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Showing results for "incidents".

101. 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

102. 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.

103. 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

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73633/psn-pdf
     August 25, 2021 - Learning from patient safety incidents involving acutely sick adults in hospital assessment units in … Learning from patient safety incidents involving acutely sick adults in hospital assessment units in … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital … 377 included reports, diagnostic errors, medication-related errors, and failure to monitor patient incidents … decision-making during admission and communication failures were the most common contributors to incidents

105. Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data. | PSNet
     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

106. Work-related critical incidents in hospital-based health care providers and the risk of post-traumatic stress symptoms, anxiety, and depression: a meta-analysis. | PSNet
     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

107. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet
     psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
     January 19, 2011 - Study The non-technical skills used by anaesthetic technicians in critical incidents … The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian … of these skills played a role in ameliorating these events, while lack of these skills exacerbated incidents … The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian … July 31, 2008 Safety in anaesthesia: a study of 12,606 reported incidents from the UK

108. 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.

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866349/psn-pdf
     July 24, 2024 - A multifaceted risk management program to improve the reporting rate of patient safety incidents in … A multifaceted risk management program to improve the reporting rate of patient safety incidents in … //psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety- incidents-primary … identification of a risk management advisor, and multidisciplinary meetings focused on patient safety incidents … https://psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862130/psn-pdf
     February 07, 2024 - Interventions to support nurses as second victims of patient safety incidents: a qualitative study of … Interventions to support nurses as second victims of patient safety incidents: a qualitative study of … https://psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents- qualitative-study-nurse … require support (often referred to as the second victim phenomenon) after involvement in patient safety incidents … interventions and suggest that standardized support, such as full team debriefing after all patient safety incidents

111. The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. | PSNet
     psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
     February 20, 2019 - Study The association between complications, incidents, and patient experience: retrospective … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine … In this retrospective study, researchers used data on complications and safety incidents as well as … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine

112. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837032/psn-pdf
     May 04, 2022 - The patient's "story": an examination of patient-reported safety incidents in general practice. … The patient’s “story”: an examination of patient-reported safety incidents in general practice. … https://psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice … Patient complaints and patient-reported incidents can help identify safety issues. … This study compared clinician perceptions and patients’ accounts regarding patient safety incidents

113. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
     psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
     October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents … From blaming to learning: re‐framing organisational learning from adverse incidents. … From blaming to learning: re‐framing organisational learning from adverse incidents.

114. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858163/psn-pdf
     December 13, 2023 - Blackbox error management: how do practices deal with critical incidents in everyday practice? … Blackbox error management: how do practices deal with critical incidents in everyday practice? … https://psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday … ., primary care, dentists, dermatology, orthopedic surgery, psychiatry/psychology) define critical incidents … Respondents described critical incidents across a spectrum, from organizational processes to medical

115. 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

116. 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

117. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866642/psn-pdf
     September 04, 2024 - Learning from patient safety incidents: The Green Cross method. … Learning from patient safety incidents: the Green Cross method. … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method A diverse array of … methods exists to report and learn from patient safety incidents. … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method https://psnet.ahrq.gov

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72823/psn-pdf
     March 10, 2021 - Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … https://psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents … This qualitative study examined medication safety incidents at one VA hospital and found that health … decision-making, back-up behaviors, and contingency planning to coordinate care during medication safety incidents

119. 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

120. 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