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Showing results for "incidents".

  1. How safe is prehospital care? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review
    February 24, 2021 - Patient safety incidents occurring in prehospital care settings are gaining increasing attention . … peer-reviewed studies and grey literature found that the incidence rate of prehospital patient safety incidents … The authors identified an average of 5.9 patient safety incidents per 100 records/transports/patients … occurring in prehospital care; approximately 15% of these incidents resulted in patient harm. … September 1, 2021 The patient's "story": an examination of patient-reported safety incidents

  2. 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

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34800/psn-pdf
    December 23, 2008 - A classification system for incidents and accidents in the health-care system. … A classification for incidents and accidents in the health-care system. … https://psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system To provide … Using a computerized model, incidents and events were organized into a hierarchical and interrelated … https://psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38123/psn-pdf
    June 10, 2010 - Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk … Approximately 1 in 12 reported incidents in critical care units was related to equipment problems, including … more than 500 incidents of overt equipment failure during a 6-month period.

  5. Radiographers' experience of preventing patient safety incidents in the context of radiological examinations. | PSNet

    psnet.ahrq.gov/issue/radiographers-experience-preventing-patient-safety-incidents-context-radiological
    December 20, 2017 - Study Radiographers' experience of preventing patient safety incidents in the context … Radiographers' experience of preventing patient safety incidents in the context of radiological examinations … Radiographers' experience of preventing patient safety incidents in the context of radiological examinations … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents. | PSNet

    psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
    April 26, 2023 - The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents … The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents … The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents … April 26, 2023 Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations.

  12. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences
    June 15, 2022 - Study Patient safety incidents in hospice care: observations from interdisciplinary … Patient safety incidents in hospice care: observations from interdisciplinary case conferences. … Patient safety incidents in hospice care: observations from interdisciplinary case conferences. … Resources Multiple points of system failure underpin continuous subcutaneous infusion safety incidents … September 23, 2020 Identifying no-harm incidents in home healthcare: a cohort study using

  13. 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.

  14. 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.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72546/psn-pdf
    December 09, 2020 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system

  16. Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/support-healthcare-professionals-after-surgical-patient-safety-incidents-qualitative
    June 15, 2022 - Study Support for healthcare professionals after surgical patient safety incidents … Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive … Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive … Related Resources From the Same Author(s) A retrospective review of serious surgical incidents … June 15, 2022 Learning from safety incidents in high reliability organizations: a systematic

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36694/psn-pdf
    January 18, 2011 - Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins … Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins … https://psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute- psychiatric-wards … likely to coincide with a high male patient population, staff absences, and the occurrence of other incidents … https://psnet.ahrq.gov/issue/adverse-incidents-patient-flow-and-nursing-workforce-variables-acute-psychiatric-wards

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41966/psn-pdf
    January 30, 2013 - Reasons for not reporting patient safety incidents in general practice: a qualitative study. … Reasons for not reporting patient safety incidents in general practice: a qualitative study. … https://psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative … - study This study investigates underlying reasons for low rates of reporting patient safety incidents … https://psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative-study

  19. 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.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41791/psn-pdf
    December 04, 2016 - Managing the after effects of serious patient safety incidents in the NHS: an online survey study. … Managing the after effects of serious patient safety incidents in the NHS: an online survey study. … https://psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey … https://psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey-study … https://psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers
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