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Showing results for "incidents".

161. 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

162. 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

163. Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet
     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.

164. Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. | PSNet
     psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia
     April 24, 2018 - Study Involving users in the design of a system for sharing lessons from adverse incidents … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. … anesthetists in designing an online reporting system to facilitate the sharing and discussion of adverse incidents … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867521/psn-pdf
     April 01, 2024 - 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 … https://psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents- … https://psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event … https://psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event

166. 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

167. 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

168. The investigation and analysis of critical incidents and adverse events in healthcare. | PSNet
     psnet.ahrq.gov/issue/investigation-and-analysis-critical-incidents-and-adverse-events-healthcare
     March 05, 2014 - Study Classic The investigation and analysis of critical incidents … The investigation and analysis of critical incidents and adverse events in healthcare. … In order to provide guidelines on effective methods to examine critical incidents , this review studied … The investigation and analysis of critical incidents and adverse events in healthcare.

169. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. | PSNet
     psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
     November 18, 2020 - Review A scoping review of adverse incidents research in aged care homes: learnings … A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. … Older adults in long-term care settings can be vulnerable to patient safety incidents. … A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.

170. Incidents and errors in neonatal intensive care: a review of the literature. | PSNet
     psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature
     June 15, 2011 - Review Incidents and errors in neonatal intensive care: a review of the literature … Incidents and errors in neonatal intensive care: a review of the literature. … Incidents and errors in neonatal intensive care: a review of the literature.

171. Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. | PSNet
     psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
     August 07, 2018 - Book/Report Safer Care for the Acutely Ill Patient: Learning from Serious Incidents … Citation Text: Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. … Citation Citation Text: Safer Care for the Acutely Ill Patient: Learning from Serious Incidents … November 20, 2013 Learning from patient safety incidents involving acutely sick adults

172. 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

173. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44266/psn-pdf
     May 19, 2019 - Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation … https://psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident- … https://psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting … https://psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting

174. 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

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60531/psn-pdf
     May 27, 2020 - Telenursing in incidents and disasters: a systematic review of the literature. … Telenursing in incidents and disasters: a systematic review of the literature. … https://psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature This systematic … strain on the healthcare workforce during disaster scenarios, such as natural disasters, mass-casualty incidents … https://psnet.ahrq.gov/issue/telenursing-incidents-and-disasters-systematic-review-literature https:/

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837422/psn-pdf
     June 15, 2022 - Reported clinical incidents of children with intellectual disability: a qualitative analysis. … Reported clinical incidents of children with intellectual disability: a qualitative analysis. … https://psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis … In this study, researchers qualitatively analyzed hospital incident reporting data and identified incidents … https://psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis

177. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
     January 01, 2019 - Five EVENT TYPES can be reported as Incidents or Near misses. … Most HIT-RELATED DEVICE Incidents did not result in any harm. … (7 / 65,013) 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

178. 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

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867634/psn-pdf
     February 26, 2025 - Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's … Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's … https://psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary … https://psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens … https://psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47192/psn-pdf
     January 23, 2019 - Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study. … Barriers to Self-Reporting Patient Safety Incidents by Paramedics: A Mixed Methods Study. … https://psnet.ahrq.gov/issue/barriers-self-reporting-patient-safety-incidents-paramedics-mixed-methods … https://psnet.ahrq.gov/issue/barriers-self-reporting-patient-safety-incidents-paramedics-mixed-methods-study … https://psnet.ahrq.gov/issue/barriers-self-reporting-patient-safety-incidents-paramedics-mixed-methods-study