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Showing results for "incident".

361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36699/psn-pdf
     March 28, 2011 - Hospital staff should use more than one method to detect adverse events and potential adverse events: incident … Hospital staff should use more than one method to detect adverse events and potential adverse events: incident … This prospective cohort study compared the rate of errors detected by incident reporting, pharmacy surveillance … Most adverse events were detected by record review, not by incident reporting; pharmacy surveillance … The failure of incident reporting systems to detect ADEs has been previously reported. 

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36931/psn-pdf
     September 09, 2011 - Customer focused incident monitoring in anaesthesia. September 9, 2011 Khan FA, Khimani S. … Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586- 90. … https://psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia The authors studied anesthesia-related … incident reports at one institution and found that many incidents were related to communication, behavior … https://psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37772/psn-pdf
     May 21, 2008 - Critical incident monitoring in anaesthesia. May 21, 2008 Choy CY. … Critical incident monitoring in anaesthesia. Curr Opin Anaesthesiol. 2008;21(2):183-6. … https://psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia This article discusses how critical … incident monitoring is used to analyze errors in anesthesia and summarizes several initiatives that … https://psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia https://psnet.ahrq.gov//#criticalincidents

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45924/psn-pdf
     March 15, 2017 - Patient safety incidents are common in primary care: a national prospective active incident reporting … Patient safety incidents are common in primary care: A national prospective active incident reporting … psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active- incident … This prospective study elicited incident reports from general practitioners for all types of adverse … //psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active-incident

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46761/psn-pdf
     February 14, 2018 - 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 … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting … https://psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43769/psn-pdf
     December 17, 2014 - Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … https://psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care … This method identified more errors than traditional incident reporting, as expected given the known … https://psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46941/psn-pdf
     August 01, 2018 - Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety … Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric Patient Safety … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric … Using data from the Pediatric Emergency Care Applied Research Network, researchers analyzed incident … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34812/psn-pdf
     March 05, 2008 - The critical incident technique. March 5, 2008 FLANAGAN JC. The critical incident technique. … https://psnet.ahrq.gov/issue/critical-incident-technique This review details the background of a methodology … The author describes the development of the "critical incident technique," the history of its evolution … https://psnet.ahrq.gov/issue/critical-incident-technique https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors … https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43499/psn-pdf
     September 03, 2014 - Older folks in hospitals: the contributing factors and recommendations for incident prevention. … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident- … prevention This retrospective review of incident reports at a tertiary care hospital revealed that … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43894/psn-pdf
     February 25, 2015 - The impact of a standardized incident reporting system in the perioperative setting: a single center … The impact of a standardized incident reporting system in the perioperative setting: a single center … https://psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single … https://psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience … https://psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience

371. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
     October 12, 2016 - Study Harms from discharge to primary care: mixed methods analysis of incident reports … Harms from discharge to primary care: mixed methods analysis of incident reports. … Harms from discharge to primary care: mixed methods analysis of incident reports. … 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

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60714/psn-pdf
     July 22, 2020 - Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident … Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident … personality traits and traumatic outcome symptoms in nurses who were involved in a patient safety incident … Results indicate a strong relationship between perfectionism and neuroticism and reexperiencing the incident

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839324/psn-pdf
     November 02, 2022 - The impact of COVID-19 workflow changes on radiation oncology incident reporting. … 19 workflow changes on radiation oncology incident reporting. … https://psnet.ahrq.gov/issue/impact-covid-19-workflow-changes-radiation-oncology-incident-reporting … https://psnet.ahrq.gov/issue/impact-covid-19-workflow-changes-radiation-oncology-incident-reporting https

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41212/psn-pdf
     March 14, 2012 - A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints … A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints … https://psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting- … Comparing adverse events detected by the hospital's voluntary incident reporting system, retrospective … https://psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37773/psn-pdf
     May 21, 2008 - Critical incident reporting system in emergency medicine. May 21, 2008 Kram R. … Critical incident reporting system in emergency medicine. … https://psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine This article explains … how critical incident reporting systems and safety culture can help ensure successful error reduction … https://psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine https://psnet.ahrq.gov

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35247/psn-pdf
     December 17, 2008 - Review of the Australian Incident Monitoring System. December 17, 2008 Spigelman AD, Swan J. … Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657- 61. … https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system The authors surveyed users … of the Australian Incident Monitoring System (AIMS) to determine its value for organizing and learning … https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system https://psnet.ahrq.gov//#safetyculture

377. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35273/psn-pdf
     April 12, 2011 - Towards safer neonatal transfer: the importance of critical incident review. … Towards safer neonatal transfer: the importance of critical incident review. … https://psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review The … authors studied the efficacy of using critical incident reviews to improve care in neonatal emergency … https://psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review https

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35581/psn-pdf
     June 17, 2010 - Incident reporting in one UK accident and emergency department. … Incident reporting in one UK accident and emergency department. … https://psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department The investigators … analyzed incident reporting data from 1 year to inform recommendations for ensuring greater reliability … https://psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35722/psn-pdf
     March 28, 2011 - Attitudes and barriers to incident reporting: a collaborative hospital study. … Attitudes and barriers to incident reporting: a collaborative hospital study. … https://psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study … The researchers surveyed physicians and nurses in South Australia regarding their use of incident reporting … https://psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35177/psn-pdf
     June 23, 2009 - Narrativizing errors of care: critical incident reporting in clinical practice. … Narrativizing errors of care: critical incident reporting in clinical practice. … https://psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice … The authors propose that critical incident reporting can help to involve clinicians in evaluating and … https://psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice