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psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
November 23, 2012 - Study
Classification of medication incidents associated with information technology … Classification of medication incidents associated with information technology. … Classification of medication incidents associated with information technology.
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psnet.ahrq.gov/issue/disclosure-patient-safety-incidents-comprehensive-review
November 10, 2010 - Review
Disclosure of patient safety incidents: a comprehensive review. … Disclosure of patient safety incidents: a comprehensive review. … Disclosure of patient safety incidents: a comprehensive review. … September 27, 2016
Serious incidents after death: content analysis of incidents reported … October 24, 2018
The "Seven Pillars" response to patient safety incidents: effects on
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psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
July 17, 2024 - Study
Care home safety incidents and safeguarding reports relating to hospital to … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Common incidents included pressure injuries, medication errors , and premature discharge. … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Related Resources From the Same Author(s)
Systematic review of types of safety incidents
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psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
October 12, 2016 - Study
Patient safety incidents involving sick children in primary care in England … Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods … They found that about one third of 2191 safety incidents represented cases of severe harm. … October 12, 2016
Safety incidents in the primary care office setting. … July 18, 2016
Safety incidents in the primary care office setting.
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psnet.ahrq.gov/issue/flow-information-contributing-medication-incidents-home-care-analysis-considering-incident
May 01, 2024 - Study
Flow of information contributing to medication incidents in home care- an analysis … Flow of information contributing to medication incidents in home care— an analysis considering incident … Flow of information contributing to medication incidents in home care— an analysis considering incident … May 1, 2024
Interventions to support nurses as second victims of patient safety incidents … July 20, 2016
Artificial intelligence for identifying the prevention of medication incidents
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psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents
December 16, 2020 - Multiple points of system failure underpin continuous subcutaneous infusion safety incidents … Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative … October 3, 2018
Learning from patient safety incidents involving acutely sick adults … April 25, 2018
Patient safety incidents in advance care planning for serious illness: … analysis of incidents reported to a national database.
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psnet.ahrq.gov/node/867230/psn-pdf
December 04, 2024 - Adaption of a trigger tool to identify harmful incidents, no
harm incidents, and near misses in prehospital … Adaption of a trigger tool to identify harmful incidents, no
harm incidents, and near misses in prehospital … https://psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near … incidents in 0.4% of encounters. … https://psnet.ahrq.gov/issue/adaption-trigger-tool-identify-harmful-incidents-no-harm-incidents-and-near-misses
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psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
May 19, 2021 - Study
Increased patient safety-related incidents following the transition into Daylight … Increased patient safety-related incidents following the transition into Daylight Savings Time. … This observational study observed nonsignificant increases in patient safety incidents in the week following … Increased patient safety-related incidents following the transition into Daylight Savings Time. … November 26, 2014
Care coordination strategies and barriers during medication safety incidents
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psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
August 04, 2021 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … May 18, 2022
Exploring changes in patient safety incidents during the COVID-19 pandemic … April 3, 2019
A retrospective review of serious surgical incidents in 5 large UK teaching
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psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
June 23, 2021 - Study
Health care workers' experiences of workplace incidents that posed a risk of … Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury … workers in Sweden, the authors explored how individuals, team members and managers respond to critical incidents … Critical incidents are emotionally distressing for healthcare workers but teamwork and trust among … Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury
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psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
June 08, 2022 - evidence from 41 studies using incident reporting system data to identify and characterize critical incidents … Medication-related incidents and incidents due to “active failures” were the most commonly reported events … The authors observe that only one in three studies reported on corrective actions due to the incidents … June 8, 2022
Support for healthcare professionals after surgical patient safety incidents … September 29, 2017
Occurrence of no-harm incidents and adverse events in hospitalized
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psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
March 16, 2022 - Study
Reported clinical incidents of children with intellectual disability: a qualitative … Reported clinical incidents of children with intellectual disability: a qualitative analysis. … In this study, researchers qualitatively analyzed hospital incident reporting data and identified incidents … Reported clinical incidents of children with intellectual disability: a qualitative analysis. … February 5, 2020
A mixed-methods analysis of patient safety incidents involving opioid
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psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review
August 29, 2018 - Review
Patient safety incidents and adverse events in ambulatory dental care: a systematic … Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. … Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. … October 12, 2016
Patient safety incidents involving sick children in primary care in … September 24, 2017
Safety incidents in the primary care office setting.
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psnet.ahrq.gov/node/866959/psn-pdf
October 16, 2024 - A review of incidents related to health information
technology in Swedish healthcare to characterise … A review of incidents related to health information technology in
Swedish healthcare to characterise … https://psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare … About three-quarters of the 95 incidents
studied were due to technical factors. … Human factors accounted for 26% of incidents. Of all incidents, 20%
led to patient harm.
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psnet.ahrq.gov/issue/using-statistical-text-classification-identify-health-information-technology-incidents
February 14, 2024 - Using statistical text classification to identify health information technology incidents … Using statistical text classification to identify health information technology incidents. … and User Facility Device Experience (MAUDE) database, which includes voluntarily reported safety incidents … dataset included more than 44 billion individual data elements generated from more than 500,000 separate incidents … Using statistical text classification to identify health information technology incidents.
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psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls
June 15, 2022 - Study
A 6-year thematic review of reported incidents associated with cardiopulmonary … A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in … A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in … Related Resources From the Same Author(s)
A retrospective review of serious surgical incidents … May 26, 2021
Exploring changes in patient safety incidents during the COVID-19 pandemic
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psnet.ahrq.gov/issue/reporting-incidents-involving-use-advanced-medical-technologies-nurses-home-care-cross
March 24, 2021 - Study
Reporting incidents involving the use of advanced medical technologies by nurses … Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional … The majority of incidents resulted in no or mild harm. … Most incidents were attributable to product failures, as well as organization of care (e.g., unclear … Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional
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psnet.ahrq.gov/issue/work-related-critical-incidents-hospital-based-health-care-providers-and-risk-post-traumatic
April 12, 2023 - Study
Work-related critical incidents in hospital-based health care providers and … Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic … This meta-analysis found that work-related critical incidents were positively related to post-traumatic … Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic … May 18, 2022
Moving on after critical incidents in health care: a qualitative study of
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psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review
June 29, 2022 - Review
Medication safety incidents associated with the remote delivery of primary … Medication safety incidents associated with the remote delivery of primary care: a rapid review. … This rapid review was conducted to determine the types and frequency of medication safety incidents associated … Medication safety incidents associated with the remote delivery of primary care: a rapid review. … June 29, 2022
Care coordination strategies and barriers during medication safety incidents
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psnet.ahrq.gov/node/849121/psn-pdf
May 17, 2023 - Thematic reviews of patient safety incidents as a tool for
systems thinking: a quality improvement report … Thematic reviews of patient safety incidents as a tool for systems thinking: a quality
improvement report … https://psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality- … improvement-report
Learning from patient safety incidents can help health care organizations improve … This article provides a template for organizations to review patient safety incidents and classify
them