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Showing results for "incidents".

  1. 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

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854384/psn-pdf
    January 01, 2024 - Look-alike medications in the perioperative setting: scoping review of medication incidents and risk … Look-alike medications in the perioperative setting: scoping review of medication incidents and risk … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication- incidents-and-risk … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38192/psn-pdf
    November 05, 2008 - Evaluation of critical incidents in general surgery. … Evaluation of critical incidents in general surgery. … protocol to investigate critical incidents in the surgical setting, and assessed its feasibility by … categorizing 139 incidents into a combination of three classification systems. … /investigation-and-analysis-critical-incidents-and-adverse-events-healthcare https://psnet.ahrq.gov//

  4. Reasons for not reporting patient safety incidents in general practice: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study
    February 24, 2010 - Study Reasons for not reporting patient safety incidents in general practice: a qualitative … Reasons for not reporting patient safety incidents in general practice: a qualitative study. … This study investigates underlying reasons for low rates of reporting patient safety incidents by general … Reasons for not reporting patient safety incidents in general practice: a qualitative study.

  5. 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.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47777/psn-pdf
    January 01, 2021 - The association between complications, incidents, and patient experience: retrospective linkage of routine … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine … https://psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience- retrospective-linkage … In this retrospective study, researchers used data on complications and safety incidents as well as … https://psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage

  7. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet

    psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
    October 12, 2016 - December 16, 2015 Patient safety incidents involving sick children in primary care in … April 1, 2020 Safety incidents in the primary care office setting. … December 16, 2020 Classification of patient-safety incidents in primary care. … October 10, 2018 Classification of patient-safety incidents in primary care. … October 12, 2016 Safety incidents in the primary care office setting.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74206/psn-pdf
    December 22, 2021 - Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients … Direct oral anticoagulant-related medication incidents and pharmacists’ interventions in hospital in-patients … https://psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists- … https://psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital … https://psnet.ahrq.gov/issue/direct-oral-anticoagulant-related-medication-incidents-and-pharmacists-interventions-hospital

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837062/psn-pdf
    May 11, 2022 - Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences … Moving on after critical incidents in health care: a qualitative study of the perspectives and experiences … https://psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and … https://psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences … https://psnet.ahrq.gov/issue/moving-after-critical-incidents-health-care-qualitative-study-perspectives-and-experiences

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73376/psn-pdf
    June 09, 2021 - Peer support by interprofessional health care providers in aftermath of patient safety incidents: a … Peer support by interprofessional health care providers in aftermath of patient safety incidents: a … psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety- incidents-cross … /psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross … /psnet.ahrq.gov/issue/peer-support-interprofessional-health-care-providers-aftermath-patient-safety-incidents-cross

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838132/psn-pdf
    September 21, 2022 - 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 … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action … https://psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855084/psn-pdf
    November 08, 2023 - Validation of a reduced set of high-performance triggers for identifying patient safety incidents with … Validation of a reduced set of high- performance triggers for identifying patient safety incidents with … /psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety- incidents-harm … ://psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm … ://psnet.ahrq.gov/issue/validation-reduced-set-high-performance-triggers-identifying-patient-safety-incidents-harm

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37666/psn-pdf
    April 02, 2008 - Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning … Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning … https://psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and … This review of anesthesia incidents reported to the UK's National Patient Safety Agency categorizes … the types of incidents and the level of harm associated with them. 

  14. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
    November 15, 2023 - Study Hospital ward incidents through the eyes of nurses – a thick description on … Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of … Hospital ward incidents through the eyes of nurses - a thick description on the appeal and deadlock of … April 28, 2021 The association between complications, incidents, and patient experience

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73321/psn-pdf
    May 26, 2021 - Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive … Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive … https://psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents … https://psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative … https://psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838243/psn-pdf
    October 05, 2022 - Evaluation of medication incidents in a long-term care facility using electronic medication administration … Evaluation of medication incidents in a long-term care facility using electronic medication administration … https://psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic … https://psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication … https://psnet.ahrq.gov/issue/evaluation-medication-incidents-long-term-care-facility-using-electronic-medication

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73090/psn-pdf
    March 31, 2021 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools … Learning from safety incidents in high-reliability organizations: a systematic review of learning tools … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools … https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50750/psn-pdf
    January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting … Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident reporting … https://psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia … https://psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting … https://psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50447/psn-pdf
    October 09, 2019 - Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis October … Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis. … https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods … https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis … https://psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis

  20. The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. | PSNet

    psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
    February 20, 2019 - Study The association between complications, incidents, and patient experience: retrospective … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine … In this retrospective study, researchers used data on complications and safety incidents as well as … The Association Between Complications, Incidents, and Patient Experience: Retrospective Linkage of Routine
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