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Showing results for "incident".

441. 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

442. 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

443. 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

444. 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

445. 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/

446. 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

447. 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

448. 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

449. 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

450. 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

451. 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

452. 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

453. 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

454. 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

455. 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

456. 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

457. 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:

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856641/psn-pdf
     January 01, 2009 - WebAIRS Anesthesia Incident Reporting System. … https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system Reporting errors in anesthesiology … This website serves as a secure mechanism for submitting  incident reports to a centralized system for … https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system https://psnet.ahrq.gov/issue

459. 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

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43826/psn-pdf
     June 01, 2015 - Radiation Oncology Incident Learning System. … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system Reporting of near misses and … This Web site supports an online portal facilitating incident reporting to enable data and experience … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system https://psnet.ahrq.gov/issue