Results

Total Results: over 10,000 records

Showing results for "incidents".

481. 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

482. 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

483. 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

484. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44344/psn-pdf
     July 22, 2015 - can contribute to patient harm, this commentary advocates for enhanced reporting of device-related incidents … attitudes-toward-medical-device-use-errors-and-prevention-adverse-events https://psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and

485. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46538/psn-pdf
     February 21, 2018 - triggers-and-trigger-tools https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients

486. 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.

487. 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

488. 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.

489. 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

490. 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

491. 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

492. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49829/psn-pdf
     May 01, 2018 - The practice of RCA for sentinel events (e.g., incidents resulting in death, permanent harm, or severe … To investigate incidents, RCA is just one of a number of methods available. … Investigating Clinical Incidents in the NHS. Sixth Report of Session 2014–15. … Systems analysis of clinical incidents: the London Protocol. Clin Risk. 2004;10:211-220. … Peerally MF, Fores M, Powell R, Durbridge M, Carr S. 0192 Implementing Themes From Serious Incidents

493. 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

494. 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

495. 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

496. The need for risk profiling in patient safety. | PSNet
     psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
     August 08, 2010 - September 20, 2011 A mixed-methods analysis of patient safety incidents involving opioid … October 12, 2016 Patient safety incidents involving sick children in primary care in … February 1, 2017 Deaths following prehospital safety incidents: an analysis of a national

497. 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

498. 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

499. 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

500. Surgical adverse outcome reporting as part of routine clinical care. | PSNet
     psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
     March 23, 2011 - April 28, 2021 The association between complications, incidents, and patient experience … March 6, 2019 View More Related Resources Patient safety incidents … May 4, 2015 Miscount incidents: a novel approach to exploring risk factors for unintentionally