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Showing results for "incidents".

141. Psn-Pdf (pdf file)
     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

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73562/psn-pdf
     August 04, 2021 - Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the … Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents … organizational-, patient-, and equipment-related factors were identified as contributing to medication safety incidents … https://psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national

143. Psn-Pdf (pdf file)
     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

144. Psn-Pdf (pdf file)
     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

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74106/psn-pdf
     November 24, 2021 - Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate … Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate … https://psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing … Building on previous research on the use of text mining related to medication administration error incidents … https://psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or

146. Psn-Pdf (pdf file)
     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://

147. Psn-Pdf (pdf file)
     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

148. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. | PSNet
     psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
     September 15, 2021 - Study Pathology trainees rarely report safety incidents: a review of 13,722 safety … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action … February 2, 2022 Medication safety in mental health hospitals: a mixed-methods analysis of incidents … July 6, 2012 Lessons learnt from incidents reported by postgraduate trainees in Dutch

149. 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

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844049/psn-pdf
     February 08, 2023 - A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. … A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. … https://psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps … - and-challenges Older adults in long-term care settings can be vulnerable to patient safety incidents … https://psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836713/psn-pdf
     March 09, 2022 - Benefits of reporting and analyzing nursing students' near-miss medication incidents. … Benefits of reporting and analyzing nursing students' near-miss medication incidents. … https://psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication- incidents … The authors found that dosing errors were 81% of the incidents, but there were multiple contributing … https://psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-incidents

152. Chartbook on Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
     January 01, 2020 - Five EVENT TYPES can be reported as Incidents or Near misses. … This figure includes Incidents where the EXTENT OF HARM was reported. … ) of Fall Incidents. … This figure includes Incidents where the EXTENT OF HARM was reported. … The proportion of Incidents with residual harm was highest among Incidents originating with Purchasing

153. A tool for the concise analysis of patient safety incidents. | PSNet
     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

154. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet
     psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
     January 22, 2016 - Effects of patient-, environment- and medication-related factors on high-alert medication incidents … Effects of patient-, environment- and medication-related factors on high-alert medication incidents. … Such medication incidents arose more often in patients who were transferred from one hospital ward to … Effects of patient-, environment- and medication-related factors on high-alert medication incidents. … August 31, 2022 Direct oral anticoagulant-related medication incidents and pharmacists

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73288/psn-pdf
     May 19, 2021 - 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation … Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and- incidents-nations … Of all submitted events in 2020, 97% were from hospitals, and 97% were incidents; 3 percent were serious … https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations

156. Learning from incidents in healthcare: the journey, not the arrival, matters. | PSNet
     psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
     June 12, 2024 - Commentary Learning from incidents in healthcare: the journey, not the arrival, matters … Learning from incidents in healthcare: the journey, not the arrival, matters. … Learning from incidents in healthcare: the journey, not the arrival, matters.

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866198/psn-pdf
     June 26, 2024 - Quality of care transition, patient safety incidents, and patients' health status: a structural equation … Quality of care transition, patient safety incidents, and patients’ health status: a structural equation … https://psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status … https://psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural … https://psnet.ahrq.gov/issue/quality-care-transition-patient-safety-incidents-and-patients-health-status-structural

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72670/psn-pdf
     January 27, 2021 - System issues leading to "found-on-floor" incidents: a multi-incident analysis. … System Issues Leading to “Found-on-Floor” Incidents: A Multi- Incident Analysis. … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis Patients … This study found that length of stay was a key theme in found-on-floor incidents and signaled underlying … https://psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis https

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836964/psn-pdf
     April 20, 2022 - Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or … Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or … https://psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients- … trigger tool could accurately identify preventable events among patients with adverse events and no-harm incidents … https://psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74864/psn-pdf
     February 23, 2022 - Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital … Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital … https://psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic- canadian-regional … This retrospective study investigated the impact of the first wave of COVID-19 on patient safety incidents … https://psnet.ahrq.gov/issue/exploring-changes-patient-safety-incidents-during-covid-19-pandemic-canadian-regional