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Total Results: over 10,000 records

Showing results for "incidents".

101. Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data. | PSNet
     psnet.ahrq.gov/issue/reporting-incidents-involving-use-advanced-medical-technologies-nurses-home-care-cross
     March 24, 2021 - Study Reporting incidents involving the use of advanced medical technologies by nurses … Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional … The majority of incidents resulted in no or mild harm. … Most incidents were attributable to product failures, as well as organization of care (e.g., unclear … Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional

102. Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic stress symptoms, anxiety, and depression: a meta-analysis. | PSNet
     psnet.ahrq.gov/issue/work-related-critical-incidents-hospital-based-health-care-providers-and-risk-post-traumatic
     April 12, 2023 - Study Work-related critical incidents in hospital-based health care providers and … Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic … This meta-analysis found that work-related critical incidents were positively related to post-traumatic … Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic … May 18, 2022 Moving on after critical incidents in health care: a qualitative study of

103. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet
     psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
     January 19, 2011 - Study The non-technical skills used by anaesthetic technicians in critical incidents … The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian … of these skills played a role in ameliorating these events, while lack of these skills exacerbated incidents … The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian … July 31, 2008 Safety in anaesthesia: a study of 12,606 reported incidents from the UK

104. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
     February 22, 2019 - Study Patient safety incidents in advance care planning for serious illness: a mixed-methods … Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. … Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. … February 1, 2017 Safety incidents in the primary care office setting. … July 3, 2016 Classification of patient-safety incidents in primary care.

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866349/psn-pdf
     July 24, 2024 - A multifaceted risk management program to improve the reporting rate of patient safety incidents in … A multifaceted risk management program to improve the reporting rate of patient safety incidents in … //psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety- incidents-primary … identification of a risk management advisor, and multidisciplinary meetings focused on patient safety incidents … https://psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice

106. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862130/psn-pdf
     February 07, 2024 - Interventions to support nurses as second victims of patient safety incidents: a qualitative study of … Interventions to support nurses as second victims of patient safety incidents: a qualitative study of … https://psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents- qualitative-study-nurse … require support (often referred to as the second victim phenomenon) after involvement in patient safety incidents … interventions and suggest that standardized support, such as full team debriefing after all patient safety incidents

107. The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. | PSNet
     psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
     February 20, 2019 - Study The association between complications, incidents, and patient experience: retrospective … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine … In this retrospective study, researchers used data on complications and safety incidents as well as … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837032/psn-pdf
     May 04, 2022 - The patient's "story": an examination of patient-reported safety incidents in general practice. … The patient’s “story”: an examination of patient-reported safety incidents in general practice. … https://psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice … Patient complaints and patient-reported incidents can help identify safety issues. … This study compared clinician perceptions and patients’ accounts regarding patient safety incidents

109. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
     psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
     October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents … From blaming to learning: re‐framing organisational learning from adverse incidents. … From blaming to learning: re‐framing organisational learning from adverse incidents.

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858163/psn-pdf
     December 13, 2023 - Blackbox error management: how do practices deal with critical incidents in everyday practice? … Blackbox error management: how do practices deal with critical incidents in everyday practice? … https://psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday … ., primary care, dentists, dermatology, orthopedic surgery, psychiatry/psychology) define critical incidents … Respondents described critical incidents across a spectrum, from organizational processes to medical

111. How safe is primary care? A systematic review. | PSNet
     psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
     December 18, 2013 - This systematic review commissioned by the World Health Organization examined patient safety incidents … Estimates diverged widely between studies, and most patient safety incidents did not lead to harm. … December 16, 2015 Safety incidents in the primary care office setting. … May 8, 2013 Patient safety incidents and adverse events in ambulatory dental care: a … October 5, 2016 A mixed-methods analysis of patient safety incidents involving opioid

112. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. | PSNet
     psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
     December 16, 2015 - This publication explored primary care incidents reported in England and Wales over an 8-year period … December 16, 2015 Safety incidents in the primary care office setting. … July 3, 2016 Patient safety incidents involving sick children in primary care in England … November 16, 2016 A mixed-methods analysis of patient safety incidents involving opioid … March 15, 2017 Patient Safety: Investigating and Reporting Serious Clinical Incidents

113. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866642/psn-pdf
     September 04, 2024 - Learning from patient safety incidents: The Green Cross method. … Learning from patient safety incidents: the Green Cross method. … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method A diverse array of … methods exists to report and learn from patient safety incidents. … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method https://psnet.ahrq.gov

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72823/psn-pdf
     March 10, 2021 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … https://psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents … This qualitative study examined medication safety incidents at one VA hospital and found that health … decision-making, back-up behaviors, and contingency planning to coordinate care during medication safety incidents

115. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
     December 15, 2011 - Study A system factors analysis of "line, tube, and drain" incidents in the intensive … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … intensive care unit and analyzed the systemic factors contributing to invasive line, tube, and drain incidents … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … Citation Related Resources From the Same Author(s) Intensive care unit safety incidents

116. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. | PSNet
     psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
     December 18, 2017 - Study Medication safety in mental health hospitals: a mixed-methods analysis of incidents … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National … organizational -, patient-, and equipment-related factors were identified as contributing to medication safety incidents … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National … February 2, 2022 Learning from patient safety incidents involving acutely sick adults

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73181/psn-pdf
     April 28, 2021 - Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare … Critical incidents involving the medical emergency team: a 5- year retrospective assessment for healthcare … https://psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective … This retrospective study analyzed critical incidents that occurred during MET responses over a five-year … https://psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837634/psn-pdf
     July 06, 2022 - Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s … Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s … https://psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents- … nations-largest-event Acute care facilities in Pennsylvania are required to report all Incidents and … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73168/psn-pdf
     April 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 … Patient safety incidents describing patient falls in critical care in North West England between 2009 … https://psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west … The authors reviewed patient safety incidents in critical care units in England between 2009 and 2017 … Common factors involved in fall incidents included patients attempting tasks without assistance, patient

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73917/psn-pdf
     October 06, 2021 - Reporting of health information technology system- related patient safety incidents: the effects of … Reporting of health information technology system-related patient safety incidents: the effects of organizational … https://psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety- incidents-effects … Organizational culture can influence whether or not clinicians report patient safety incidents. … surveyed about their experiences with non-reporting of health information technology (HIT)-related safety incidents