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Total Results: over 10,000 records

Showing results for "incidents".

441. Psn-Pdf (pdf file)
     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

442. High reliability pediatric heart centers: always working toward getting better. | PSNet
     psnet.ahrq.gov/issue/high-reliability-pediatric-heart-centers-always-working-toward-getting-better
     September 18, 2024 - June 5, 2024 Blackbox error management: how do practices deal with critical incidents … 2023 Look-alike medications in the perioperative setting: scoping review of medication incidents … October 11, 2023 Reduced postdischarge incidents after implementation of a hospital-to-home

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858170/psn-pdf
     December 13, 2023 - accreditation assessments for long-term care facilities in Australia identified 2,267 patient safety incidents … Nearly 50% of incidents involved clinical processes or procedures, and 25% involved documentation errors

444. Iatrogenic psychological harm. | PSNet
     psnet.ahrq.gov/issue/iatrogenic-psychological-harm
     February 28, 2024 - October 12, 2016 Patient safety incidents involving sick children in primary care in … July 21, 2017 Safety incidents in the primary care office setting. … April 8, 2019 Classification of patient-safety incidents in primary care.

445. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet
     psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
     October 12, 2016 - October 12, 2016 Classification of patient-safety incidents in primary care. … December 16, 2015 Patient safety incidents involving sick children in primary care in … February 1, 2017 Safety incidents in the primary care office setting. … September 24, 2017 A mixed-methods analysis of patient safety incidents involving opioid

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33716/psn-pdf
     September 01, 2011 - Shojania: The most plausible hope was that by analyzing certain types of incidents, that you could learn … Incident reporting was designed to identify important incidents that need to be investigated ASAP, so … or identify incidents that need a quick or timely investigation. … It's tempting to want to pool across these incidents and then across institutions. … Whereas a lot of other incidents and serious things like wrong- site surgery where there will be so

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836876/psn-pdf
     May 16, 2022 - patient records for review based on specific criteria, or triggers, with higher risk for potential incidents … Patient Safety Incidents Perhaps one sign of EMS’s emergence in the field of patient safety is the growth … A recent systematic review identified a median rate of 5.9 incidents per 100 records/transports/patients … authors noted that studies that used record review data had a higher prevalence of patient safety incidents … While the need still exists for a standard way to classify patient safety incidents in this setting,

448. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet
     psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
     October 12, 2016 - October 12, 2016 Patient safety incidents involving sick children in primary care in … February 1, 2017 Safety incidents in the primary care office setting. … December 15, 2021 A mixed-methods analysis of patient safety incidents involving opioid … December 16, 2020 Classification of patient-safety incidents in primary care.

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49639/psn-pdf
     November 01, 2011 - Combining these two factors yields: (i) incidents that never reached the patient, (ii) incidents that … reached the patient but did not cause harm, and (iii) incidents that reached the patient and caused … Reporting systems allow incidents to be analyzed in terms of contributing factors and to follow trends … It is desirable to have multiple channels by which frontline health care workers can report incidents … Learning from patient-reported incidents. J Gen Intern Med. 2005;20:830-836. [go to PubMed] 7.

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838019/psn-pdf
     September 07, 2022 - Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents … Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73980/psn-pdf
     October 20, 2021 - 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

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74264/psn-pdf
     January 19, 2022 - of this study was to support future implementation of CIRS in primary care by discussing types of incidents … that should be reported; who can report incidents (e.g., nurses, physicians, patients); whether reporting

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73540/psn-pdf
     January 01, 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

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841762/psn-pdf
     December 21, 2022 - interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents … interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838074/psn-pdf
     January 01, 2023 - 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

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47570/psn-pdf
     December 05, 2018 - By contrast, electronic health record–based trigger tools detect safety incidents in real time. … Improvement Global Trigger Tool and distilled this into a real-time risk score for patient safety incidents … The PSAM identified 10 times more safety incidents than were detected through retrospective techniques

457. An observational study of how patients are identified before medication administrations in medical and surgical wards. | PSNet
     psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
     June 24, 2020 - December 21, 2022 Artificial intelligence for identifying the prevention of medication incidents … November 24, 2021 Interventions to support nurses as second victims of patient safety incidents … February 25, 2009 Flow of information contributing to medication incidents in home care

458. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. | PSNet
     psnet.ahrq.gov/issue/systematic-review-application-plan-do-study-act-method-improve-quality-healthcare
     May 01, 2019 - August 4, 2021 Patient safety incidents in endoscopy: a human factors analysis of non-procedural … significant harm incidents from the National Reporting and Learning System (NRLS). … November 29, 2023 Barriers to self-reporting patient safety incidents by paramedics:

459. Patient safety and professional discourses: implications for interprofessionalism. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-professional-discourses-implications-interprofessionalism
     March 08, 2023 - June 22, 2022 Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … 14, 2023 Analysis of the nature and contributory factors of medication safety incidents

460. Organisational paradoxes in speaking up for safety: implications for the interprofessional field. | PSNet
     psnet.ahrq.gov/issue/organisational-paradoxes-speaking-safety-implications-interprofessional-field
     March 08, 2023 - November 4, 2014 Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … February 28, 2024 Interventions to support nurses as second victims of patient safety incidents