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Total Results: over 10,000 records

Showing results for "incident".

541. 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

542. 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

543. 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

544. 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

545. 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

546. 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

547. 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

548. 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

549. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49531/psn-pdf
     March 01, 2007 - "The incident database will help identify improvement opportunities." … These strategies are central to the success of many incident reporting initiatives. … Make incident reporting an individual performance expectation. … Maintain a confidential incident reporting system. … Share the learning derived from incident analyses with physicians and staff.

550. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47090/psn-pdf
     January 01, 2019 - psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care- system Incident … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/problem-incident-reporting … https://psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care

551. 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

552. 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

553. 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

554. 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

555. 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

556. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36552/psn-pdf
     January 12, 2011 - toward-learning-patient-safety-reporting-systems This study reports the initial findings from a voluntary, Web-based patient safety incident … The authors note that the science of incident reporting systems is still in its infancy and recommend … that future research should study how to use incident reporting data to improve patient safety.

557. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45292/psn-pdf
     September 07, 2016 - psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system Voluntary incident … This study found that a machine learning approach to electronically analyze incident reports successfully … The authors conclude that it is feasible to apply automated text analysis to incident reports to categorize

558. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43678/psn-pdf
     April 22, 2015 - data from patient safety event reporting systems as a way to reduce the burden of analyzing internal incident … reducing-harm-patients-using-patient-safety-dashboards-board-level https://psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems … https://psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant

559. Failure to Report | PSNet
     psnet.ahrq.gov/web-mm/failure-report
     July 01, 2008 - "The incident database will help identify improvement opportunities." … These strategies are central to the success of many incident reporting initiatives. … Make incident reporting an individual performance expectation. … Maintain a confidential incident reporting system. … Share the learning derived from incident analyses with physicians and staff.

560. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44773/psn-pdf
     January 13, 2016 - In this study, researchers tested a concise incident analysis method, drawing on multiple existing incident … investigation frameworks including the Canadian Incident Analysis Framework and the WHO High 5s program