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Showing results for "incidents".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40823/psn-pdf
     October 05, 2011 - Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. … Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. … https://psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general- … https://psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective … https://psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective

282. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46642/psn-pdf
     December 13, 2017 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical- incidents … /psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents … /psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents

283. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46658/psn-pdf
     April 18, 2018 - Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices … Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices

284. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47106/psn-pdf
     August 15, 2018 - Imitating incidents: how simulation can improve safety investigation and learning from adverse events … Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events … https://psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and- … https://psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse … https://psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse

285. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet
     psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
     February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient … 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. … April 29, 2020 View More Related Resources Critical incidents involving … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

286. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet
     psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
     August 24, 2022 - Patient identification incidents reported in one hospital were examined to identify errors and contributory … Of the 293 reported incidents, the most common errors were missing wristbands , wrong charts or notes … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … October 6, 2021 Medication safety in mental health hospitals: a mixed-methods analysis of incidents

287. Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet
     psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
     January 12, 2022 - Staff reported incidents with linked patient complaints frequently described greater harm from the safety … that generated contested patient and staff accounts, and how differing interpretations of the same 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

288. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet
     psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
     December 23, 2020 - This longitudinal study describes chiropractic safety incidents reported to an online reporting and … One-quarter of incidents related to post-treatment distress or pain. … December 23, 2020 Learning from patient safety incidents involving acutely sick adults … June 15, 2011 The reporting of patient safety incidents—first experiences with the chiropractic

289. Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet
     psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans
     June 26, 2024 - This retrospective study compared patient safety event incidents reported in Veterans Health Administration … January 16, 2025 Patient safety trends in 2023: an analysis of 287,997 serious events and incidents … August 16, 2023 Patient safety trends in 2022: an analysis of 256,679 serious events and incidents … November 16, 2022 Learning from safety incidents in high reliability organizations: a

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43068/psn-pdf
     May 29, 2014 - Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members … Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members … https://psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice- interdisciplinary-team-members … https://psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members … https://psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45293/psn-pdf
     February 01, 2017 - Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods … Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods … https://psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and … They found that about one third of 2191 safety incidents represented cases of severe harm. … https://psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods

292. Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. | PSNet
     psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
     August 07, 2018 - Book/Report Safer Care for the Acutely Ill Patient: Learning from Serious Incidents … Citation Text: Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. … Citation Citation Text: Safer Care for the Acutely Ill Patient: Learning from Serious Incidents … November 20, 2013 Learning from patient safety incidents involving acutely sick adults

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45361/psn-pdf
     December 22, 2018 - Healthy life-years lost and excess bed-days due to 6 patient safety incidents: empirical evidence from … Healthy Life-Years Lost and Excess Bed-Days Due to 6 Patient Safety Incidents: Empirical Evidence From … https://psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents … https://psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence … https://psnet.ahrq.gov/issue/healthy-life-years-lost-and-excess-bed-days-due-6-patient-safety-incidents-empirical-evidence

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38414/psn-pdf
     March 31, 2009 - Patient safety incidents associated with airway devices in critical care: a review of reports to the … Patient safety incidents associated with airway devices in critical care: a review of reports to the … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37648/psn-pdf
     January 12, 2012 - Office surgery incidents: what seven years of Florida data show us. … Office surgery incidents: what seven years of Florida data show us. … https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us Patient … The majority of deaths and hospital transfers occurred in patients undergoing cosmetic procedures, incidents … https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us https://psnet.ahrq.gov

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46513/psn-pdf
     June 19, 2018 - Development of a trigger tool to identify adverse events and no-harm incidents that affect patients … Development of a trigger tool to identify adverse events and no-harm incidents that affect patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients

297. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36149/psn-pdf
     September 29, 2010 - When incidents happen. September 29, 2010 Newfield JS. When Incidents Happen. … https://psnet.ahrq.gov/issue/when-incidents-happen The author discusses post-incident documentation  … https://psnet.ahrq.gov/issue/when-incidents-happen

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35784/psn-pdf
     March 22, 2006 - Human factors in pediatric anesthesia incidents. March 22, 2006 Marcus R. … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents The author studied pediatric … anesthesia incidents from a human factors perspective and found the most common were errors in judgment … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents https://psnet.ahrq.gov//#humanfactors

299. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet
     psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
     October 04, 2023 - Look-alike medications in the perioperative setting: scoping review of medication incidents … Look-alike medications in the perioperative setting: scoping review of medication incidents and risk … Look-alike medications in the perioperative setting: scoping review of medication incidents and risk … Citation Related Resources From the Same Author(s) Reduced postdischarge incidents

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60248/psn-pdf
     April 22, 2020 - The majority of incidents (71.6%) involved children 2 years and younger. … Incidents were equally divided among calls involving prescription- only medications, over-the-counter … One-third of all incidents involved medication that had been removed from the original container; this … was more likely in incidents involving prescription drugs compared to OTC drugs (adjusted odds ratio