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psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient September 27, 2023 - factors for effective implementation of healthcare workers support interventions after patient safety incidents … factors for effective implementation of healthcare workers support interventions after patient safety incidents … supporting successful implementation of programs to  support  healthcare workers involved in patient safety incidents … factors for effective implementation of healthcare workers support interventions after patient safety incidents 
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psnet.ahrq.gov/node/46928/psn-pdf May 16, 2018 - Serious incidents after death: content analysis of
incidents reported to a national database. … Serious incidents after death: content analysis of incidents
reported to a national database. … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database 
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psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters June 12, 2024 - Commentary 
 
 
 
 
 
 
 
 
 
 Learning from incidents in healthcare: the journey, not the arrival, matters … Learning from incidents in healthcare: the journey, not the arrival, matters. … Learning from incidents in healthcare: the journey, not the arrival, matters. 
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psnet.ahrq.gov/node/844049/psn-pdf February 08, 2023 - A scoping review of adverse incidents research in aged
care homes: learnings, gaps, and challenges. … A scoping review of adverse incidents research in aged care
homes: learnings, gaps, and challenges. … https://psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps … -
and-challenges
Older adults in long-term care settings can be vulnerable to patient safety incidents … https://psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges 
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psnet.ahrq.gov/node/836713/psn-pdf March 09, 2022 - Benefits of reporting and analyzing nursing students'
near-miss medication incidents. … Benefits of reporting and analyzing nursing students' near-miss
medication incidents. … https://psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-
incidents … The authors found that dosing errors were 81% of the
incidents, but there were multiple contributing … https://psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-incidents 
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare February 28, 2024 - Commentary 
 
 
 
 
 
 
 
 
 
 Learning from patient safety incidents: creating participative risk regulation … Learning from patient safety incidents: Creating participative risk regulation in healthcare. … Learning from patient safety incidents: Creating participative risk regulation in healthcare. … May 20, 2019 
 
 
 
 
 
 
 
 Imitating incidents: how simulation can improve safety investigation and … August 14, 2018 
 
 
 
 
 
 View More 
 
 
 
 
 
 Related Resources 
 
 
 
 
 
 
 Patient safety incidents 
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psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents January 22, 2016 - Effects of patient-, environment- and medication-related factors on high-alert medication incidents … Effects of patient-, environment- and medication-related factors on high-alert medication incidents. … Such medication incidents arose more often in patients who were transferred from one hospital ward to … Effects of patient-, environment- and medication-related factors on high-alert medication incidents. … August 31, 2022 
 
 
 
 
 
 
 
 Direct oral anticoagulant-related medication incidents and pharmacists 
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psnet.ahrq.gov/node/73288/psn-pdf May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis
of serious events and incidents from the nation … Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and
incidents … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-
incidents-nations … Of all submitted events in 2020, 97% were
from hospitals, and 97% were incidents; 3 percent were serious … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations 
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psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature January 07, 2015 - Review 
 
 
 
 
 
 
 
 
 
 Telenursing in incidents and disasters: a systematic review of the literature … Telenursing in incidents and disasters: a systematic review of the literature. … strain on the healthcare workforce during  disaster scenarios , such as natural disasters, mass-casualty incidents … Telenursing in incidents and disasters: a systematic review of the literature. 
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psnet.ahrq.gov/node/836964/psn-pdf April 20, 2022 - Occurrence of no-harm incidents and adverse events in
hospitalized patients with ischemic stroke or … Occurrence of no-harm incidents and adverse events in
hospitalized patients with ischemic stroke or … https://psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients- … trigger tool could accurately
identify preventable events among patients with adverse events and no-harm incidents … https://psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia 
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psnet.ahrq.gov/node/74864/psn-pdf February 23, 2022 - Exploring changes in patient safety incidents during the
COVID-19 pandemic in a Canadian regional hospital … Exploring changes in patient safety incidents during the COVID-19
pandemic in a Canadian regional hospital … https://psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-
canadian-regional … This retrospective study investigated the impact of the first wave of COVID-19 on patient safety
incidents … https://psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-canadian-regional 
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psnet.ahrq.gov/node/72670/psn-pdf January 27, 2021 - System issues leading to "found-on-floor" incidents: a
multi-incident analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi-
Incident Analysis. … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
Patients … This study found that length of stay was a key theme in found-on-floor
incidents and signaled underlying … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
https 
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psnet.ahrq.gov/node/867694/psn-pdf March 05, 2025 - Hospital ward incidents through the eyes of nurses – a
thick description on the appeal and deadlock … Hospital ward incidents through the eyes of nurses
- a thick description on the appeal and deadlock … https://psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and … https://psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident … https://psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident 
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psnet.ahrq.gov/node/867340/psn-pdf December 11, 2024 - Multiple points of system failure underpin continuous
subcutaneous infusion safety incidents in palliative … Multiple points of system failure underpin continuous subcutaneous
infusion safety incidents in palliative … psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-
safety-incidents … psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents … psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents 
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psnet.ahrq.gov/node/866198/psn-pdf June 26, 2024 - Quality of care transition, patient safety incidents, and
patients' health status: a structural equation … Quality of care transition, patient safety incidents, and patients’
health status: a structural equation … https://psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status … https://psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural … https://psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural 
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psnet.ahrq.gov/node/867634/psn-pdf February 26, 2025 - Using simulation to augment root cause analysis for
patient safety incidents at a tertiary care women's … Using simulation to augment root cause analysis for patient safety
incidents at a tertiary care women's … https://psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary … https://psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens … https://psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens 
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psnet.ahrq.gov/node/44266/psn-pdf May 19, 2019 - Exploring health care professionals' perceptions of
incidents and incident reporting in rehabilitation … Exploring Health Care Professionals' Perceptions of Incidents and
Incident Reporting in Rehabilitation … https://psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident- … https://psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting … https://psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting 
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psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences June 15, 2022 - Study 
 
 
 
 
 
 
 
 
 
 Patient safety incidents in hospice care: observations from interdisciplinary … Patient safety incidents in hospice care: observations from interdisciplinary case conferences. … Patient safety incidents in hospice care: observations from interdisciplinary case conferences. … Resources 
 
 
 
 
 
 
 Multiple points of system failure underpin continuous subcutaneous infusion safety incidents … September 23, 2020 
 
 
 
 
 
 
 
 Identifying no-harm incidents in home healthcare: a cohort study using 
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psnet.ahrq.gov/node/837422/psn-pdf June 15, 2022 - Reported clinical incidents of children with intellectual
disability: a qualitative analysis. … Reported clinical incidents of children with intellectual disability: a
qualitative analysis. … https://psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis … In this study,
researchers qualitatively analyzed hospital incident reporting data and identified incidents … https://psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis 
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psnet.ahrq.gov/node/60531/psn-pdf May 27, 2020 - Telenursing in incidents and disasters: a systematic
review of the literature. … Telenursing in incidents and disasters: a systematic
review of the literature. … https://psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature
This systematic … strain on
the healthcare workforce during disaster scenarios, such as natural disasters, mass-casualty incidents … https://psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature
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