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psnet.ahrq.gov/node/862620/psn-pdf
February 14, 2024 - https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
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psnet.ahrq.gov/node/862153/psn-pdf
February 07, 2024 - In this retrospective study, researchers evaluated safety incidents
reported using the Psychiatry Morbidity … Reporting Tool (PMMIRT) and proposed a
revised categorization to better understand the types of safety incidents
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psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
July 25, 2018 - Students have a key role in a culture of safety: analysis of student-associated medication incidents … Text:
Students have a key role in a culture of safety: analysis of student-associated medication incidents … Text:
Students have a key role in a culture of safety: analysis of student-associated medication incidents
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psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
July 10, 2017 - Commentary
Improving patient safety in radiotherapy by learning from near misses, incidents … Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … Improving patient safety in radiotherapy by learning from near misses, incidents and errors.
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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.
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psnet.ahrq.gov/node/866561/psn-pdf
August 21, 2024 - researchers found that the spring transition to DST was not associated
with higher severity patient safety incidents … sleep-and-circadian-misalignment-hospitalist-review
https://psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
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psnet.ahrq.gov/node/866247/psn-pdf
July 10, 2024 - Most incidents
were medication-related, followed by patient falls, and incidents related to venous thromboembolism
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psnet.ahrq.gov/issue/clear-liquids-may-place-patients-risk
May 19, 2021 - Author(s)
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents … September 9, 2011
Reporting of health information technology system-related patient safety incidents … August 3, 2022
Medication safety in mental health hospitals: a mixed-methods analysis of incidents
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psnet.ahrq.gov/node/855431/psn-pdf
January 01, 2024 - The benefits and opportunities: engaging patients in
identifying and reporting patient safety incidents … The benefits and opportunities: engaging patients in identifying and
reporting patient safety incidents
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psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden
May 08, 2013 - May 8, 2013
Identifying no-harm incidents in home healthcare: a cohort study using trigger … January 25, 2023
Occurrence of no-harm incidents and adverse events in hospitalized patients … February 21, 2018
Development of a trigger tool to identify adverse events and no-harm incidents … safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents
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psnet.ahrq.gov/node/846148/psn-pdf
March 15, 2023 - //psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool
Near-miss incidents … This study used a
computerized trigger tool to identify near-miss incidents in the emergency department
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psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
September 01, 2018 - Related Resources From the Same Author(s)
The "Seven Pillars" response to patient safety incidents … September 20, 2011
Successful remediation of patient safety incidents: a tale of two … December 4, 2016
Responding to patient safety incidents: the "seven pillars." … October 24, 2018
The "Seven Pillars" response to patient safety incidents: effects on
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psnet.ahrq.gov/issue/preventable-adverse-drug-events-and-their-causes-and-contributing-factors-analysis-register
August 01, 2016 - August 19, 2020
An analysis of electronic health record–related patient safety incidents … August 3, 2017
Reporting of health information technology system-related patient safety incidents … patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents … September 14, 2022
Artificial intelligence for identifying the prevention of medication incidents
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psnet.ahrq.gov/issue/harm-caused-adverse-events-primary-care-clinical-observational-study
July 23, 2008 - 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 … Are health professionals' perceptions of patient safety related to figures on safety incidents
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psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
January 12, 2011 - January 12, 2011
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 … January 15, 2014
Intensive care unit safety incidents for medical versus surgical patients … October 26, 2010
Medication-related patient safety incidents in critical care: a review
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psnet.ahrq.gov/node/36604/psn-pdf
June 04, 2024 - Since 2003, Minnesota hospitals have been required to report such incidents. … Unintentionally-retained foreign
objects and fall-related injuries were common incidents recorded.
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psnet.ahrq.gov/node/866527/psn-pdf
August 14, 2024 - Investigating safety events can help healthcare organizations improve systems and processes to prevent
future incidents … psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools
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psnet.ahrq.gov/node/867232/psn-pdf
January 01, 2025 - remediation influences
decision-making in cases of serious clinician misconduct (e.g., patient safety incidents … role-remediation-cases-serious-misconduct-uk-healthcare-regulators-qualitative-study
https://psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
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psnet.ahrq.gov/node/844777/psn-pdf
September 18, 2019 - 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
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psnet.ahrq.gov/node/864857/psn-pdf
March 20, 2024 - This qualitative study examined 221 patient safety incidents experienced by physician trainees in the … The researchers concluded that incidents could generally be attributed to one of four
factors – individual