and potentially prevent … https://psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care-description

264. 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

265. 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.

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41646/psn-pdf
     September 05, 2012 - Interventions to increase clinical incident reporting in health care. … Interventions to increase clinical incident reporting in health care. … https://psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care This systematic … review examined the effectiveness of interventions to increase incident reporting by clinicians. … Although incident reporting systems are universally used, they have been shown to capture only a small

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38157/psn-pdf
     October 22, 2008 - Contributing factors identified by hospital incident report narratives. … Contributing factors identified by hospital incident report narratives. … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives The … utility of routine incident reporting data is limited by the voluntary nature of these data, lack of … This analysis of traditional paper-based incident reports from two hospitals sought to classify the

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47075/psn-pdf
     November 21, 2018 - Integrating systemic accident analysis into patient safety incident investigation practices. … Integrating systemic accident analysis into patient safety incident investigation practices. … https://psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation … https://psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices … https://psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40378/psn-pdf
     June 01, 2024 - Organisation Patient Safety Incident Reports. … 18, 2018 National Patient Safety Agency https://psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports … June 2024, Learn from patient safety events (LFPSE) service replaced the Organisation Patient Safety Incident … https://psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports

270. 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

271. 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

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74014/psn-pdf
     October 27, 2021 - Adopting system models for multiple incident analysis: utility and usability. … Adopting systems models for multiple incident analysis: utility and usability. … https://psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability … and Systems Engineering Initiative for Patient Safety (SEIPS) – to better understand patient safety incident … https://psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability

273. 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

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861763/psn-pdf
     January 31, 2024 - The process and perspective of serious incident investigations in adult community mental health services … The process and perspective of serious incident investigations in adult community mental health services … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community- … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855098/psn-pdf
     November 08, 2023 - Innovative approaches to analysing aged care falls incident data: International Classification for Patient … Innovative approaches to analysing aged care falls incident data: international classification for patient … https://psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international … https://psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification … https://psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification

276. 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

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61049/psn-pdf
     January 01, 2021 - The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective … The effects of hospital-physician financial integration on adverse incident rate: an agency theory perspective … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44861/psn-pdf
     February 17, 2016 - Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical … - errors After introducing a web-based voluntary incident reporting system in an academic emergency … A prior PSNet perspective discussed incident reporting systems and the importance of not only increasing

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44737/psn-pdf
     December 16, 2015 - How effective are incident-reporting systems for improving patient safety? … https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety- … systematic-literature This systematic review found little evidence that incident reporting systems performed … Although incident reporting systems did help enhance processes of care, there was no evidence that even … The limitations of incident reporting were discussed in a previous PSNet perspective.

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36734/psn-pdf
     March 10, 2011 - Integrating incident reporting into an electronic patient record system. … Integrating incident reporting into an electronic patient record system. … https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system This cohort … study, conducted in an Australian hospital, reports on the implementation of an incident reporting … psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting