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Showing results for "incident".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853238/psn-pdf
     September 06, 2023 - Potentially inappropriate medication use is associated with increased risk of incident disability in … Potentially inappropriate medication use is associated with increased risk of incident disability in … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability

302. 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

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/38434/psn-pdf
     June 15, 2011 - Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals … Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals … - acute-hospitals Incident reporting systems are an important method for capturing, analyzing, and … However, using the number of incident reports filed as a metric of safety is not a proven relationship … This study examined hospital-based incident reports to the United Kingdom's National Patient Safety

305. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet
     psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
     March 28, 2012 - evidence of patient safety incidents and compared these results to data from the hospital's voluntary incident … Nearly one-quarter of all patients experienced a safety incident, but virtually all of them were detected … via medical record review, and few through incident report review.  … This finding corroborates prior research in this area and suggests that incident reporting systems … July 26, 2011 Using incident reporting to improve patient safety: a conceptual model.

306. 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

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38026/psn-pdf
     March 21, 2017 - /psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ Hospital incident … Prior research has documented that physicians, in particular, do not file incident reports.  … This evaluation of more than 260,000 incident reports from a broad cross-section of hospitals examined … links between the severity of the incident and who reported the incident. … A successful intervention to improve physician incident reporting was described in a prior study.

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38595/psn-pdf
     June 15, 2011 - Implementation of a patient safety incident management system as viewed by doctors, nurses and allied … Implementation of a patient safety incident management system as viewed by doctors, nurses and allied … https://psnet.ahrq.gov/issue/implementation-patient-safety-incident-management-system-viewed-doctors- … nurses-and-allied Physicians had a more negative view of incident reporting systems and tended to … use more narrow and physician-centric descriptors when reporting an incident.

309. 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

310. 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:

311. 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:/

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836812/psn-pdf
     March 30, 2022 - Tools covered in this primer include incident reporting systems, Root Cause Analysis (RCA), and Failure … Incident Reporting Systems Incident reporting systems are widely used by health care organizations to … To be maximally effective, incident reporting systems should be coupled with supportive institutional … Incident reporting systems are a form of passive surveillance and therefore have limitations in their … Barriers to incident reporting include an organizational culture of blame, health care staff's fear

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47365/psn-pdf
     January 01, 2019 - How well do incident reporting systems work on inpatient psychiatric units? … How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? … https://psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units … A recent commentary discussed the inherent limitations of incident reporting systems and suggested ways … https://psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units

314. 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.

315. 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

316. 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

317. In Conversation With…Kaveh G. Shojania, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
     September 01, 2011 - that incident reporting was designed to capture. … 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 … Physicians file only 1%–3% of incident reports.( 10,12 ) Thus, incident reporting is most useful for … Clinical incident reporting. In: Vincent C, ed.

318. 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

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45684/psn-pdf
     January 01, 2020 - A previous PSNet perspective highlighted the importance of providing feedback with regard to incident … reporting-patient-safety-events https://psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting … https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events https://psnet.ahrq.gov … /issue/surveys-patient-safety-culture https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please … https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please

320. 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.