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Showing results for "incidents".

141. 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

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. 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

144. Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review. | PSNet
     psnet.ahrq.gov/issue/key-factors-effective-implementation-healthcare-workers-support-interventions-after-patient
     September 27, 2023 - factors for effective implementation of healthcare workers support interventions after patient safety incidents … factors for effective implementation of healthcare workers support interventions after patient safety incidents … supporting successful implementation of programs to support healthcare workers involved in patient safety incidents … factors for effective implementation of healthcare workers support interventions after patient safety incidents

145. 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

146. 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.

147. 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

148. 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

149. Learning from patient safety incidents: creating participative risk regulation in healthcare. | PSNet
     psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare
     February 28, 2024 - Commentary Learning from patient safety incidents: creating participative risk regulation … Learning from patient safety incidents: Creating participative risk regulation in healthcare. … Learning from patient safety incidents: Creating participative risk regulation in healthcare. … May 20, 2019 Imitating incidents: how simulation can improve safety investigation and … August 14, 2018 View More Related Resources Patient safety incidents

150. 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

151. 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

152. 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

153. Telenursing in incidents and disasters: a systematic review of the literature. | PSNet
     psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature
     January 07, 2015 - Review Telenursing in incidents and disasters: a systematic review of the literature … Telenursing in incidents and disasters: a systematic review of the literature. … strain on the healthcare workforce during disaster scenarios , such as natural disasters, mass-casualty incidents … Telenursing in incidents and disasters: a systematic review of the literature.

154. 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

155. 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

156. 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

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867694/psn-pdf
     March 05, 2025 - Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock … Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock … https://psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and … https://psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident … https://psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867340/psn-pdf
     December 11, 2024 - Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative … Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative … psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion- safety-incidents … psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents … psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents

159. Final Progress Report: Evaluate the Effects of the Massachusetts Reporting System (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/ridley-report.pdf
     January 01, 2024 - Results: Aim 1: Of 760 MARS incidents, 66% met some NQF criteria. … Researchers collected data on 800 incidents. … high-injury-severity incidents conformed to the 2006 NQF standard. … Nearly all of the additional conforming incidents were a result of the inclusion incidents in which … In general, hospitals reported corrective actions for 40% of reported incidents.

160. 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