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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
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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
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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
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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://
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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
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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
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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
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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/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
November 15, 2023 - Study
Hospital ward incidents through the eyes of nurses – a thick description on … Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of … Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of … April 28, 2021
The association between complications, incidents, and patient experience
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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/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.
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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/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/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/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/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.
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psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia
April 24, 2018 - Study
Involving users in the design of a system for sharing lessons from adverse incidents … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. … anesthetists in designing an online reporting system to facilitate the sharing and discussion of adverse incidents … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.
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psnet.ahrq.gov/node/867521/psn-pdf
April 01, 2024 - 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 … https://psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents- … https://psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event … https://psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
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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