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Showing results for "incident".

41. Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations. | PSNet
    psnet.ahrq.gov/issue/differences-between-methods-detecting-medication-errors-secondary-analysis-medication
    December 18, 2019 - methods of detecting medication errors: a secondary analysis of medication administration errors using incident … methods of detecting medication errors: a secondary analysis of medication administration errors using incident … This study compared medication errors detected using incident reports , the Global Trigger Tool method … Incident reports and the Global Trigger Tool more commonly identified medication errors likely to cause … For example, incident reports most commonly identified wrong dose and wrong time errors.

42. Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical oncology incident taxonomy. | PSNet
    psnet.ahrq.gov/issue/uncovering-risks-anticancer-therapy-through-incident-report-analysis-using-newly-developed
    January 29, 2018 - Study Uncovering the risks of anticancer therapy through incident report analysis … using a newly developed medical oncology incident taxonomy. … Uncovering the risks of anticancer therapy through incident report analysis using a newly developed medical … oncology incident taxonomy. … oncology incident taxonomy.

43. How effective are incident-reporting systems for improving patient safety? A systematic literature review. | PSNet
    psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
    January 18, 2023 - Review How effective are incident-reporting systems for improving patient safety? … Citation Text: How effective are incident-reporting systems for improving patient safety? … Although incident reporting systems did help enhance processes of care, there was no evidence that even … The limitations of incident reporting were discussed in a previous PSNet perspective . … April 8, 2019 The problem with incident reporting.

44. The meaning of justice in safety incident reporting. | PSNet
    psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
    April 11, 2011 - Commentary The meaning of justice in safety incident reporting. … The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. … This article describes how the principles of just culture can inform the design of effective incident … The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13.

45. Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data. | PSNet
    psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
    February 21, 2024 - Study Exploring the impact of safety culture on incident reporting: lessons learned … from machine learning analysis of NHS England staff survey and incident data. … of NHS England staff survey and incident data. … Voluntary incident reporting rates may be an indicator of organizational safety culture. … of NHS England staff survey and incident data.

46. Enhancing safety culture through improved incident reporting: a case study in translational research. | PSNet
    psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
    March 10, 2021 - Commentary Enhancing safety culture through improved incident reporting: a case study … Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. … Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. … February 26, 2020 International recommendations for national patient safety incident … July 23, 2019 The problem with incident reporting.

47. Dashboard Information | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/data/dashboard/info.html
    June 01, 2019 - The Generic module allows classification of all events as Incident, Near miss, or Unsafe condition as … Incident , Near miss , or Unsafe condition ). … has three Answer Values: Incident: A patient safety event that reached a patient and either resulted … in no harm (no harm incident) or harm (harm incident). … process of administering the medication to a patient (which if not discovered would have become an incident

48. The nature, severity and causes of medication incidents from an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet
    psnet.ahrq.gov/issue/nature-severity-and-causes-medication-incidents-australian-community-pharmacy-incident
    May 05, 2021 - The nature, severity and causes of medication incidents from an Australian community pharmacy incident … The nature, severity and causes of medication incidents from an Australian community pharmacy incident … This study analyzed medication incident (MI) reports from thirty community pharmacies in Australia . … The nature, severity and causes of medication incidents from an Australian community pharmacy incident … pharmacy incident reporting system: the QUMwatch study.

49. Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. | PSNet
    psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
    October 31, 2014 - Study Can patient safety incident reports be used to compare hospital safety? … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? … Incident reports provide one lens into patient safety, despite concerns about under-reporting . … In this study, investigators analyzed all incident reports from the national reporting system in the … Can Patient Safety Incident Reports Be Used to Compare Hospital Safety?

50. Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. | PSNet
    psnet.ahrq.gov/issue/negative-emotions-experienced-healthcare-staff-following-medication-administration-errors
    December 18, 2019 - following medication administration errors: a descriptive study using text-mining and content analysis of incident … following medication administration errors: a descriptive study using text-mining and content analysis of incident … Using qualitative methods and text mining of medication error incident reports, researchers in this study … The contribution of staffing to medication administration errors: a text mining analysis of incident … July 14, 2021 Evaluation of older persons' medications: a critical incident technique

51. Novel telephone-based interactive voice response system for incident reporting. | PSNet
    psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
    September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting … Novel telephone-based interactive voice response system for incident reporting. … Errors and near misses reported via incident reporting systems can highlight emerging patient safety … Novel telephone-based interactive voice response system for incident reporting. … September 8, 2021 Self-Reported Learning (SRL), a voluntary incident reporting system

52. Barriers to incident reporting among nurses: a qualitative systematic review. | PSNet
    psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review
    September 21, 2022 - Review Emerging Classic Barriers to incident reporting … Barriers to incident reporting among nurses: a qualitative systematic review. … Incident reporting plays an essential role in identifying patient safety threats. … Barriers to incident reporting among nurses: a qualitative systematic review. … A qualitative study of barriers to incident reporting among nurses working in nursing homes.

53. Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study. | PSNet
    psnet.ahrq.gov/issue/second-victims-among-baccalaureate-nursing-students-aftermath-patient-safety-incident
    June 09, 2021 - Second victims among baccalaureate nursing students in the aftermath of a patient safety incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an … nursing students in Belgium found that about one in three students were involved in a patient safety incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an … June 9, 2021 Psychological impact and recovery after involvement in a patient safety incident

54. The contribution of staffing to medication administration errors: a text mining analysis of incident report data. | PSNet
    psnet.ahrq.gov/issue/contribution-staffing-medication-administration-errors-text-mining-analysis-incident-report
    December 21, 2022 - The contribution of staffing to medication administration errors: a text mining analysis of incident … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident … retrospective study used descriptive statistics, manual analysis, and text mining of medication-related incident … The key importance of this article is the use of an automated system to analyze incident reports. … The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident

55. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. | PSNet
    psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
    December 16, 2020 - Study Evaluation of an intervention aimed at improving voluntary incident reporting … Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … The investigators describe an  incident reporting intervention that included education on reportable … Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … March 28, 2011 Design and implementation of an ICU incident registry.

56. Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. | PSNet
    psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
    August 04, 2021 - Study Learning from incident reporting? … Learning from incident reporting? … Incident reporting systems and root cause analyses are the primary mechanisms by which adverse events … This analysis of incident reports occurring at one hospital in Sweden found that the handling, causes … Learning from incident reporting?

57. Anatomy of an incident disclosure: the importance of dialogue. | PSNet
    psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
    February 20, 2012 - Commentary Anatomy of an incident disclosure: the importance of dialogue. … Anatomy of an incident disclosure: the importance of dialogue. … This detailed case study discusses a unique incident disclosure process that involved prolonged dialogue … Anatomy of an incident disclosure: the importance of dialogue. … February 20, 2012 What prevents incident disclosure, and what can be done to promote

58. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
    psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
    September 01, 2011 - Physicians file only 1%–3% of incident reports.( 10,12 ) Thus, incident reporting is most useful for … Clinical incident reporting. In: Vincent C, ed. … 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

59. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
    psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
    January 12, 2022 - Diagnostic error in the emergency department: learning from national patient safety incident … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … This retrospective study reviewed incident reports to characterize diagnostic errors occurring in … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident

60. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. | PSNet
    psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
    July 22, 2020 - Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … Clinicians who are involved in a patient safety incident often experience significant emotional consequences … This study found that nurses involved in an patient safety incident resulting in patient death were more … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident