Results

Total Results: over 10,000 records

Showing results for "incidents".

321. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45899/psn-pdf
     March 15, 2017 - Patient Safety: Investigating and Reporting Serious Clinical Incidents. March 15, 2017 Kelsey R. … https://psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents Research … result in patient harm and describes how to conduct a root cause analysis to investigate clinical incidents … https://psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents https

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37710/psn-pdf
     April 23, 2008 - A 3-year study of medication incidents in an acute general hospital. … A 3-year study of medication incidents in an acute general hospital. … https://psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital This analysis … https://psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital https://psnet.ahrq.gov

323. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45314/psn-pdf
     September 01, 2018 - The "Seven Pillars" response to patient safety incidents: effects on medical liability processes and … The "Seven Pillars" Response to Patient Safety Incidents: Effects on Medical Liability Processes and … https://psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability … https://psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and … https://psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40692/psn-pdf
     October 04, 2011 - Patient safety incidents associated with obesity: a review of reports to the National Patient Safety … Patient safety incidents associated with obesity: a review of reports to the National Patient Safety … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-obesity-review-reports-national-patient-safety-agency-and

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44102/psn-pdf
     May 06, 2015 - Factors that influence the recognition, reporting and resolution of incidents related to medical devices … Factors that influence the recognition, reporting and resolution of incidents related to medical devices … https://psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related … https://psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and … https://psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and

326. Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit
     January 22, 2016 - Study Involvement of parents in critical incidents in a neonatal-paediatric intensive … Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. … Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit.

327. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. | PSNet
     psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients
     September 20, 2011 - Study Nature and timing of incidents intercepted by the SURPASS checklist in surgical … Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. … Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients.

328. Injury and death associated with incidents reported to the Patient Safety Net. | PSNet
     psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
     September 08, 2010 - Study Injury and death associated with incidents reported to the Patient Safety Net … Injury and death associated with incidents reported to the patient safety net. … Injury and death associated with incidents reported to the patient safety net.

329. Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet
     psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
     April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting … Retrospective analysis of medication incidents reported using an on-line reporting system. … Retrospective analysis of medication incidents reported using an on-line reporting system.

330. The Swiss cheese model of safety incidents: are there holes in the metaphor? | PSNet
     psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
     February 24, 2011 - Commentary The Swiss cheese model of safety incidents: are there holes in the metaphor … The Swiss cheese model of safety incidents: are there holes in the metaphor? … The Swiss cheese model of safety incidents: are there holes in the metaphor? … November 29, 2023 Reduced postdischarge incidents after implementation of a hospital-to-home

331. Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
     September 04, 2016 - Study Understanding the attitudes of hospital pharmacists to reporting medication incidents … Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative … Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative … Author(s) Examining the attitudes of hospital pharmacists to reporting medication safety incidents

332. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
     December 29, 2014 - Study Learning from patient safety incidents in incident review meetings: organisational … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … 2016 Examining the attitudes of hospital pharmacists to reporting medication safety incidents

333. 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

334. 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

335. 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

336. Families as partners in hospital error and adverse event surveillance. | PSNet
     psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance
     December 19, 2018 - As with previous studies , two physicians reviewed all incidents and rated the severity and preventability … of all incidents. … About half the incidents reported by family members were determined to be safety concerns; fewer than … 10% of these incidents were felt to be preventable adverse events.

337. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41406/psn-pdf
     August 02, 2012 - Can patients report patient safety incidents in a hospital setting? A systematic review. … Can patients report patient safety incidents in a hospital setting? A systematic review. … https://psnet.ahrq.gov/issue/can-patients-report-patient-safety-incidents-hospital-setting-systematic-review … https://psnet.ahrq.gov/issue/can-patients-report-patient-safety-incidents-hospital-setting-systematic-review

338. 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

339. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47734/psn-pdf
     March 13, 2019 - Medicare trims payments to 800 hospitals, citing patient safety incidents. March 13, 2019 Rau J. … https://psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents Financial … https://psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents https

340. Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. | PSNet
     psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
     March 10, 2021 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents … Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents … Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents … the Same Author(s) Care coordination strategies and barriers during medication safety incidents