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Showing results for "incident".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40898/psn-pdf
     February 06, 2012 - Creating a web-based incident analysis and communication system. … Creating a web-based incident analysis and communication system. … https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system This study … https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system https://psnet.ahrq.gov

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33970/psn-pdf
     March 07, 2005 - Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. … https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting … The author provides engineers and others with practical information on setting up a successful incident … https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45831/psn-pdf
     January 25, 2017 - Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a … Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a … https://psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions … https://psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications … https://psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33571/psn-pdf
     March 15, 2025 - Incident reporting is frequently used as a general term for all voluntary patient safety event reporting … Characteristics of Incident Reporting Systems An effective event reporting system should have four key … https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system https:/ … adverse-event-reporting-practices-us-hospitals-results-national-survey https://psnet.ahrq.gov/issue/problem-incident-reporting … https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please

445. Health care provider use of private sector internal error-reporting systems. | PSNet
     psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
     May 29, 2019 - July 13, 2022 Characteristics of critical incident reporting systems in primary care: … July 26, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian hospital … June 29, 2011 Implementation of a patient safety incident management system as viewed … June 15, 2011 Using incident reporting to improve patient safety: a conceptual model. … June 15, 2011 Design and implementation of an ICU incident registry.

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36922/psn-pdf
     June 22, 2015 - Fluorouracil Incident Root Cause Analysis Report. … https://psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report This report shares findings … from a root cause analysis of a medication error incident that led to a patient's death. … https://psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report https://psnet.ahrq.gov/

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33892/psn-pdf
     May 03, 2016 - Critical Incident Technique Bibliography—2001. … May 3, 2016 Fivars G; Fitzpatrick R https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography … https://psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001 https://psnet.ahrq.gov/issue … /preventable-anesthesia-mishaps-study-human-factors https://psnet.ahrq.gov/issue/critical-incident-technique

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47851/psn-pdf
     May 22, 2019 - Communication and Resolution After an Adverse Health Care Incident. … https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident Communication-and-resolution … https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident https://

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46586/psn-pdf
     January 01, 2020 - adverse-event-reporting-harnessing-residents-improve-patient-safety Physicians are known to underuse voluntary incident … physicians and simplifying their reporting system, investigators observed a 230% increase in trainee incident … A prior WebM&M commentary discussed the value of incident reporting for errors and near misses.

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40065/psn-pdf
     January 12, 2012 - Possible solutions for barriers in incident reporting by residents. … Possible solutions for barriers in incident reporting by residents. … https://psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents This study conducted … https://psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents https://psnet.ahrq.gov

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41323/psn-pdf
     July 06, 2012 - Efficacy of an incident-reporting system in cellular pathology: a practical experience. … Efficacy of an incident-reporting system in cellular pathology: a practical experience. … https://psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience … https://psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47457/psn-pdf
     January 17, 2019 - The Joint Commission proposes actions for all organizations to take, including developing incident reporting … //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/physician-perception-hospital-safety-and-barriers-incident-reporting https … ://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system https://psnet.ahrq.gov … /issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice-cluster https

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39583/psn-pdf
     October 30, 2010 - harm-susceptibility-model-method-prioritise-risks-identified-patient-safety- reporting-systems Voluntary error reporting systems are ubiquitous in health care, but such incident … In this study, the authors developed a statistical model to analyze incident reporting data to identify … This model, once further validated, could greatly aid large organizations in using incident reporting … adverse-event-reporting-practices-us-hospitals-results-national-survey https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement … https://psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44223/psn-pdf
     November 22, 2016 - Patient Safety and Incident Management Toolkit. … https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit Engaging patients and families … This three- component toolkit provides resources that focus on incident management, patient safety management … https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit https://psnet.ahrq.gov/primer

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39715/psn-pdf
     May 25, 2011 - Barriers to incident notification in a regional prehospital setting. … Barriers to incident notification in a regional prehospital setting. … https://psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting This study … https://psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting https://psnet.ahrq.gov

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41066/psn-pdf
     October 16, 2012 - 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 Incident … This follow-up analysis found that incident reports were not filed for the vast majority of these adverse … https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm https

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37114/psn-pdf
     October 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident … A descriptive study of morbidity and mortality conferences and their conformity to medical incident … psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity- medical-incident … psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident … psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39625/psn-pdf
     June 23, 2010 - Cultural and associated enablers of, and barriers to, adverse incident reporting. … Cultural and associated enablers of, and barriers to, adverse incident reporting. … https://psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting … https://psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40728/psn-pdf
     October 21, 2011 - What prevents incident disclosure, and what can be done to promote it? … What prevents incident disclosure, and what can be done to promote it? … https://psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it This … https://psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it https:

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47144/psn-pdf
     June 13, 2018 - Canadian Anesthesia Incident Reporting System. … https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system Reporting mistakes in anesthesiology … This website provides a secure tool for submitting incident reports to a centralized system for analysis … https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system https://psnet.ahrq.gov/issue