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psnet.ahrq.gov/node/73497/psn-pdf
July 14, 2021 - Health care workers' experiences of workplace incidents
that posed a risk of patient and worker injury … Health care workers’ experiences of workplace incidents that posed a risk
of patient and worker injury … https://psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and … 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 teams
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psnet.ahrq.gov/node/836984/psn-pdf
April 27, 2022 - 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 … https://psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-
resuscitation-calls … https://psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls … https://psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
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psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
August 28, 2013 - Study
Exploring health care professionals' perceptions of incidents and incident … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation … Participants were more likely to report events with severe harm to patients, events classified as critical incidents … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation
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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/development-evidence-based-framework-factors-contributing-patient-safety-incidents-hospital
June 25, 2014 - Development of an evidence-based framework of factors contributing to patient safety incidents … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital … Early efforts to understand and analyze safety incidents in clinical medicine were drawn from a well-known … 100 articles to establish a contributory factors framework that could be applied to evaluating safety incidents … Development of an evidence-based framework of factors contributing to patient safety incidents in hospital
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psnet.ahrq.gov/issue/strength-safety-measures-introduced-medical-practices-prevent-recurrence-patient-safety
May 01, 2024 - Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents … Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents … Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents … December 8, 2021
Medication safety in mental health hospitals: a mixed-methods analysis of incidents … November 16, 2022
A longitudinal evaluation of computed tomography radiation incidents
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psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
July 24, 2024 - Study
Patient safety trends in 2023: an analysis of 287,997 serious events and incidents … Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s … Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s … July 6, 2022
Patient safety trends in 2022: an analysis of 256,679 serious events and incidents … 2023
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents
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psnet.ahrq.gov/node/849329/psn-pdf
May 24, 2023 - Interorganizational health information exchange-related
patient safety incidents: a descriptive register-based … Interorganizational health information exchange-related patient
safety incidents: a descriptive register-based … https://psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-
incidents-descriptive … 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
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psnet.ahrq.gov/node/61114/psn-pdf
November 11, 2020 - A mixed-methods analysis of patient safety incidents
involving opioid substitution treatment with methadone … methods analysis of patient safety incidents involving
opioid substitution treatment with methadone … https://psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution … England and Wales, this study analyzed 2,284 patient safety
incident reports and found that harmful incidents … – such as not following
protocols, poor continuity of care – contributed to more than half of the incidents
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psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents
February 11, 2015 - Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents … Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A … This systematic review of disclosure of patient safety incidents found variation in the frequency of … Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A … November 6, 2024
The "Seven Pillars" response to patient safety incidents: effects on
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psnet.ahrq.gov/node/849129/psn-pdf
November 01, 2023 - Patient safety trends in 2022: an analysis of 256,679
serious events and incidents from the nation’s … Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents
from the nation’s … https://psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents- … nations-largest-event
Pennsylvania requires all acute care facilities to report incidents and serious … https://psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
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psnet.ahrq.gov/node/850161/psn-pdf
June 07, 2023 - Analysis of the nature and contributory factors of
medication safety incidents following hospital discharge … Analysis of the nature and contributory factors of
medication safety incidents following hospital discharge … https://psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following … Patients over 65 were the most common age group and,
of incidents with a stated level of harm, most … Overall, most incidents occurred at
the prescribing stage, but varied by patient age group.
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psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
August 09, 2018 - Study
A tool for the concise analysis of patient safety incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … classification framework to identify causal factors for medication and medical device-related adverse clinical incidents
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psnet.ahrq.gov/node/60894/psn-pdf
September 09, 2020 - Increased patient safety-related incidents following the
transition into Daylight Savings Time. … Increased patient safety-related incidents following the
transition into Daylight Savings Time. … https://psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings … -
time
This observational study observed nonsignificant increases in patient safety incidents in the … https://psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
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psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
October 31, 2014 - Study
Patient-safety–related hospital deaths in England: thematic analysis of incidents … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … This analysis of incidents involving inpatient mortality reported to the National Health Service in the … Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national … December 18, 2013
Safety incidents in the primary care office setting.
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psnet.ahrq.gov/node/45518/psn-pdf
January 01, 2021 - 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. … https://psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-
systematic-scoping-review … adverse events in ambulatory dental care and found a wide variation in the frequency of patient safety
incidents … https://psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review
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psnet.ahrq.gov/node/847531/psn-pdf
April 12, 2023 - Strengthening open disclosure after incidents in
maternity care: a realist synthesis of international … Strengthening open disclosure after incidents in maternity care: a
realist synthesis of international … https://psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis … -
international
Patients and families expect full, timely disclosure after incidents. … https://psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis-international
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psnet.ahrq.gov/node/72723/psn-pdf
February 10, 2021 - The impact of critical incidents on nurses and midwives:
a systematic review. … The impact of critical incidents on nurses and midwives: A systematic
review. … https://psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review
Adverse … This systematic review explored the
experiences of critical incidents on nurses and midwives and their … https://psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review
https://
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psnet.ahrq.gov/node/842767/psn-pdf
January 18, 2023 - Medication safety incidents associated with the remote
delivery of primary care: a rapid review. … Medication safety incidents associated with the remote delivery of
primary care: a rapid review. … https://psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid … This rapid review was conducted to determine the types and frequency of medication
safety incidents … https://psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review
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psnet.ahrq.gov/node/837428/psn-pdf
June 15, 2022 - A retrospective review of serious surgical incidents in 5
large UK teaching hospitals: a system-based … A retrospective review of serious surgical incidents in 5 large UK
teaching hospitals: a system-based … https://psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals … This study reviewed serious surgical incidents occurring
at large teaching hospitals in one National … https://psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based