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Showing results for "incidents".

21. Disclosure of patient safety incidents: a comprehensive review. | PSNet
    psnet.ahrq.gov/issue/disclosure-patient-safety-incidents-comprehensive-review
    November 10, 2010 - Review Disclosure of patient safety incidents: a comprehensive review. … Disclosure of patient safety incidents: a comprehensive review. … Disclosure of patient safety incidents: a comprehensive review. … September 27, 2016 Serious incidents after death: content analysis of incidents reported … October 24, 2018 The "Seven Pillars" response to patient safety incidents: effects on

22. Safety incidents in the primary care office setting. | PSNet
    psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
    October 12, 2016 - Study Safety incidents in the primary care office setting. … Safety incidents in the primary care office setting. … Safety incidents in the primary care office setting. … October 12, 2016 Patient safety incidents involving sick children in primary care in … April 1, 2020 Classification of patient-safety incidents in primary care.

23. 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

24. A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. | PSNet
    psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within-multisite-nhs-trust
    September 07, 2022 - Study A longitudinal evaluation of computed tomography radiation incidents within … A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. … Researchers reviewed 133 radiation incidents reported to one NHS trust from 2015-2018. … Reported events included radiation incidents, near-miss incidents, and repeat scans. … A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust.

25. Patient safety incidents are common in primary care: a national prospective active incident reporting survey. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-are-common-primary-care-national-prospective-active-incident
    July 24, 2024 - Study Patient safety incidents are common in primary care: a national prospective … Patient safety incidents are common in primary care: A national prospective active incident reporting … Most events were judged to be preventable , and incidents were frequently due to the organization of … Patient safety incidents are common in primary care: A national prospective active incident reporting … A multifaceted risk management program to improve the reporting rate of patient safety incidents

26. 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.

27. Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. | PSNet
    psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool-methodology
    January 25, 2023 - Study Identifying no-harm incidents in home healthcare: a cohort study using trigger … Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. … This study used a trigger tool to retrospectively identify and characterize no-harm incidents affecting … incidents, and moderate pain. … Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology.

28. Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring but rarely reported: a prospective study. | PSNet
    psnet.ahrq.gov/issue/potentially-severe-incidents-during-interhospital-transport-critically-ill-patients
    October 26, 2022 - Study Potentially severe incidents during interhospital transport of critically ill … Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring … Reporting patient safety incidents is essential to improving patient safety. … This study compared the number of self-reported (to the study team) safety incidents during interhospital … transport and the number of incidents submitted to the hospital’s reporting system.

29. Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents from the National Reporting and Learning System (NRLS). | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
    January 29, 2020 - Study Patient safety incidents in endoscopy: a human factors analysis of non-procedural … significant harm incidents from the National Reporting and Learning System (NRLS). … Patient safety incidents in endoscopy: a human factors analysis of nonprocedural significant harm incidents … and Classification System coding, decision-based errors were the most common factor contributing to incidents … Patient safety incidents in endoscopy: a human factors analysis of nonprocedural significant harm incidents

30. A mixed-methods analysis of patient safety incidents involving opioid substitution treatment with methadone or buprenorphine in community-based care in England and Wales. | PSNet
    psnet.ahrq.gov/issue/mixed-methods-analysis-patient-safety-incidents-involving-opioid-substitution-treatment
    August 25, 2021 - Study A mixed-methods analysis of patient safety incidents involving opioid substitution … A mixed‐methods analysis of patient safety incidents involving opioid substitution treatment with methadone … January 12, 2022 Patient safety incidents involving sick children in primary care in … February 1, 2017 Classification of patient-safety incidents in primary care. … February 8, 2018 Safety incidents in the primary care office setting.

31. Trend analysis of radiation therapy incidents over seven years. | PSNet
    psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
    December 20, 2023 - Study Trend analysis of radiation therapy incidents over seven years. … Trend analysis of radiation therapy incidents over seven years. … Analysis of voluntary error reports indicated a decrease in safety incidents at a high-volume radiation … Trend analysis of radiation therapy incidents over seven years.

32. A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based approach. | PSNet
    psnet.ahrq.gov/issue/retrospective-review-serious-surgical-incidents-5-large-uk-teaching-hospitals-system-based
    May 26, 2021 - Study A retrospective review of serious surgical incidents in 5 large UK teaching … A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based … This study reviewed serious surgical incidents occurring at large teaching hospitals in one National … A retrospective review of serious surgical incidents in 5 large UK teaching hospitals: a system-based … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

33. 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.

34. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident … Research shows that systems failures are the root cause of the majority of safety incidents. … • Improving understanding of the causes of adverse incidents and near incidents. … It is estimated that up to half of all incidents may be preventable.1 The way in which such incidents … • The majority of incidents appear to involve protocol violation.

35. A review of incidents related to health information technology in Swedish healthcare to characterise system issues as a basis for improvement in clinical practice. | PSNet
    psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare-characterise-system
    December 20, 2023 - Study A review of incidents related to health information technology in Swedish healthcare … A review of incidents related to health information technology in Swedish healthcare to characterise … About three-quarters of the 95 incidents studied were due to technical factors. … Human factors accounted for 26% of incidents. Of all incidents, 20% led to patient harm. … A review of incidents related to health information technology in Swedish healthcare to characterise

36. An analysis of electronic health record–related patient safety incidents. | PSNet
    psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
    August 19, 2020 - Study An analysis of electronic health record–related patient safety incidents. … An analysis of electronic health record-related patient safety incidents. … This observational study found a significant number of patient safety incidents associated with use of … An analysis of electronic health record-related patient safety incidents. … March 22, 2023 Sensitivity of routine system for reporting patient safety incidents in

37. Excellent review scheme for critical incidents but insufficient for revalidation. | PSNet
    psnet.ahrq.gov/issue/excellent-review-scheme-critical-incidents-insufficient-revalidation
    May 18, 2022 - Commentary Excellent review scheme for critical incidents but insufficient for revalidation … Excellent review scheme for critical incidents but insufficient for revalidation. … Excellent review scheme for critical incidents but insufficient for revalidation.

38. Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database. | PSNet
    psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
    July 24, 2024 - Study Patient safety trends in 2022: an analysis of 256,679 serious events and incidents … Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s … Pennsylvania requires all acute care facilities to report incidents and serious events to the Pennsylvania … Patient Safety Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s … 2022 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents

39. The impact of critical incidents on nurses and midwives: a systematic review. | PSNet
    psnet.ahrq.gov/issue/impact-critical-incidents-nurses-and-midwives-systematic-review
    May 11, 2022 - Review The impact of critical incidents on nurses and midwives: a systematic review … The impact of critical incidents on nurses and midwives: A systematic review. … This systematic review explored the experiences of critical incidents on nurses  and  midwives  and … The impact of critical incidents on nurses and midwives: A systematic review. … July 8, 2020 A scoping review of adverse incidents research in aged care homes: learnings

40. Reported clinical incidents of children with intellectual disability: a qualitative analysis. | PSNet
    psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
    March 16, 2022 - Study Reported clinical incidents of children with intellectual disability: a qualitative … Reported clinical incidents of children with intellectual disability: a qualitative analysis. … In this study, researchers qualitatively analyzed hospital incident reporting data and identified incidents … Reported clinical incidents of children with intellectual disability: a qualitative analysis. … February 5, 2020 A mixed-methods analysis of patient safety incidents involving opioid