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Total Results: over 10,000 records

Showing results for "incidents".

341. Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. | PSNet
     psnet.ahrq.gov/issue/recommendations-and-low-technology-safety-solutions-following-neuromuscular-blocking-agent
     October 02, 2024 - Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents … Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. … Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents.

342. Medicare trims payments to 800 hospitals, citing patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents
     July 19, 2017 - Magazine Article Medicare trims payments to 800 hospitals, citing patient safety incidents … Citation Text: Medicare trims payments to 800 hospitals, citing patient safety incidents. Rau J. … Citation Citation Text: Medicare trims payments to 800 hospitals, citing patient safety incidents

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44431/psn-pdf
     October 21, 2015 - framework to identify causal factors for medication and medical device- related adverse clinical incidents … classification framework to identify causal factors for medication and medical device-related adverse clinical incidents … Researchers examined a random sample of 200 medication errors and 200 medical device-related clinical incidents … Medication errors primarily involved staff actions that led to mistakes, whereas the device incidents

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44074/psn-pdf
     November 16, 2015 - Investigating Clinical Incidents in the NHS. November 16, 2015 Sixth Report of Session 2014–15. … https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs Applying evidence generated from complaints … aviation industry to provide guidance on developing an independent program to investigate health care incidents … https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs https://psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk-government-departments

345. Learning from incidents in health care: critique from a Safety-II perspective. | PSNet
     psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
     August 19, 2020 - Commentary Learning from incidents in health care: critique from a Safety-II perspective … Citation Text: Learning from incidents in health care: critique from a Safety-II perspective. … Copy URL Cite Citation Citation Text: Learning from incidents

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867444/psn-pdf
     January 08, 2025 - medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents … medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents … One-quarter of incidents included two to four errors, and wrong dose or omission were the most common

347. When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. | PSNet
     psnet.ahrq.gov/issue/when-mistakes-multiply-how-inadequate-responses-medical-mishaps-erode-trust-american-medicine
     April 24, 2019 - Involvement in patient safety incidents can erode patient trust in their own physicians and the … This article summarizes the estimated frequency of lost trust after patient safety incidents, external … factors contributing to mistrust, and approaches to restoring trust after incidents.

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74137/psn-pdf
     December 01, 2021 - how-do-patients-respond-safety-problems-ambulatory-care-results- retrospective-cross-sectional Patient reports of patient safety incidents … This telephone survey of German citizens found that patients frequently report patient safety incidents … back to their general practitioner or specialist and these incidents can lead to loss of trust in the

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47277/psn-pdf
     August 08, 2018 - Students have a key role in a culture of safety: analysis of student-associated medication incidents … psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication- incidents … //psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents … //psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents

350. Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." | PSNet
     psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
     August 05, 2020 - Citation Related Resources From the Same Author(s) Identifying no-harm incidents … February 21, 2018 Development of a trigger tool to identify adverse events and no-harm incidents … 2015 Using statistical text classification to identify health information technology incidents … January 15, 2014 Reasons for not reporting patient safety incidents in general practice … June 16, 2010 Evaluation of critical incidents in general surgery.

351. Emotional impact of patient safety incidents on family physicians and their office staff. | PSNet
     psnet.ahrq.gov/issue/emotional-impact-patient-safety-incidents-family-physicians-and-their-office-staff
     December 11, 2013 - Study Emotional impact of patient safety incidents on family physicians and their … Emotional impact of patient safety incidents on family physicians and their office staff. … Emotional impact of patient safety incidents on family physicians and their office staff. … December 11, 2013 Safety incidents in family medicine.

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44778/psn-pdf
     July 18, 2016 - This systematic review commissioned by the World Health Organization examined patient safety incidents … Estimates diverged widely between studies, and most patient safety incidents did not lead to harm. … However, the types of incidents most likely to cause harm were missed and delayed diagnoses and medication … accompanying editorial highlights the need to implement consistent and clear definitions for patient safety incidents

353. 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

354. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet
     psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
     August 29, 2018 - This study investigated the different types of patient safety incidents in dentistry , along with the … December 18, 2013 Patient safety incidents and adverse events in ambulatory dental care … December 16, 2015 Safety incidents in the primary care office setting. … August 12, 2014 Patient-safety–related hospital deaths in England: thematic analysis of incidents

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44773/psn-pdf
     January 13, 2016 - A tool for the concise analysis of patient safety incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents Once identified, adverse … https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents https://psnet.ahrq.gov/primer

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860390/psn-pdf
     January 10, 2024 - factors for effective implementation of healthcare workers support interventions after patient safety incidents … factors for effective implementation of healthcare workers support interventions after patient safety incidents … supporting successful implementation of programs to support healthcare workers involved in patient safety incidents

357. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
     psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
     October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents … From blaming to learning: re‐framing organisational learning from adverse incidents. … From blaming to learning: re‐framing organisational learning from adverse incidents.

358. Improving responses to safety incidents: we need to talk about justice. | PSNet
     psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice
     February 02, 2022 - Commentary Improving responses to safety incidents: we need to talk about justice … Improving responses to safety incidents: we need to talk about justice. … Improving responses to safety incidents: we need to talk about justice.

359. Patient safety in out-of-hours primary care: a review of patient records. | PSNet
     psnet.ahrq.gov/issue/patient-safety-out-hours-primary-care-review-patient-records
     June 16, 2021 - This study found a low rate of patient safety incidents involving telephone care interactions. … Most incidents were related to failures in clinical reasoning. … June 28, 2011 Classification of medication incidents associated with information technology

360. Improving medication error reporting in hospice care. | PSNet
     psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care
     June 22, 2022 - but, as a recent commentary notes, incident reporting itself may not improve safety unless reported incidents … November 20, 2015 Patient safety incidents in home hospice care: the experiences of hospice … May 29, 2014 Patient safety incidents in hospice care: observations from interdisciplinary