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Showing results for "incident".

501. Patients' and family members' experiences of open disclosure following adverse events. | PSNet
     psnet.ahrq.gov/issue/patients-and-family-members-experiences-open-disclosure-following-adverse-events
     September 29, 2017 - Patients' and family members' views on how clinicians enact and how they should enact incident … June 14, 2011 What prevents incident disclosure, and what can be done to promote it? … October 21, 2011 Narrativizing errors of care: critical incident reporting in clinical … June 23, 2009 Practising open disclosure: clinical incident communication and systems … June 26, 2019 Communication and Resolution After an Adverse Health Care Incident.

502. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38308/psn-pdf
     April 21, 2010 - These results mirror concerns about standard incident- reporting systems that have been raised in prior … An accompanying editorial discusses the optimal role for incident reporting among error detection and … psnet.ahrq.gov//#safetyculture https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals … psnet.ahrq.gov//#incidentreporting https://psnet.ahrq.gov//#incidentreporting https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement

503. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44382/psn-pdf
     June 21, 2016 - Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years … issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15- years-after Incident … suggest that health systems must invest additional resources in order to attain more benefit from incident … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm

504. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. | PSNet
     psnet.ahrq.gov/issue/when-work-harms-how-better-understanding-avoidable-employee-harm-can-improve-employee-safety
     December 16, 2015 - From the Same Author(s) Harms from discharge to primary care: mixed methods analysis of incident … Diagnostic error in the emergency department: learning from national patient safety incident … January 15, 2020 Characterising the nature of primary care patient safety incident reports … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … September 26, 2018 Nature of blame in patient safety incident reports: mixed methods

505. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45210/psn-pdf
     September 27, 2016 - Increased risk of burnout for physicians and nurses involved in a patient safety incident. … Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. … https://psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident … https://psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident

506. Physician-Reported Adverse Events and Medical Errors in Obstetrics and Gynecology (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-November_45.pdf
     January 01, 2007 - Responses were coded by type of incident, consequences for the patient, responsible party, process-of-care … deficiencies, and preventability of the incident. … deficiencies, severity, and the preventability of the incident. … Physician perception of hospital safety and barriers to incident reporting. … A qualitative study of the intra-hospital variations in incident reporting.

507. Health care professionals as second victims after adverse events: a systematic review. | PSNet
     psnet.ahrq.gov/issue/health-care-professionals-second-victims-after-adverse-events-systematic-review
     September 19, 2016 - September 19, 2016 Psychological impact and recovery after involvement in a patient safety incident … 2013 Increased risk of burnout for physicians and nurses involved in a patient safety incident … Second victims among baccalaureate nursing students in the aftermath of a patient safety incident … study measuring the difference of healthcare workers reactions among those involved in a patent safety incident … September 19, 2016 Medical error, incident investigation and the second victim: doing

508. Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. | PSNet
     psnet.ahrq.gov/issue/could-it-be-done-safely-pharmacists-views-safety-and-clinical-outcomes-introduction-advanced
     October 22, 2014 - priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting … February 22, 2019 Can incident reporting improve safety? … Healthcare practitioners' views of the effectiveness of incident reporting. … May 26, 2010 View More Related Resources Medication incident recovery … and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study

509. A new structure of attention? Open disclosure of adverse events to patients and their families. | PSNet
     psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-adverse-events-patients-and-their-families
     March 04, 2009 - Related Resources From the Same Author(s) Practising open disclosure: clinical incident … September 6, 2017 Narrativizing errors of care: critical incident reporting in clinical … June 23, 2009 What prevents incident disclosure, and what can be done to promote it? … September 11, 2019 Communication and Resolution After an Adverse Health Care Incident … Patients' and family members' views on how clinicians enact and how they should enact incident

510. Consumer perceptions of safety in hospitals. | PSNet
     psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals
     June 15, 2011 - Resources From the Same Author(s) Evaluation of an intervention aimed at improving voluntary incident … June 15, 2011 Attitudes and barriers to incident reporting: a collaborative hospital … August 4, 2021 Characterising the nature of primary care patient safety incident reports … Assessment (CPRA) – 4-Step Technique Innovation Summary February 26, 2025 Evaluating incident … identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident

511. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39446/psn-pdf
     May 25, 2010 - experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident … experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident … This Swedish study used critical incident debriefing techniques to explore factors leading to potential

512. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47099/psn-pdf
     May 16, 2018 - However, weaknesses in feedback, follow-up, and action resulting from incident reports diminish their … The resulting recommendations suggest the need to improve tracking of incident reports and for clarifying … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety

513. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40324/psn-pdf
     April 14, 2011 - found in patient records reported by patients and healthcare professionals via complaints, claims and incident … found in patient records reported by patients and healthcare professionals via complaints, claims and incident … what-extent-are-adverse-events-found-patient-records-reported-patients-and- healthcare This Dutch study found that patient complaints, malpractice claims, and incident

514. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44722/psn-pdf
     March 15, 2016 - psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and- reduce-risks Incident … This commentary provides a framework to use incident reporting to identify, analyze, and address risks … psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems

515. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44307/psn-pdf
     November 06, 2015 - non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident … non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident … non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported- australian This review of operating room incident

516. Fallpxtool5A (doc file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
     January 29, 2013 - 5A: Information To Include in Incident Reports Background: The purpose of this tool is to audit incident … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information systems staff may also use this tool to develop or update electronic templates for submitting incident … Information To Include in Incident Reports Examples of Information Reason To Collect This Information

517. Fallpxtool5A (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5a.docx
     January 29, 2013 - 5A: Information To Include in Incident Reports Background: The purpose of this tool is to audit incident … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information systems staff may also use this tool to develop or update electronic templates for submitting incident … Information To Include in Incident Reports Examples of Information Reason To Collect This Information

518. Surgical Patient Experience of Care Survey Design Project (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/surgical/about/F2CGLizHoyRogerLevine.pdf
     November 20, 2008 - ResearchAmerican Institutes for Research Literature Review Results Focus Group Results Critical Incident … AnalysisCritical Incident Analysis  Critical Incident study was conducted to help inform development … ResultsCritical Incident Results Surgeon Incidents % Other Provider Incidents % Prob. … ResultsCritical Incident Results  In general, the critical incident taxonomic domains measured … ResultsCritical Incident Results  The following were less likely to characterize visits to a surgeon

519. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
     January 01, 2001 - Methods This study is a retrospective review of routinely filed incident reports. … Rate of near misses and adverse events per 100 incident Table 2. … Comparison of reporting rates and incident severity Figure 1. … Rate of incident reports filed per 100 hospital admissions in 1998 and 2001 Figure 2. … Total number of incident reports and number categorized as “near miss,” Figure 3.

520. Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
     December 01, 2017 - ________________________           Time of Incident ______________  __  AM  __  PM Day of … __ Yes      __ No The footwear at the time of the incident was: __ Shoes __ Slippers And … Was a restraint in use at the time of the incident? … What was the incident outcome?   __ Injury (complete Part B) __ Noninjury Part B. … If necessary, please provide a brief narrative of this incident: ___________________________________