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Showing results for "incidents".

121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73181/psn-pdf
     April 28, 2021 - Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare … Critical incidents involving the medical emergency team: a 5- year retrospective assessment for healthcare … https://psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective … This retrospective study analyzed critical incidents that occurred during MET responses over a five-year … https://psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837634/psn-pdf
     July 06, 2022 - Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s … Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s … https://psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents- … nations-largest-event Acute care facilities in Pennsylvania are required to report all Incidents and … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73168/psn-pdf
     April 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 … Patient safety incidents describing patient falls in critical care in North West England between 2009 … https://psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west … The authors reviewed patient safety incidents in critical care units in England between 2009 and 2017 … Common factors involved in fall incidents included patients attempting tasks without assistance, patient

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73917/psn-pdf
     October 06, 2021 - Reporting of health information technology system- related patient safety incidents: the effects of … Reporting of health information technology system-related patient safety incidents: the effects of organizational … https://psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety- incidents-effects … Organizational culture can influence whether or not clinicians report patient safety incidents. … surveyed about their experiences with non-reporting of health information technology (HIT)-related safety incidents

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866693/psn-pdf
     September 11, 2024 - Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … https://psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care … Common incidents included pressure injuries, medication errors, and premature discharge. … https://psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions

126. Medication or Other Substance Dashboard | Agency for Healthcare Research and Quality
     www.ahrq.gov/npsd/data/dashboard/medication.html
     September 01, 2024 - dashboard presents information on medication or other substance-related patient safety concerns, which span incidents … of safety concerns, and type of substance involved is presented, followed by further examination of incidents

127. Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory cohort study? | PSNet
     psnet.ahrq.gov/issue/patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-exploratory
     March 02, 2022 - Study Patient safety in primary allied health care: what can we learn from incidents … Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory … Patient safety in primary allied health care: what can we learn from incidents in a Dutch exploratory … June 3, 2020 Classification of medication incidents associated with information technology … February 10, 2021 System issues leading to "found-on-floor" incidents: a multi-incident

128. Psn-Pdf (pdf file)
     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

129. Psn-Pdf (pdf file)
     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

130. Psn-Pdf (pdf file)
     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

131. 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

132. 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

133. Psn-Pdf (pdf file)
     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

134. Psn-Pdf (pdf file)
     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

135. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet
     psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
     June 29, 2011 - Study 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. … Why is learning from patient safety incidents (still) so hard?

136. Psn-Pdf (pdf file)
     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.

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46928/psn-pdf
     May 16, 2018 - Serious incidents after death: content analysis of incidents reported to a national database. … Serious incidents after death: content analysis of incidents reported to a national database. … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database … https://psnet.ahrq.gov/issue/serious-incidents-after-death-content-analysis-incidents-reported-national-database

138. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. | PSNet
     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

139. Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. | PSNet
     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

140. What is learning? A review of the safety literature to define learning from incidents, accidents and disasters. | PSNet
     psnet.ahrq.gov/issue/what-learning-review-safety-literature-define-learning-incidents-accidents-and-disasters
     December 17, 2010 - A review of the safety literature to define learning from incidents, accidents and disasters. … A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. … key processes to ensure the effectiveness of this method , including face-to-face discussions about incidents … A Review of the Safety Literature to Define Learning from Incidents, Accidents and Disasters. … April 11, 2011 Medication safety incidents associated with the remote delivery of primary