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psnet.ahrq.gov/node/40024/psn-pdf
December 21, 2014 - Risk factors and outcomes for foreign body left during a
procedure: analysis of 413 incidents after … Risk factors and outcomes for foreign body left during a procedure:
analysis of 413 incidents after … ://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-
incidents-after … https://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after … https://psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after
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psnet.ahrq.gov/node/43604/psn-pdf
October 15, 2014 - The challenges in monitoring and preventing patient
safety incidents for people with intellectual disabilities … The challenges in monitoring and preventing patient safety
incidents for people with intellectual disabilities … https://psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-
intellectual … https://psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual … https://psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
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psnet.ahrq.gov/node/44176/psn-pdf
August 21, 2015 - Patient and carer identified factors which contribute to
safety incidents in primary care: a qualitative … Patient and carer identified factors which contribute to safety incidents
in primary care: a qualitative … https://psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary … https://psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care … https://psnet.ahrq.gov/issue/patient-and-carer-identified-factors-which-contribute-safety-incidents-primary-care
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psnet.ahrq.gov/node/47179/psn-pdf
September 26, 2018 - Classification of patient-safety incidents in primary care. … Classification of patient-safety incidents in primary care. … https://psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
The World Health Organization … https://psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/857456/psn-pdf
December 06, 2023 - when-mistakes-multiply-how-inadequate-responses-medical-mishaps-erode-
trust-american-medicine
Involvement in patient safety incidents … 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.
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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
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psnet.ahrq.gov/issue/attitudes-nursing-students-and-clinical-instructors-towards-reporting-irregular-incidents
June 01, 2019 - The attitudes of nursing students and clinical instructors towards reporting irregular incidents … The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the … The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the
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psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning
September 11, 2024 - Study
The reporting of patient safety incidents—first experiences with the chiropractic … 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
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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
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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
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psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
January 12, 2022 - factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents … factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents … factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents … January 12, 2022
Direct oral anticoagulant-related medication incidents and pharmacists
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psnet.ahrq.gov/issue/seven-pillars-response-patient-safety-incidents-effects-medical-liability-processes-and
September 01, 2018 - Study
The "Seven Pillars" response to patient safety incidents: effects on medical … 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 … September 1, 2018
Responding to patient safety incidents: the "seven pillars." … September 20, 2011
Successful remediation of patient safety incidents: a tale of two
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psnet.ahrq.gov/issue/retained-surgical-sponge-gossypiboma-and-other-retained-surgical-items-prevention-and
March 17, 2023 - Retained surgical items are rare and potentially catastrophic incidents that continue to occur in surgical … November 19, 2018
Pediatric safety incidents from an intensive care reporting system. … May 13, 2015
Miscount incidents: a novel approach to exploring risk factors for unintentionally
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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
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psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
August 05, 2020 - Study
Development of a trigger tool to identify adverse events and no-harm incidents … Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted … Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted … Citation
Related Resources From the Same Author(s)
Identifying no-harm incidents
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psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
August 07, 2018 - from the United Kingdom's National Patient Safety Agency , analyzes nearly 45,000 patient safety incidents … The majority of reported incidents were from inpatient mental health facilities, primarily involving … August 7, 2018
Safer Care for the Acutely Ill Patient: Learning from Serious Incidents … June 17, 2014
Systems Analysis of Critical Incidents: the London Protocol.
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psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross
September 22, 2021 - Peer support by interprofessional health care providers in aftermath of patient safety incidents … Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross‐sectional … Peer support by interprofessional health care providers in aftermath of patient safety incidents: a cross‐sectional … October 19, 2022
Support for healthcare professionals after surgical patient safety incidents
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psnet.ahrq.gov/node/855057/psn-pdf
October 31, 2023 - Types of Workplace Violence
The traditional press most often covers workplace violence incidents that … Most incidents of workplace violence are verbal in nature; however, other types of
incidents can include … per 100 beds in 2014 to 11.7 incidents per 100 beds in
2018.8 One study found that violent incidents … to 2.53 incidents per 1000 visits during the pandemic.9
Another study conducted in Italy found that … Underreporting of workplace
violence incidents may be due to healthcare workers’ beliefs that violence
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psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately
June 08, 2011 - Commentary
Underreporting of patient safety incidents reduces health care's ability … Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure … Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure … April 1, 2010
Patient safety incidents in advance care planning for serious illness:
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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