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Total Results: over 10,000 records

Showing results for "incidents".

3421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43894/psn-pdf
      February 25, 2015 - impact-standardized-incident-reporting-system-perioperative-setting-single- center-experience This study analyzed voluntarily reported safety incidents … Over 3 years, a total of 2563 incidents were reported—roughly half were adverse events and half were

3422. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45767/psn-pdf
      April 17, 2017 - error reports submitted over a 6-month period, this analysis found that more than half of the recorded incidents … key to identifying trends and consequently developing system improvements to reduce risks of such incidents

3423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36552/psn-pdf
      January 12, 2011 - 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

3424. Deciphering harm measurement. | PSNet
      psnet.ahrq.gov/issue/deciphering-harm-measurement
      December 01, 2010 - April 4, 2011 A mixed-methods analysis of patient safety incidents involving opioid substitution … November 2, 2016 Patient safety incidents involving sick children in primary care in … December 16, 2015 Safety incidents in the primary care office setting.

3425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47545/psn-pdf
      December 19, 2018 - review discusses adverse events in pediatric dental patients and suggests that when they occur, such incidents … adverse-events-during-dental-care-children-implications-practitioner-health-and-wellness https://psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review

3426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35242/psn-pdf
      February 24, 2011 - Learning from patient-reported incidents. … Learning from patient-reported incidents. J Gen Intern Med. 2005;20(9):830-6.

3427. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44483/psn-pdf
      September 09, 2015 - reports on system failures at the NHS: the Freedom to Speak Up review, the Investigating Clinical Incidents … psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs

3428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34642/psn-pdf
      June 24, 2015 - They use case examples to illustrate specific incidents and demonstrate the utility of a systems approach … prospective analysis of surgical performance and for retrospective analysis of near misses and critical incidents

3429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41067/psn-pdf
      February 10, 2012 - perspective/wild-west-patient-safety-office-based-anesthesia https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us … https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us

3430. Crises in clinical care: an approach to management. | PSNet
      psnet.ahrq.gov/issue/crises-clinical-care-approach-management
      March 23, 2011 - January 19, 2011 Errors, incidents and accidents in anaesthetic practice. … April 6, 2011 Incidents during out-of-hospital patient transportation. … November 18, 2015 A classification system for incidents and accidents in the health-care

3431. A checklist to improve patient safety in interventional radiology. | PSNet
      psnet.ahrq.gov/issue/checklist-improve-patient-safety-interventional-radiology
      September 20, 2011 - September 20, 2011 Nature and timing of incidents intercepted by the SURPASS checklist … Related Resources Radiographers' experience of preventing patient safety incidents … May 30, 2012 Improving patient safety in radiotherapy by learning from near misses, incidents

3432. Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet
      psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
      November 02, 2016 - November 21, 2018 Classification of patient-safety incidents in primary care. … 28, 2012 Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents … August 11, 2010 Medication-related patient safety incidents in critical care: a review

3433. Underreporting of robotic surgery complications. | PSNet
      psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications
      November 21, 2017 - January 20, 2010 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 … July 31, 2012 Equipment-related incidents in the operating room: an analysis of occurrence

3434. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. | PSNet
      psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
      April 15, 2009 - June 2, 2010 Classification of medication incidents associated with information technology … January 7, 2015 Patient safety in primary allied health care: what can we learn from incidents … Are health professionals' perceptions of patient safety related to figures on safety incidents

3435. Activation of a medical emergency team using an electronic medical recording–based screening system. | PSNet
      psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system
      September 06, 2017 - Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents … 31, 2023 Interorganizational health information exchange-related patient safety incidents … September 18, 2019 Incidents resulting from staff leaving normal duties to attend medical

3436. Reporting trends in a regional medication error data-sharing system. | PSNet
      psnet.ahrq.gov/issue/reporting-trends-regional-medication-error-data-sharing-system
      September 29, 2010 - February 22, 2023 Patient safety trends in 2021: an analysis of 288,882 serious events and incidents … 3, 2012 Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents … August 11, 2010 Injury and death associated with incidents reported to the Patient Safety

3437. Designing highly reliable adverse-event detection systems to predict subsequent claims. | PSNet
      psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
      September 01, 2018 - September 1, 2018 The "Seven Pillars" response to patient safety incidents: effects on … September 20, 2011 Successful remediation of patient safety incidents: a tale of two … June 8, 2010 Responding to patient safety incidents: the "seven pillars."

3438. Mary Lanning Memorial Hospital: communication is key. | PSNet
      psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key
      July 16, 2015 - September 30, 2015 Identifying no-harm incidents in home healthcare: a cohort study using … February 21, 2018 Development of a trigger tool to identify adverse events and no-harm incidents … January 2, 2017 Being open: communicating patient safety incidents with patients and

3439. Strategies for improving patient safety: linking task type to error type. | PSNet
      psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-type-error-type
      August 22, 2012 - September 19, 2018 Adaption of a trigger tool to identify harmful incidents, no harm … incidents, and near misses in prehospital emergency care of children. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

3440. Safety learning system development--incident reporting component for family practice. | PSNet
      psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice
      March 21, 2012 - Related Resources From the Same Author(s) Emotional impact of patient safety incidents … December 11, 2013 Safety incidents in family medicine. … April 4, 2012 Safety incidents in family medicine.