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Showing results for "incidents".

221. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41257/psn-pdf
     April 22, 2012 - Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … https://psnet.ahrq.gov/issue/development-evidence-based-framework-factors-contributing-patient-safety- incidents-hospital … Early efforts to understand and analyze safety incidents in clinical medicine were drawn from a well-known … articles to establish a contributory factors framework that could be applied to evaluating safety incidents

222. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet
     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

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42964/psn-pdf
     May 10, 2014 - 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. … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and … key processes to ensure the effectiveness of this method, including face-to-face discussions about incidents … https://psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43444/psn-pdf
     August 27, 2014 - Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … https://psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents … - reported-national This analysis of incidents involving inpatient mortality reported to the National … https://psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44293/psn-pdf
     July 08, 2015 - How can we improve the recognition, reporting and resolution of medical device-related incidents in … How can we improve the recognition, reporting and resolution of medical device-related incidents in … psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device- related-incidents … These results are consistent with prior studies of incident reports and suggest that device-related incidents … psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36539/psn-pdf
     March 03, 2011 - Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective … Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective … https://psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital … the authors analyzed the medical records of 1006 hospital admissions for evidence of patient safety incidents … https://psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846447/psn-pdf
     March 22, 2023 - voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents … voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents … prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after- harmful-patient-safety Healthcare professionals who are involved in patient safety incidents … this study explored the emotional experience of healthcare professionals involved in patient safety incidents

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842768/psn-pdf
     January 18, 2023 - evidence from 41 studies using incident reporting system data to identify and characterize critical incidents … Medication-related incidents and incidents due to “active failures” were the most commonly reported … The authors observe that only one in three studies reported on corrective actions due to the incidents

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74074/psn-pdf
     November 17, 2021 - https://psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review Patient safety incidents occurring … peer-reviewed studies and grey literature found that the incidence rate of prehospital patient safety incidents … The authors identified an average of 5.9 patient safety incidents per 100 records/transports/patients … occurring in prehospital care; approximately 15% of these incidents resulted in patient harm.

230. Characteristics of critical incident reporting systems in primary care: an international survey. | PSNet
     psnet.ahrq.gov/issue/characteristics-critical-incident-reporting-systems-primary-care-international-survey
     September 07, 2022 - of this study was to support future implementation of CIRS in primary care by discussing types of incidents … that should be reported; who can report incidents (e.g., nurses, physicians, patients); whether reporting … Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents … September 11, 2013 Safety incidents in family medicine.

231. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. | PSNet
     psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
     January 12, 2022 - The majority of incidents (86%) were delayed diagnoses; the remainder were wrong diagnoses. … December 16, 2015 A mixed-methods analysis of patient safety incidents involving opioid … December 16, 2020 Learning from patient safety incidents involving acutely sick adults … August 25, 2021 Classification of patient-safety incidents in primary care.

232. Suicide risk, changing jobs, or leaving the nursing profession in the aftermath of a patient safety incident. | PSNet
     psnet.ahrq.gov/issue/suicide-risk-changing-jobs-or-leaving-nursing-profession-aftermath-patient-safety-incident
     July 22, 2020 - jobs, consider leaving the profession, and have suicidal ideation , compared to nurses involved in incidents … Peer support by interprofessional health care providers in aftermath of patient safety incidents … June 9, 2021 A mixed-methods analysis of patient safety incidents involving opioid substitution … factors for effective implementation of healthcare workers support interventions after patient safety incidents

233. Anticipating patient safety events in psychiatric care. | PSNet
     psnet.ahrq.gov/issue/anticipating-patient-safety-events-psychiatric-care
     March 10, 2021 - In this retrospective study, researchers evaluated safety incidents reported using the Psychiatry Morbidity … Reporting Tool (PMMIRT) and proposed a revised categorization to better understand the types of safety incidents … July 6, 2022 Reduced postdischarge incidents after implementation of a hospital-to-home … 2023 Patients who die by suicide: a study of treatment patterns and patient safety incidents

234. Classification of health information technology safety events in a pediatric tertiary care hospital. | PSNet
     psnet.ahrq.gov/issue/classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital
     May 20, 2019 - For incidents to be properly addressed, incident reports must be appropriately identified and categorized … This study compared the categorization of incidents as involving health information technology (HIT) … Safety managers only agreed with the HIT specialist classification 25% and 75% of the time on incidents … managers on the interaction of HIT and patient safety may result in better classification of HIT-related incidents

235. Register-based research of adverse events revealing incomplete records threatening patient safety. | PSNet
     psnet.ahrq.gov/issue/register-based-research-adverse-events-revealing-incomplete-records-threatening-patient
     October 06, 2021 - This retrospective review of patient incident reports in Finland found that nearly half of the 82,353 incidents … Same Author(s) Reporting of health information technology system-related patient safety incidents … January 25, 2023 Critical incidents involving the medical emergency team: a 5-year retrospective … April 28, 2021 Learning from safety incidents in high reliability organizations: a systematic

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37227/psn-pdf
     December 15, 2011 - Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter … Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter … https://psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients- … https://psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter … https://psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter

237. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37557/psn-pdf
     February 27, 2008 - Learning from patient safety incidents: creating participative risk regulation in healthcare. … Learning from patient safety incidents: Creating participative risk regulation in healthcare. … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare

238. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35816/psn-pdf
     July 21, 2010 - Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. … https://psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia … anesthetists in designing an online reporting system to facilitate the sharing and discussion of adverse incidents … https://psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia

239. Are health professionals' perceptions of patient safety related to figures on safety incidents? | PSNet
     psnet.ahrq.gov/issue/are-health-professionals-perceptions-patient-safety-related-figures-safety-incidents
     November 23, 2011 - Are health professionals' perceptions of patient safety related to figures on safety incidents … Are health professionals' perceptions of patient safety related to figures on safety incidents? … Are health professionals' perceptions of patient safety related to figures on safety incidents? … the Same Author(s) Patient safety in primary allied health care: what can we learn from incidents … June 3, 2020 Classification of medication incidents associated with information technology

240. Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
     July 03, 2016 - Incidents related to medications were common, accounting for 613 out of the 1072 safety events included … Download Citation Related Resources From the Same Author(s) Safety incidents … July 3, 2016 Patient safety incidents in advance care planning for serious illness: a … April 1, 2020 Patient safety incidents involving sick children in primary care in England … February 1, 2017 Classification of patient-safety incidents in primary care.