-
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
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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
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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
-
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
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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
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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
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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
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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
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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
-
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
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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
-
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
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Related Resources
Patient safety incidents … May 4, 2015
Miscount incidents: a novel approach to exploring risk factors for unintentionally
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psnet.ahrq.gov/issue/costs-developing-implementing-and-operating-safety-learning-system-community-practice
March 21, 2012 - Related Resources From the Same Author(s)
Emotional impact of patient safety incidents … March 21, 2012
Safety incidents in family medicine. … April 25, 2018
Classification of patient-safety incidents in primary care.
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psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed
January 14, 2014 - January 14, 2014
Underreporting of patient safety incidents reduces health care's ability … December 16, 2015
Safety incidents in the primary care office setting. … August 12, 2014
Patient-safety–related hospital deaths in England: thematic analysis of incidents
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psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
September 01, 2018 - September 1, 2018
The "Seven Pillars" response to patient safety incidents: effects on … September 20, 2011
Successful remediation of patient safety incidents: a tale of two … June 8, 2010
Responding to patient safety incidents: the "seven pillars."
-
psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key
July 16, 2015 - September 30, 2015
Identifying no-harm incidents in home healthcare: a cohort study using … February 21, 2018
Development of a trigger tool to identify adverse events and no-harm incidents … January 2, 2017
Being open: communicating patient safety incidents with patients and
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psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-type-error-type
August 22, 2012 - September 19, 2018
Adaption of a trigger tool to identify harmful incidents, no harm … incidents, and near misses in prehospital emergency care of children. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.
-
psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system
September 06, 2017 - Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents … 31, 2023
Interorganizational health information exchange-related patient safety incidents … September 18, 2019
Incidents resulting from staff leaving normal duties to attend medical
-
psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice
March 21, 2012 - Related Resources From the Same Author(s)
Emotional impact of patient safety incidents … December 11, 2013
Safety incidents in family medicine. … April 4, 2012
Safety incidents in family medicine.
-
psnet.ahrq.gov/issue/patient-safety-primary-care-has-many-aspects-interview-study-primary-care-doctors-and-nurses
July 23, 2008 - April 15, 2009
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 … August 8, 2018
Classification of medication incidents associated with information technology