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Showing results for "incidents".

61. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national
    November 29, 2023 - Study Patient safety incidents associated with equipment in critical care: a review … Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … Approximately 1 in 12 reported incidents in critical care units was related to equipment problems, including … more than 500 incidents of overt equipment failure during a 6-month period. … January 12, 2011 Medication-related patient safety incidents in critical care: a review

62. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet
    psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
    November 10, 2021 - Study Interorganizational health information exchange-related patient safety incidents … Interorganizational health information exchange-related patient safety incidents: a descriptive register-based … identify the types, causes, and consequences of health information exchange- (HIE) related patient safety incidents … The two main kinds of HIE-related incidents were (1) inadequate documentation and inadequate use of information … Interorganizational health information exchange-related patient safety incidents: a descriptive register-based

63. Patient Safety: Investigating and Reporting Serious Clinical Incidents. | PSNet
    psnet.ahrq.gov/issue/patient-safety-investigating-and-reporting-serious-clinical-incidents
    November 10, 2017 - Book/Report Patient Safety: Investigating and Reporting Serious Clinical Incidents … Citation Text: Patient Safety: Investigating and Reporting Serious Clinical Incidents. Kelsey R. … result in patient harm and describes how to conduct a root cause analysis to investigate clinical incidents … Citation Citation Text: Patient Safety: Investigating and Reporting Serious Clinical Incidents

64. Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet
    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

65. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
    psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
    August 05, 2020 - Study Occurrence of no-harm incidents and adverse events in hospitalized patients … Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA … Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA … Citation Related Resources From the Same Author(s) Identifying no-harm incidents … 2020 Patients who die by suicide: a study of treatment patterns and patient safety incidents

66. Flow of information contributing to medication incidents in home care- an analysis considering incident reporters' perspectives. | PSNet
    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

67. Psn-Pdf (pdf file)
    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

68. Pediatric safety incidents from an intensive care reporting system. | PSNet
    psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system
    May 27, 2011 - Study Pediatric safety incidents from an intensive care reporting system. … Citation Text: Pediatric safety incidents from an intensive care reporting system. … Copy URL Cite Citation Citation Text: Pediatric safety incidents

69. A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet
    psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
    August 24, 2022 - A multifaceted risk management program to improve the reporting rate of patient safety incidents … A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary … A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary … August 24, 2022 Patient safety incidents are common in primary care: a national prospective … June 12, 2024 Blackbox error management: how do practices deal with critical incidents

70. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. | PSNet
    psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
    August 19, 2020 - Study Reporting of health information technology system-related patient safety incidents … Reporting of health information technology system-related patient safety incidents: the effects of organizational … Organizational culture can influence whether or not clinicians report patient safety incidents. … about their experiences with non-reporting of health information technology (HIT)-related safety incidents … June 1, 2022 Increased patient safety-related incidents following the transition into

71. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. | PSNet
    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.

72. A classification system for incidents and accidents in the health-care system. | PSNet
    psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
    September 28, 2010 - Study Classic A classification system for incidents and … A classification for incidents and accidents in the health-care system. … Using a computerized model, incidents and events were organized into a hierarchical and interrelated … A classification for incidents and accidents in the health-care system. … September 28, 2010 Errors, incidents and accidents in anaesthetic practice.

73. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. | PSNet
    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

74. Patient safety incidents caused by poor quality surgical instruments. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
    April 06, 2022 - Study Patient safety incidents caused by poor quality surgical instruments. … Patient Safety Incidents Caused by Poor Quality Surgical Instruments. … Patient Safety Incidents Caused by Poor Quality Surgical Instruments.

75. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. | PSNet
    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.

76. Benefits of reporting and analyzing nursing students' near-miss medication incidents. | PSNet
    psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-incidents
    March 16, 2022 - Study Benefits of reporting and analyzing nursing students' near-miss medication incidents … Benefits of reporting and analyzing nursing students' near-miss medication incidents. … The authors found that dosing errors were 81% of the incidents, but there were multiple contributing … Benefits of reporting and analyzing nursing students' near-miss medication incidents. … February 16, 2022 Exploring changes in patient safety incidents during the COVID-19 pandemic

77. Psn-Pdf (pdf file)
    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.

78. Using statistical text classification to identify health information technology incidents. | PSNet
    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.

79. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet
    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

80. Psn-Pdf (pdf file)
    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