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Total Results: over 10,000 records

Showing results for "incidents".

101. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73633/psn-pdf
     August 25, 2021 - Learning from patient safety incidents involving acutely sick adults in hospital assessment units in … Learning from patient safety incidents involving acutely sick adults in hospital assessment units in … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital … 377 included reports, diagnostic errors, medication-related errors, and failure to monitor patient incidents … decision-making during admission and communication failures were the most common contributors to incidents

102. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? | PSNet
     psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
     March 02, 2022 - Study Patient safety in primary allied health care: what can we learn from incidents … Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory … Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory … June 3, 2020 Classification of medication incidents associated with information technology … February 10, 2021 System issues leading to "found-on-floor" incidents: a multi-incident

103. 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

104. 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

105. What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet
     psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
     December 17, 2010 - A review of the safety literature to define learning from incidents, accidents and disasters. … A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. … key processes to ensure the effectiveness of this method , including face-to-face discussions about incidents … A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. … April 11, 2011 Medication safety incidents associated with the remote delivery of primary

106. 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

107. 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

108. Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet
     psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
     March 27, 2024 - medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents … medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents … One-quarter of incidents included two to four errors, and wrong dose or omission were the most common … medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents

109. Patient safety incidents caused by poor quality surgical instruments. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
     April 06, 2022 - Study Patient safety incidents caused by poor quality surgical instruments. … Patient Safety Incidents Caused by Poor Quality Surgical Instruments. … Patient Safety Incidents Caused by Poor Quality Surgical Instruments.

110. 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

111. 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

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866693/psn-pdf
     September 11, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … https://psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care … Common incidents included pressure injuries, medication errors, and premature discharge. … https://psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions

113. 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

114. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet
     psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
     July 24, 2024 - Study Patient safety trends in 2023: an analysis of 287,997 serious events and incidents … Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s … Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s … July 6, 2022 Patient safety trends in 2022: an analysis of 256,679 serious events and incidents … 2023 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents

115. 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

116. 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

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/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

119. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. | PSNet
     psnet.ahrq.gov/issue/development-evidence-based-framework-factors-contributing-patient-safety-incidents-hospital
     June 25, 2014 - Development of an evidence-based framework of factors contributing to patient safety incidents … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … Early efforts to understand and analyze safety incidents in clinical medicine were drawn from a well-known … 100 articles to establish a contributory factors framework that could be applied to evaluating safety incidents … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital

120. Risk of medication safety incidents with antibiotic use measured by defined daily doses. | PSNet
     psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses
     July 06, 2022 - Study Risk of medication safety incidents with antibiotic use measured by defined … Risk of medication safety incidents with antibiotic use measured by defined daily doses. … Most prior studies of inpatient antibiotic adverse events reported absolute numbers of incidents, but … Risk of medication safety incidents with antibiotic use measured by defined daily doses.