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Showing results for "incidents".

81. Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/multimorbidity-and-patient-safety-incidents-primary-care-systematic-review-and-meta-analysis
    February 15, 2017 - Review Multimorbidity and patient safety incidents in primary care: a systematic … Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis. … This systematic review assessed the potential link between multimorbidity and patient safety incidents … health component, such as depression, were at particularly high risk for errors and patient safety incidents … Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis.

82. How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses. | PSNet
    psnet.ahrq.gov/issue/how-can-we-improve-recognition-reporting-and-resolution-medical-device-related-incidents
    May 06, 2015 - How can we improve the recognition, reporting and resolution of medical device-related incidents … How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals … These results are consistent with prior studies of incident reports and suggest that device-related incidents … How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals … the Same Author(s) Factors that influence the recognition, reporting and resolution of incidents

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867692/psn-pdf
    March 05, 2025 - Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … https://psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters

84. Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. | PSNet
    psnet.ahrq.gov/issue/exploring-nursing-sensitive-events-home-healthcare-national-multicenter-cohort-study-using
    August 05, 2020 - records from ten Swedish home healthcare organizations, researchers found that 74% of patient safety incidents … of nursing-sensitive events were falls , pressure injuries, healthcare-associated infections , and incidents … August 5, 2020 Occurrence of no-harm incidents and adverse events in hospitalized patients … April 7, 2021 Identifying no-harm incidents in home healthcare: a cohort study using … July 1, 2016 Patient safety incidents in hospice care: observations from interdisciplinary

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74256/psn-pdf
    January 19, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring … Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring … Reporting patient safety incidents is essential to improving patient safety. … This study compared the number of self-reported (to the study team) safety incidents during interhospital … transport and the number of incidents submitted to the hospital’s reporting system.

86. Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. | PSNet
    psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools
    May 26, 2021 - Review Learning from safety incidents in high reliability organizations: a systematic … Learning from safety incidents in high-reliability organizations: a systematic review of learning tools … Learning from safety incidents in high-reliability organizations: a systematic review of learning tools … May 26, 2021 A retrospective review of serious surgical incidents in 5 large UK teaching … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60694/psn-pdf
    January 01, 2021 - Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross … Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional … https://psnet.ahrq.gov/issue/reporting-incidents-involving-use-advanced-medical-technologies-nurses- … 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

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/839815/psn-pdf
    November 09, 2022 - A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. … A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. … https://psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within- … Researchers reviewed 133 radiation incidents reported to one NHS trust from 2015-2018. … Reported events included radiation incidents, near-miss incidents, and repeat scans.

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/856584/psn-pdf
    January 01, 2024 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents … Patient safety incidents in endoscopy: a human factors analysis of nonprocedural significant harm incidents … https://psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural … Kingdom to examine the human factors contributing to non- procedural endoscopy-related patient safety incidents … and Classification System coding, decision-based errors were the most common factor contributing to incidents

90. An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review. | PSNet
    psnet.ahrq.gov/issue/international-perspective-definitions-and-terminology-used-describe-serious-reportable
    August 04, 2021 - international perspective on definitions and terminology used to describe serious reportable patient safety incidents … international perspective on definitions and terminology used to describe serious reportable patient safety incidents … This systematic review explored international approaches to defining serious reportable patient safety incidents … international perspective on definitions and terminology used to describe serious reportable patient safety incidents … Same Author(s) Medication safety in mental health hospitals: a mixed-methods analysis of incidents

91. Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis. | PSNet
    psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-canadian-regional
    March 18, 2020 - Study Exploring changes in patient safety incidents during the COVID-19 pandemic … Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital … This retrospective study investigated the impact of the first wave of COVID-19 on patient safety incidents … Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital … 28, 2020 Medication safety in mental health hospitals: a mixed-methods analysis of incidents

92. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. | PSNet
    psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
    December 18, 2017 - Study Medication safety in mental health hospitals: a mixed-methods analysis of incidents … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National … organizational -, patient-, and equipment-related factors were identified as contributing to medication safety incidents … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National … February 2, 2022 Learning from patient safety incidents involving acutely sick adults

93. A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. | PSNet
    psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit
    December 15, 2011 - Study A system factors analysis of "line, tube, and drain" incidents in the intensive … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … intensive care unit and analyzed the systemic factors contributing to invasive line, tube, and drain incidents … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … Citation Related Resources From the Same Author(s) Intensive care unit safety incidents

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866311/psn-pdf
    January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and systems used for safety incident … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used- … The authors summarize how incidents are detected; common contributing, mitigating, and ameliorating … factors; as well as actions and interventions to reduce the risk of patient safety incidents.

95. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
    February 22, 2019 - Study Patient safety incidents in advance care planning for serious illness: a mixed-methods … Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. … Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. … February 1, 2017 Safety incidents in the primary care office setting. … July 3, 2016 Classification of patient-safety incidents in primary care.

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60757/psn-pdf
    August 05, 2020 - Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. … Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. … https://psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool … The most common incidents identified by the trigger tool were falls without injury, medication management … incidents, and moderate pain.

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73506/psn-pdf
    July 21, 2021 - Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method … https://psnet.ahrq.gov/issue/patient-safety-incidents-during-covid-19-health-crisis-france-exploratory … This study examined patient safety incidents in primary care settings in France during the early months … Of the 132 reported incidents, 44% related to delayed diagnosis, assessments and referrals. … Reported incidents less commonly related to cancellation of care, home confinement-related incidents

98. Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study. | PSNet
    psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards
    April 03, 2019 - Study Adverse incidents, patient flow and nursing workforce variables on acute psychiatric … Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins … likely to coincide with a high male patient population, staff absences, and the occurrence of other incidents … Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins

99. Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice. | PSNet
    psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
    December 16, 2015 - This publication explored primary care incidents reported in England and Wales over an 8-year period … December 16, 2015 Safety incidents in the primary care office setting. … July 3, 2016 Patient safety incidents involving sick children in primary care in England … November 16, 2016 A mixed-methods analysis of patient safety incidents involving opioid … March 15, 2017 Patient Safety: Investigating and Reporting Serious Clinical Incidents

100. How safe is primary care? A systematic review. | PSNet
     psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
     December 18, 2013 - This systematic review commissioned by the World Health Organization examined patient safety incidents … Estimates diverged widely between studies, and most patient safety incidents did not lead to harm. … December 16, 2015 Safety incidents in the primary care office setting. … May 8, 2013 Patient safety incidents and adverse events in ambulatory dental care: a … October 5, 2016 A mixed-methods analysis of patient safety incidents involving opioid