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Showing results for "incident".

81. Towards safer neonatal transfer: the importance of critical incident review. | PSNet
    psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
    October 02, 2019 - Study Towards safer neonatal transfer: the importance of critical incident review … Towards safer neonatal transfer: the importance of critical incident review. … The authors studied the efficacy of using critical incident reviews to improve care in neonatal emergency … Towards safer neonatal transfer: the importance of critical incident review.

82. Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet
    psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
    June 23, 2021 - workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident … workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident … of organizational support for managing risks, individual closure, and providing support after an incident … Resources From the Same Author(s) Evaluation of older persons' medications: a critical incident … September 19, 2016 Critical incident stress management (CISM) in complex systems: cultural

83. Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system. | PSNet
    psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
    January 18, 2023 - Study Paediatric medication incident reporting: a multicentre comparison study of … medication errors identified at audit, detected by staff and reported to an incident system. … Paediatric medication incident reporting: a multicentre comparison study of medication errors identified … at audit, detected by staff and reported to an incident system. … at audit, detected by staff and reported to an incident system.

84. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. | PSNet
    psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
    July 22, 2020 - Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident … Clinicians who are involved in a patient safety incident often experience significant emotional consequences … This study found that nurses involved in an patient safety incident resulting in patient death were more … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident

85. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
    psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
    January 12, 2022 - Diagnostic error in the emergency department: learning from national patient safety incident … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … This retrospective study reviewed incident reports to characterize diagnostic errors occurring in … Diagnostic error in the emergency department: learning from national patient safety incident report analysis … October 12, 2016 Harms from discharge to primary care: mixed methods analysis of incident

86. Patient falls while under supervision: trends from incident reporting. | PSNet
    psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting
    January 11, 2023 - Study Patient falls while under supervision: trends from incident reporting. … Patient falls while under supervision: trends from incident reporting. … This study used one health system’s incident reporting tool in the United Kingdom to ascertain the incidence … Patient falls while under supervision: trends from incident reporting.

87. Can we use incident reports to detect hospital adverse events? | PSNet
    psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events
    March 06, 2005 - Study Can we use incident reports to detect hospital adverse events? … Citation Text: Can we use incident reports to detect hospital adverse events? … As shown in prior research , incident reports identified only a small proportion of adverse events. … A framework for analyzing and responding to incident reports was presented in an earlier study . … April 4, 2018 Critical Incident Technique Bibliography—2001.

88. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. | PSNet
    psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
    June 08, 2022 - Review Addressing patient safety hazards using critical incident reporting in hospitals … Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review … Incident reporting systems are common tools to detect patient safety hazards. … Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review … September 14, 2022 Patient and family involvement in serious incident investigations

89. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. | PSNet
    psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety
    October 06, 2021 - Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident … Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident … personality traits and traumatic outcome symptoms in nurses who were involved in a patient safety incident … Results indicate a strong relationship between perfectionism and neuroticism and reexperiencing the incident … September 29, 2021 Patient and family involvement in serious incident investigations

90. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. | PSNet
    psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
    May 05, 2021 - Implementing the clinical occurrence reporting and learning system: a double-loop learning incident … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … Incident reporting systems are a common method for hospitals to detect patient safety events, but prior … Conducted in a nursing home, this study found that an existing incident reporting system redesigned to … A qualitative study of barriers to incident reporting among nurses working in nursing homes.

91. Understanding the Bidirectional Relationship Between Depression and Heart Failure | Agency for Healthcare Research and Quality
    www.ahrq.gov/prevention/chronic-care/decision/mcc/pathak-grant.html
    September 01, 2015 - , and a few have also investigated the incidence of depression, the "temporal relationship" between incident … MDD and incident HF is undetermined and under-studied. … Main Objective Investigate the temporal relationship between MDD and HF to understand whether incident … MDD is a risk factor for incident HF, a consequence of incident HF, and/or a comorbid factor that exacerbates

92. Characteristics of critical incident reporting systems in primary care: an international survey. | PSNet
    psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey
    September 07, 2022 - Study Characteristics of critical incident reporting systems in primary care: an … Characteristics of critical incident reporting systems in primary care: an international survey. … Critical incident reporting systems (CIRS) are used to improve learning and patient safety. … Characteristics of critical incident reporting systems in primary care: an international survey. … December 1, 2011 Voluntary incident reporting by anaesthetic trainees in an Australian

93. Improving critical incident reporting in primary care through education and involvement. | PSNet
    psnet.ahrq.gov/issue/improving-critical-incident-reporting-primary-care-through-education-and-involvement
    September 07, 2022 - Study Improving critical incident reporting in primary care through education and … Improving critical incident reporting in primary care through education and involvement. … Critical incident reporting systems  (CIRS) can be important for identifying organizational safety needs … Improving critical incident reporting in primary care through education and involvement. … September 7, 2022 Characteristics of critical incident reporting systems in primary care

94. A critical review: moral injury in nurses in the aftermath of a patient safety incident. | PSNet
    psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
    July 22, 2020 - Classic A critical review: moral injury in nurses in the aftermath of a patient safety incident … A critical review: moral injury in nurses in the aftermath of a patient safety incident. … provides a critical review of the literature about moral injury observed in nurses after a patient safety incident … A critical review: moral injury in nurses in the aftermath of a patient safety incident. … Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident

95. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet
    psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
    January 02, 2017 - Study Rates and types of events reported to established incident reporting systems … Rates and types of events reported to established incident reporting systems in two US hospitals. … Despite mandates for US hospitals to maintain incident reporting systems, little is known about the … Rates and types of events reported to established incident reporting systems in two US hospitals. … : description of 4846 incident reports.

96. Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals: results from the National Reporting and Learning System. | PSNet
    psnet.ahrq.gov/issue/trends-healthcare-incident-reporting-and-relationship-safety-and-quality-data-acute-hospitals
    March 28, 2011 - Study Trends in healthcare incident reporting and relationship to safety and quality … Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals … Incident reporting systems are an important method for capturing, analyzing, and learning about a broad … However, using the number of incident reports filed as a metric of safety is not a proven relationship … This study examined hospital-based incident reports to the United Kingdom's  National Patient Safety

97. Attitudes toward the large-scale implementation of an incident reporting system. | PSNet
    psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
    March 23, 2011 - Study Attitudes toward the large-scale implementation of an incident reporting system … Attitudes toward the large-scale implementation of an incident reporting system. … Nurses were more likely than physicians to utilize a new incident reporting system and were also more … Attitudes toward the large-scale implementation of an incident reporting system. … June 23, 2010 Review of the Australian Incident Monitoring System.

98. The impact of incident disclosure behaviors on medical malpractice claims. | PSNet
    psnet.ahrq.gov/issue/impact-incident-disclosure-behaviors-medical-malpractice-claims
    September 27, 2023 - Study The impact of incident disclosure behaviors on medical malpractice claims. … The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. … The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims.

99. Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet
    psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
    January 26, 2022 - Study Ten years of incident reports on in-hospital cardiac arrest - Are they useful … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … This study reviewed and categorized incident reports regarding in-hospital cardiac arrest (IHCA) at two … Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? … using a newly developed medical oncology incident taxonomy.

100. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet
     psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
     March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist … The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in … This institution implemented a psychiatry-specific incident reporting tool. … Researchers found that physicians submitted more incident reports but there was no significant change … The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in