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Showing results for "incident".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37670/psn-pdf
    June 29, 2011 - Attitudes toward the large-scale implementation of an incident reporting system. … Attitudes toward the large-scale implementation of an incident reporting system. … https://psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system Nurses … were more likely than physicians to utilize a new incident reporting system and were also more likely … https://psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system https
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40499/psn-pdf
    June 01, 2011 - Patient-assisted incident reporting: including the patient in patient safety. … Patient-assisted incident reporting: including the patient in patient safety. … https://psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety This … commentary suggests that patient-assisted incident reporting following an adverse event can reveal … https://psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety https
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42522/psn-pdf
    January 09, 2014 - The contribution of nurses to incident disclosure: a narrative review. … The contribution of nurses to incident disclosure: a narrative review. … https://psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review This systematic … review found that nurses regularly support patients and physicians during safety incident disclosures … https://psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review https://psnet.ahrq.gov
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39726/psn-pdf
    August 04, 2010 - Multiple accountabilities in incident reporting and management. … Multiple accountabilities in incident reporting and management. … https://psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management This ethnographic … study explored incident reporting systems and their management practices, and found them to be intimately … https://psnet.ahrq.gov/issue/multiple-accountabilities-incident-reporting-and-management https://psnet.ahrq.gov
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74106/psn-pdf
    November 24, 2021 - identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident … identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident … found that artificial intelligence can be used to accurately classify the free text of medication incident … ://psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44917/psn-pdf
    November 30, 2016 - Canadian Incident Analysis Framework. November 30, 2016 Incident Analysis Collaborating Parties. … https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework Performing incident analysis can help … https://psnet.ahrq.gov/issue/canadian-incident-analysis-framework https://psnet.ahrq.gov/primer/root-cause-analysis
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36410/psn-pdf
    June 29, 2011 - Voluntary incident reporting by anaesthetic trainees in an Australian hospital. … Voluntary incident reporting by anaesthetic trainees in an Australian hospital. … https://psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital The … authors assessed residents' incident reporting using personal digital assistants (PDAs) and found that … https://psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital https
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39902/psn-pdf
    December 29, 2014 - Clinical handover incident reporting in one UK general hospital. … Clinical handover incident reporting in one UK general hospital. … https://psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital Analysis of … incident reports revealed a lower than expected number of reports involving handoffs, most of which … https://psnet.ahrq.gov/issue/clinical-handover-incident-reporting-one-uk-general-hospital https://psnet.ahrq.gov
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37318/psn-pdf
    January 04, 2012 - The meaning of justice in safety incident reporting. … The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. … https://psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting This article describes how the …  principles of just culture can inform the design of effective incident reporting systems. … https://psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting https://psnet.ahrq.gov/perspective
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40238/psn-pdf
    February 23, 2011 - Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. … Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study. … https://psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study … This study investigates the local implementation and feasibility of an incident reporting system for … https://psnet.ahrq.gov/issue/feasibility-centre-based-incident-reporting-primary-healthcare-spiegel-study
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38316/psn-pdf
    March 04, 2009 - Practising open disclosure: clinical incident communication and systems improvement. … Practising Open Disclosure: clinical incident communication and systems improvement. … https://psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems- … https://psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement … https://psnet.ahrq.gov/issue/practising-open-disclosure-clinical-incident-communication-and-systems-improvement
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39818/psn-pdf
    January 04, 2011 - Diagnostic error in a national incident reporting system in the UK. … Diagnostic error in a national incident reporting system in the UK. … https://psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk This study found … a 0.5% diagnostic error rate among events filed as incident reports, with the greatest harm associated … https://psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk https://psnet.ahrq.gov
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45442/psn-pdf
    October 12, 2016 - Radiotherapy Incident Reporting and Analysis System. … https://psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system Patient Safety Organizations … dedicated to radiation safety improvement offers a mechanism for voluntary reporting of radiation oncology incident … https://psnet.ahrq.gov/issue/radiotherapy-incident-reporting-and-analysis-system https://psnet.ahrq.gov … patient-safety-organization-pso-program https://psnet.ahrq.gov/primer/radiation-safety https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858163/psn-pdf
    December 13, 2023 - issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday- practice Critical incident … The authors emphasize the importance of including safety culture and critical incident reporting in … glossary-heading-term-73774 https://psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic … https://psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
  15. psnet.ahrq.gov/issue/medical-trainees-formal-and-informal-incident-reporting-across-five-hospital-academic-medical
    May 10, 2016 - Study Medical trainees' formal and informal incident reporting across a five-hospital … Medical trainees' formal and informal incident reporting across a five-hospital academic medical center … Medical trainees' formal and informal incident reporting across a five-hospital academic medical center … October 5, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian … June 29, 2011 Trends in healthcare incident reporting and relationship to safety and
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50404/psn-pdf
    January 01, 2020 - Using the WHO International Classification of patient safety framework to identify incident characteristics … Using the WHO International Classification of patient safety framework to identify incident characteristics … https://psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident … https://psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47570/psn-pdf
    December 05, 2018 - surveillance-and Most health care organizations primarily rely on retrospective techniques such as incident … substantial proportion of patient safety events and are not effective for real-time feedback or safety incident … //psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm … https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm https … ://psnet.ahrq.gov/issue/problem-incident-reporting https://psnet.ahrq.gov/primer/triggers-and-trigger-tools
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35585/psn-pdf
    March 28, 2011 - Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis … psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical- incident … //psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident … //psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36976/psn-pdf
    June 15, 2011 - Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … https://psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals … The investigators describe an  incident reporting intervention that included education on reportable … https://psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33916/psn-pdf
    December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty Incident. … Publication No. 04-E015-1 https://psnet.ahrq.gov/issue/training-hospital-staff-respond-mass-casualty-incident-summary-evidence … simulations, and tabletop or similar exercises in training hospital staff to respond to a mass casualty incident … https://psnet.ahrq.gov/issue/training-hospital-staff-respond-mass-casualty-incident-summary-evidence-reporttechnology … https://psnet.ahrq.gov/issue/training-hospital-staff-respond-mass-casualty-incident-summary-evidence-reporttechnology