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Showing results for "incident".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43632/psn-pdf
     December 19, 2014 - A qualitative study of barriers to incident reporting among nurses working in nursing homes. … A qualitative study of barriers to incident reporting among nurses working in nursing homes. … https://psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses … https://psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses-working-nursing … https://psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses-working-nursing

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43990/psn-pdf
     April 22, 2015 - Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting … Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting … https://psnet.ahrq.gov/issue/fix-and-forget-or-fix-and-report-qualitative-study-tensions-front-line-incident … https://psnet.ahrq.gov/issue/fix-and-forget-or-fix-and-report-qualitative-study-tensions-front-line-incident-reporting … https://psnet.ahrq.gov/issue/fix-and-forget-or-fix-and-report-qualitative-study-tensions-front-line-incident-reporting

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34706/psn-pdf
     December 23, 2012 - Analysing potential harm in Australian general practice: an incident-monitoring study. … Analysing potential harm in Australian general practice: an incident- monitoring study. … https://psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study … The authors report an observational study of adverse event incident reports collected from 1993 through … https://psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43093/psn-pdf
     August 12, 2014 - Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident … Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident … ://psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national- incident-report … https://psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report … https://psnet.ahrq.gov/issue/identifying-systems-failures-pathway-catastrophic-event-analysis-national-incident-report

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47648/psn-pdf
     February 27, 2019 - comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse- events-emergency Trigger tools and incident … A past PSNet perspective highlighted the importance of feedback with regard to incident reporting. … comparison-hospital-adverse-events-identified-three-widely-used-detection-methods https://psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant … https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please

426. C:\WINDOWS\TEMP\COLLECT.WPD (pdf file)
     meps.ahrq.gov/data_stats/nhc/collect.pdf
     December 31, 1996 - residence history5 January 1st �� Health status at baseline �� NH Expenditures �� NH Expenditures �� Incident … health conditions �� P-Meds use �� Incident health conditions �� Demographic background �� Use of health … services �� Health status at end of ytear �� Insurance �� Incident health conditions �� P-Meds use � … at baseline �� Health status 90 days after �� Health status 90 days after baseline baseline �� Incident … health conditions �� Incident health conditions �� Demographic background �� Expenditure data �� Insurance

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42932/psn-pdf
     December 30, 2014 - SBAR improves communication and safety climate and decreases incident reports due to communication errors … SBAR improves communication and safety climate and decreases incident reports due to communication errors … https://psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident- … https://psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due … https://psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36539/psn-pdf
     March 03, 2011 - 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 are … sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement

429. Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices. | PSNet
     psnet.ahrq.gov/issue/sociocultural-factors-influencing-incident-reporting-among-physicians-and-nurses
     May 18, 2016 - Study Sociocultural factors influencing incident reporting among physicians and nurses … Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Understanding Frames … Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Understanding Frames … Fix and forget or fix and report: a qualitative study of tensions at the front line of incident … June 11, 2014 Motivational antecedents of incident reporting: evidence from a survey

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867046/psn-pdf
     October 30, 2024 - This article summarizes practices to advance the quality and safety of radiation oncology, including incident … psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system … https://psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments

431. CER 218 Evidence Summary: Long-Term Drug Therapy and Drug Holidays for Osteoporosis Fracture Prevention: A Systematic Review (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-218-osteoporosis-fracture-prevention-evidence-summary.pdf
     April 01, 2019 - [95% CI 0.51, 0.85]) (moderate SOE) and incident clinical vertebral fractures (HR 0.41 [95% CI 0.22 … In women with unknown osteoporosis or osteopenia status, incident clinical fractures (high SOE) and … incident hip fractures (moderate SOE) both were reduced with hormone therapy compared to placebo, … However, these trials collectively suggested a reduction in incident vertebral fractures. … Second, only two trials were designed with incident fracture as the primary outcome.

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43287/psn-pdf
     July 02, 2014 - Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and- lessons-aftermath-incident … psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident … psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46134/psn-pdf
     September 24, 2017 - Sources of unsafe primary care for older adults: a mixed- methods analysis of patient safety incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient- safety-incident … psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident … psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862153/psn-pdf
     February 07, 2024 - https://psnet.ahrq.gov/issue/anticipating-patient-safety-events-psychiatric-care Incident reporting … study, researchers evaluated safety incidents reported using the Psychiatry Morbidity and Mortality Incident … becoming-high-reliability-organization-through-shared-learning-safety-events https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41333/psn-pdf
     April 25, 2012 - Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. … https://psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans … This report describes an investigation into a 5-year delay in action plans for critical incident reviews … https://psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35121/psn-pdf
     September 07, 2005 - Classifying laboratory incident reports to identify problems that jeopardize patient safety. … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety … https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36382/psn-pdf
     October 28, 2010 - Design and implementation of an ICU incident registry. … Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. … https://psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry The authors describe the … https://psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41611/psn-pdf
     November 23, 2012 - Self-reported uptake of recommendations after dissemination of medication incident alerts. … Self-reported uptake of recommendations after dissemination of medication incident alerts. … https://psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication- incident-alerts … https://psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication-incident-alerts … https://psnet.ahrq.gov/issue/self-reported-uptake-recommendations-after-dissemination-medication-incident-alerts

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41703/psn-pdf
     November 08, 2012 - Anatomy of an incident disclosure: the importance of dialogue. … Anatomy of an incident disclosure: the importance of dialogue. … https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue Physician organizations … This detailed case study discusses a unique incident disclosure process that involved prolonged dialogue … https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue https://psnet.ahrq.gov/primer

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35967/psn-pdf
     January 02, 2017 - Physician perception of hospital safety and barriers to incident reporting. … Physician perception of hospital safety and barriers to incident reporting. … https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting The … https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting