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Showing results for "incidents".

241. 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

242. 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

243. Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. | PSNet
     psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
     February 14, 2024 - Study Equipment-related incidents in the operating room: an analysis of occurrence … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences … March 4, 2009 View More Related Resources Patient safety incidents

244. 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.

245. Toward learning from patient safety reporting systems. | PSNet
     psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
     January 02, 2017 - developed through funding by the Agency for Healthcare Research and Quality (AHRQ), collected data on incidents … A substantial minority (42%) of incidents led to patient harm, and most had multiple contributing factors … January 2, 2017 A system factors analysis of "line, tube, and drain" incidents in the … June 29, 2009 Intensive care unit safety incidents for medical versus surgical patients … August 25, 2010 Pediatric safety incidents from an intensive care reporting system.

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37071/psn-pdf
     September 30, 2011 - Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39786/psn-pdf
     August 25, 2010 - Trend analysis of radiation therapy incidents over seven years. … Trend analysis of radiation therapy incidents over seven years. … https://psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years Analysis of … voluntary error reports indicated a decrease in safety incidents at a high-volume radiation oncology … https://psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years https://psnet.ahrq.gov

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40014/psn-pdf
     April 24, 2011 - Underreporting of patient safety incidents reduces health care's ability to quantify and accurately … Underreporting of patient safety incidents reduces health care's ability to quantify and accurately … https://psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify … https://psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately … https://psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42777/psn-pdf
     December 11, 2013 - Risk of medication safety incidents with antibiotic use measured by defined daily doses. … Risk of medication safety incidents with antibiotic use measured by defined daily doses. … https://psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses … Most prior studies of inpatient antibiotic adverse events reported absolute numbers of incidents, but … https://psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35263/psn-pdf
     June 29, 2009 - A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … https://psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit … intensive care unit and analyzed the systemic factors contributing to invasive line, tube, and drain incidents … https://psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36499/psn-pdf
     January 07, 2011 - Retrospective analysis of medication incidents reported using an on-line reporting system. … Retrospective analysis of medication incidents reported using an on-line reporting system. … https://psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting … https://psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system … https://psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system

252. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents
     August 04, 2021 - Study Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … November 12, 2008 Medication-related patient safety incidents in critical care: a review

253. Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet
     psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
     January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication … Successful remediation of patient safety incidents: a tale of two medication errors. … Successful remediation of patient safety incidents: a tale of two medication errors. … December 4, 2016 Managing the after effects of serious patient safety incidents in the

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36341/psn-pdf
     March 09, 2009 - The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning … The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning … https://psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and … https://psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning … https://psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42738/psn-pdf
     December 13, 2013 - Patient safety incidents in hospice care: observations from interdisciplinary case conferences. … Patient safety incidents in hospice care: observations from interdisciplinary case conferences. … https://psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case … https://psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences … https://psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45039/psn-pdf
     September 27, 2016 - Deaths following prehospital safety incidents: an analysis of a national database. … Deaths following prehospital safety incidents: an analysis of a national database. … https://psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database … This study examined patient deaths related to ambulance safety incidents and found that the majority … https://psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44999/psn-pdf
     August 03, 2017 - An analysis of electronic health record–related patient safety incidents. … An analysis of electronic health record-related patient safety incidents. … https://psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents This … observational study found a significant number of patient safety incidents associated with use of electronic … https://psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents https

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37418/psn-pdf
     October 01, 2024 - Systems Analysis of Critical Incidents: the London Protocol. … https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol This revised report … https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol https://psnet.ahrq.gov

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42625/psn-pdf
     November 08, 2013 - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical … Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical … https://psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally … https://psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical … https://psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40150/psn-pdf
     January 19, 2011 - Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and … https://psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying … https://psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and … https://psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and