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Showing results for "incident".

261. 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

262. 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://

263. 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

264. 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

265. 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

266. 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

267. 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

268. 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

269. 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

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60985/psn-pdf
     October 07, 2020 - Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command … Rapid-cycle improvement during the COVID-19 pandemic: using safety reports to inform incident command … psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports- inform-incident-command … //psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command … //psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838185/psn-pdf
     September 28, 2022 - 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. … https://psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident- investigations … https://psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations … https://psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73386/psn-pdf
     June 16, 2021 - Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. … Healthcare professionals’ encounters with ethnic minority patients: the critical incident approach. … https://psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident … https://psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach … https://psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach

273. 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

274. 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

275. 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

276. 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

277. 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

278. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
     January 01, 2001 - Methods This study is a retrospective review of routinely filed incident reports. … Rate of near misses and adverse events per 100 incident Table 2. … Comparison of reporting rates and incident severity Figure 1. … Rate of incident reports filed per 100 hospital admissions in 1998 and 2001 Figure 2. … Total number of incident reports and number categorized as “near miss,” Figure 3.

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45526/psn-pdf
     January 01, 2019 - Improving incident reporting among physician trainees. … Improving Incident Reporting Among Physician Trainees. … https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees Incident reporting … The authors suggest that this intervention may enhance incident reporting in other institutions. … https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees https://psnet.ahrq.gov

280. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60256/psn-pdf
     April 22, 2020 - A critical review: moral injury in nurses in the aftermath of a patient safety incident. … A critical review: moral injury in nurses in the aftermath of a patient safety incident. … https://psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident This … provides a critical review of the literature about moral injury observed in nurses after a patient safety incident … https://psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident https