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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854248/psn-pdf
    October 04, 2023 - Reduced postdischarge incidents after implementation of a hospital-to-home transition intervention for … Reduced postdischarge incidents after implementation of a hospital-to- home transition intervention … https://psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home- transition-intervention … https://psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention … https://psnet.ahrq.gov/issue/reduced-postdischarge-incidents-after-implementation-hospital-home-transition-intervention
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838132/psn-pdf
    September 21, 2022 - 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 … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74206/psn-pdf
    December 22, 2021 - Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients … Direct oral anticoagulant-related medication incidents and pharmacists’ interventions in hospital in-patients … https://psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists- … https://psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital … https://psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37666/psn-pdf
    April 02, 2008 - Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning … Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning … https://psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and … This review of anesthesia incidents reported to the UK's National Patient Safety Agency categorizes … the types of incidents and the level of harm associated with them. 
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50447/psn-pdf
    October 09, 2019 - Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis October … Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. … https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods … https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis … https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73321/psn-pdf
    May 26, 2021 - Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive … Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive … https://psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents … https://psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative … https://psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50750/psn-pdf
    January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting … Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident reporting … https://psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia … https://psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting … https://psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838243/psn-pdf
    October 05, 2022 - Evaluation of medication incidents in a long-term care facility using electronic medication administration … Evaluation of medication incidents in a long-term care facility using electronic medication administration … https://psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic … https://psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication … https://psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73090/psn-pdf
    March 31, 2021 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools … Learning from safety incidents in high-reliability organizations: a systematic review of learning tools … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools
  10. psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
    June 15, 2022 - Study Support for healthcare professionals after surgical patient safety incidents … Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive … Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive … Related Resources From the Same Author(s) A retrospective review of serious surgical incidents … June 15, 2022 Learning from safety incidents in high reliability organizations: a systematic
  11. psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare
    March 05, 2014 - Study Classic The investigation and analysis of critical incidents … The investigation and analysis of critical incidents and adverse events in healthcare. … In order to provide guidelines on effective methods to examine critical incidents , this review studied … The investigation and analysis of critical incidents and adverse events in healthcare.
  12. psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
    December 14, 2022 - Half of all incident reports involved interunit/department/team transfers and the majority (69%) of incidents … 15, 2021 Medication safety in mental health hospitals: a mixed-methods analysis of incidents … international perspective on definitions and terminology used to describe serious reportable patient safety incidents … 27, 2024 Analysis of the nature and contributory factors of medication safety incidents … Improving Diagnostic Safety and Quality April 26, 2023 Learning from safety incidents
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44511/psn-pdf
    October 14, 2015 - Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. … Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis. … https://psnet.ahrq.gov/issue/multimorbidity-and-patient-safety-incidents-primary-care-systematic-review … and-meta-analysis This systematic review assessed the potential link between multimorbidity and patient safety incidents … health component, such as depression, were at particularly high risk for errors and patient safety incidents
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72546/psn-pdf
    December 09, 2020 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855084/psn-pdf
    November 08, 2023 - Validation of a reduced set of high-performance triggers for identifying patient safety incidents with … Validation of a reduced set of high- performance triggers for identifying patient safety incidents with … /psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety- incidents-harm … ://psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm … ://psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38123/psn-pdf
    June 10, 2010 - Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk … Approximately 1 in 12 reported incidents in critical care units was related to equipment problems, including … more than 500 incidents of overt equipment failure during a 6-month period.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34800/psn-pdf
    December 23, 2008 - A classification system for incidents and accidents in the health-care system. … A classification for incidents and accidents in the health-care system. … https://psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system To provide … Using a computerized model, incidents and events were organized into a hierarchical and interrelated … https://psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
  18. psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
    August 05, 2020 - patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents … patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents … patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents … November 9, 2022 Learning from patient safety incidents involving acutely sick adults … September 19, 2018 A mixed-methods analysis of patient safety incidents involving opioid
  19. psnet.ahrq.gov/issue/excellent-review-scheme-critical-incidents-insufficient-revalidation
    May 18, 2022 - Commentary Excellent review scheme for critical incidents but insufficient for revalidation … Excellent review scheme for critical incidents but insufficient for revalidation. … Excellent review scheme for critical incidents but insufficient for revalidation.
  20. psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
    October 12, 2016 - patient safety incident reports in the United Kingdom, this study characterized primary care-related incidents … December 16, 2015 Patient safety incidents involving sick children in primary care in … September 24, 2017 Safety incidents in the primary care office setting. … July 3, 2016 Classification of patient-safety incidents in primary care. … December 15, 2021 A mixed-methods analysis of patient safety incidents involving opioid

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