Results

Total Results: over 10,000 records

Showing results for "incident".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73980/psn-pdf
     October 20, 2021 - Descriptive analysis of patient misidentification from incident report system data in a large academic … Descriptive analysis of patient misidentification from incident report system data in a large academic … https://psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large … https://psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic … https://psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic

302. 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

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33716/psn-pdf
     September 01, 2011 - that incident reporting was designed to capture. … Harm doesn't actually play a role in the value of an incident. … In fact, the original definition of a "critical incident" was basically an incident involving the potential … But the biggest limitation for incident reporting is not the incident reporting itself; it's the actual … In general you want to look for patterns across incident reports.

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42913/psn-pdf
     January 29, 2014 - What to do with healthcare incident reporting systems. … What to do with healthcare Incident Reporting Systems. … https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems Incident reporting systems … This review highlights limitations and strengths of incident reporting in safety improvement programs … https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems https://psnet.ahrq.gov/primer

305. Association of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2 Diabetes, Obesity, and Body Composition | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/effect-dietary-digestible/research
     March 01, 2025 - The risk of incident coronary heart disease increased starting at 45 percent total energy intake. … The risk of incident coronary heart disease increased starting at 250 grams per day of carbohydrates. … When digestible carbohydrate intake was reported as grams per day, the risk of incident T2D gradually … When carbohydrate intake was analyzed as the percentage of total energy intake, the risk of incident … The risk of incident coronary heart disease increased starting at 250 grams per day of carbohydrates.

306. 2024 Network of Patient Safety Databases Chartbook (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
     January 01, 2024 - Below, determinations of preventability for an Incident are examined across patient age groups. … specified: 54,446 (91.9%) reported that the Incident Likely could have been prevented (i.e., the Incident … This suggests a slight disparity in INCIDENT PREVENTABILITY between patients Under 18 and all other … preventable was the incident?” … “How preventable was the incident?”

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73443/psn-pdf
     June 30, 2021 - Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen-year … Impact of technological and departmental changes on incident rates in radiation oncology over a seventeen … https://psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation- … https://psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over … https://psnet.ahrq.gov/issue/impact-technological-and-departmental-changes-incident-rates-radiation-oncology-over

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36769/psn-pdf
     June 15, 2011 - Using incident reporting to improve patient safety: a conceptual model. … Using Incident Reporting to Improve Patient Safety. … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model Though … all hospitals are mandated to maintain an incident reporting system, there is limited evidence that … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model https:/

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39985/psn-pdf
     November 10, 2010 - Establishing a global learning community for incident- reporting systems. … Establishing a global learning community for incident-reporting systems. … https://psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems Voluntary … together an international group of error reporting experts in order to develop a learning community for incident … https://psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems https:

310. 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.

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44628/psn-pdf
     September 12, 2016 - Rates of safety incident reporting in MRI in a large academic medical center. … Rates of safety incident reporting in MRI in a large academic medical center. … https://psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center This … analysis of incident reports related to magnetic resonance imaging found that, similar to other settings … , incident reports are infrequent, and most do not result in patient harm.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44797/psn-pdf
     March 15, 2016 - Incident and error reporting systems in intensive care: a systematic review of the literature. … Incident and error reporting systems in intensive care: a systematic review of the literature. … https://psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review- … literature This systematic review found that incident reporting systems used in intensive care units … https://psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38653/psn-pdf
     May 20, 2009 - The frustrating case of incident-reporting systems. May 20, 2009 Shojania KG. … The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. … https://psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems This commentary discusses the … limitations of incident reporting systems and provides suggestions for how data gathered from incident … https://psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45207/psn-pdf
     August 17, 2016 - Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … https://psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital … - unit-types Incident reporting systems and root cause analyses remain the main mechanisms by which … This study sought to determine whether more localized, unit-based incident reporting systems might provide

315. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet
     psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting
     January 19, 2016 - Review Development of a theoretical framework of factors affecting patient safety incident … Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical … Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical … February 8, 2018 Critical incident stress debriefing after adverse patient safety events … February 18, 2017 International recommendations for national patient safety incident

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37985/psn-pdf
     July 14, 2010 - Incident reporting in surgical trainees-revisited. … Incident Reporting in Surgical Trainees-Revisited. … https://psnet.ahrq.gov/issue/incident-reporting-surgical-trainees-revisited The majority of physicians … in this UK study felt that incident reporting was of limited utility, primarily because they did not … receive feedback after reporting an incident.

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847716/psn-pdf
     April 19, 2023 - psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic- review Incident … 22 studies identified barriers and facilitators influencing how health systems use and learn from incident … Factors supporting continuous improvement based on incident reporting systems included continuous training … for staff, a just culture, leadership investment, and tangible improvements stemming from incident … psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident

318. Fallpxtool5A (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
     January 29, 2013 - 5A: Information To Include in Incident Reports Background: The purpose of this tool is to audit incident … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information systems staff may also use this tool to develop or update electronic templates for submitting incident … Information To Include in Incident Reports Examples of Information Reason To Collect This Information

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40822/psn-pdf
     October 05, 2011 - Data consistency in a voluntary medical incident reporting system. October 5, 2011 Gong Y. … Data consistency in a voluntary medical incident reporting system. J Med Syst. 2011;35(4):609-15. … https://psnet.ahrq.gov/issue/data-consistency-voluntary-medical-incident-reporting-system This retrospective … study found that nearly one quarter of incident reports lacked sufficient information to accurately … classify and analyze the incident.

320. Surgical Patient Experience of Care Survey Design Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
     November 20, 2008 - ResearchAmerican Institutes for Research Literature Review Results Focus Group Results Critical Incident … AnalysisCritical Incident Analysis  Critical Incident study was conducted to help inform development … ResultsCritical Incident Results Surgeon Incidents % Other Provider Incidents % Prob. … ResultsCritical Incident Results  In general, the critical incident taxonomic domains measured … ResultsCritical Incident Results  The following were less likely to characterize visits to a surgeon