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Showing results for "incidents".

241. 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.

242. 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

243. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet
     psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
     June 14, 2023 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … December 21, 2017 Patient safety incidents involving sick children in primary care in

244. 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

245. 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

246. 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

247. 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

248. 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

249. 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

250. 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

251. 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

252. 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

253. 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

254. 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

255. 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

256. 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

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45058/psn-pdf
     February 18, 2017 - Learning from incidents in healthcare: the journey, not the arrival, matters. … Learning from incidents in healthcare: the journey, not the arrival, matters. … https://psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters Experiences from … https://psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters https://psnet.ahrq.gov … national-reporting-and-learning-system-research-and-development https://psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41689/psn-pdf
     December 16, 2013 - 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? … //psnet.ahrq.gov/issue/are-health-professionals-perceptions-patient-safety-related-figures-safety- incidents … https://psnet.ahrq.gov/issue/are-health-professionals-perceptions-patient-safety-related-figures-safety-incidents … https://psnet.ahrq.gov/issue/are-health-professionals-perceptions-patient-safety-related-figures-safety-incidents

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39428/psn-pdf
     April 07, 2010 - Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. … Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. … https://psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety … https://psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database … https://psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database

260. 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