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Showing results for "incidents".

121. Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. | PSNet
     psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
     May 01, 2024 - Study Flow of information contributing to medication incidents in home care- an analysis … Flow of information contributing to medication incidents in home care— an analysis considering incident … Flow of information contributing to medication incidents in home care— an analysis considering incident … May 1, 2024 Interventions to support nurses as second victims of patient safety incidents … July 20, 2016 Artificial intelligence for identifying the prevention of medication incidents

122. 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

123. Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. | PSNet
     psnet.ahrq.gov/issue/strength-safety-measures-introduced-medical-practices-prevent-recurrence-patient-safety
     May 01, 2024 - Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents … Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents … Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents … December 8, 2021 Medication safety in mental health hospitals: a mixed-methods analysis of incidents … November 16, 2022 A longitudinal evaluation of computed tomography radiation incidents

124. 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

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849329/psn-pdf
     May 24, 2023 - Interorganizational health information exchange-related patient safety incidents: a descriptive register-based … Interorganizational health information exchange-related patient safety incidents: a descriptive register-based … https://psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety- incidents-descriptive … identify the types, causes, and consequences of health information exchange- (HIE) related patient safety incidents … The two main kinds of HIE-related incidents were (1) inadequate documentation and inadequate use of

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61114/psn-pdf
     November 11, 2020 - A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone … methods analysis of patient safety incidents involving opioid substitution treatment with methadone … https://psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution … England and Wales, this study analyzed 2,284 patient safety incident reports and found that harmful incidents … – such as not following protocols, poor continuity of care – contributed to more than half of the incidents

127. Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. | PSNet
     psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents
     February 11, 2015 - Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents … Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A … This systematic review of disclosure of patient safety incidents found variation in the frequency of … Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A … November 6, 2024 The "Seven Pillars" response to patient safety incidents: effects on

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849129/psn-pdf
     November 01, 2023 - Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s … Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s … https://psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents- … nations-largest-event Pennsylvania requires all acute care facilities to report incidents and serious … https://psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850161/psn-pdf
     June 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge … Analysis of the nature and contributory factors of medication safety incidents following hospital discharge … https://psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following … Patients over 65 were the most common age group and, of incidents with a stated level of harm, most … Overall, most incidents occurred at the prescribing stage, but varied by patient age group.

130. A tool for the concise analysis of patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
     August 09, 2018 - Study A tool for the concise analysis of patient safety incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … classification framework to identify causal factors for medication and medical device-related adverse clinical incidents

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60894/psn-pdf
     September 09, 2020 - Increased patient safety-related incidents following the transition into Daylight Savings Time. … Increased patient safety-related incidents following the transition into Daylight Savings Time. … https://psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings … - time This observational study observed nonsignificant increases in patient safety incidents in the … https://psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time

132. Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet
     psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
     October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … This analysis of incidents involving inpatient mortality reported to the National Health Service in the … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … December 18, 2013 Safety incidents in the primary care office setting.

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45518/psn-pdf
     January 01, 2021 - Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. … Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. … https://psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care- systematic-scoping-review … adverse events in ambulatory dental care and found a wide variation in the frequency of patient safety incidents … https://psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/847531/psn-pdf
     April 12, 2023 - Strengthening open disclosure after incidents in maternity care: a realist synthesis of international … Strengthening open disclosure after incidents in maternity care: a realist synthesis of international … https://psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis … - international Patients and families expect full, timely disclosure after incidents. … https://psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis-international

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72723/psn-pdf
     February 10, 2021 - The impact of critical incidents on nurses and midwives: a systematic review. … The impact of critical incidents on nurses and midwives: A systematic review. … https://psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review Adverse … This systematic review explored the experiences of critical incidents on nurses and midwives and their … https://psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review https://

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842767/psn-pdf
     January 18, 2023 - Medication safety incidents associated with the remote delivery of primary care: a rapid review. … Medication safety incidents associated with the remote delivery of primary care: a rapid review. … https://psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid … This rapid review was conducted to determine the types and frequency of medication safety incidents … https://psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837428/psn-pdf
     June 15, 2022 - A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based … A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based … https://psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals … This study reviewed serious surgical incidents occurring at large teaching hospitals in one National … https://psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74106/psn-pdf
     November 24, 2021 - Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate … Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate … https://psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing … Building on previous research on the use of text mining related to medication administration error incidents … https://psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73562/psn-pdf
     August 04, 2021 - Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the … Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents … organizational-, patient-, and equipment-related factors were identified as contributing to medication safety incidents … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national

140. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. | PSNet
     psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
     September 15, 2021 - Study Pathology trainees rarely report safety incidents: a review of 13,722 safety … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … February 2, 2022 Medication safety in mental health hospitals: a mixed-methods analysis of incidents … July 6, 2012 Lessons learnt from incidents reported by postgraduate trainees in Dutch