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Total Results: over 10,000 records

Showing results for "incidents".

201. 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.

202. 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

203. Online patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents. | PSNet
     psnet.ahrq.gov/issue/online-patient-feedback-safety-valve-automated-language-analysis-unnoticed-and-unresolved
     August 05, 2020 - patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents … patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents … patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents … November 9, 2022 Learning from patient safety incidents involving acutely sick adults … September 19, 2018 A mixed-methods analysis of patient safety incidents involving opioid

204. 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.

205. Health and social care-associated harm amongst vulnerable children in primary care: mixed methods analysis of national safety reports. | PSNet
     psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
     October 12, 2016 - patient safety incident reports in the United Kingdom, this study characterized primary care-related incidents … December 16, 2015 Patient safety incidents involving sick children in primary care in … September 24, 2017 Safety incidents in the primary care office setting. … July 3, 2016 Classification of patient-safety incidents in primary care. … December 15, 2021 A mixed-methods analysis of patient safety incidents involving opioid

206. Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. | PSNet
     psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national
     July 16, 2008 - Study Review of patient safety incidents submitted from critical care units in England … Review of patient safety incidents submitted from Critical Care Units in England & Wales to the UK National … Review of patient safety incidents submitted from Critical Care Units in England & Wales to the UK National … January 15, 2020 Review of patient safety incidents reported from critical care units … March 23, 2022 Patient safety incidents describing patient falls in critical care in

207. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
     January 01, 2025 - , but falls, other incidents, and pressure ulcers are not. … Clearly, these incidents represent a significant problem in nursing homes. … One start to reducing adverse incidents is to use reporting systems. … Their design allows ease of entering and analysis of adverse incidents. … , but falls, other incidents, and pressure ulcers are not.

208. Application of a human factors classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents in hospital. | PSNet
     psnet.ahrq.gov/issue/application-human-factors-classification-framework-patient-safety-identify-precursor-and
     October 21, 2015 - classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents … classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents … classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents … classification framework to identify causal factors for medication and medical device-related adverse clinical incidents … December 20, 2017 Learning from incidents in health care: critique from a Safety-II perspective

209. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. | PSNet
     psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010
     December 02, 2009 - Study Review of patient safety incidents reported from critical care units in North-West … Review of patient safety incidents reported from critical care units in North-West England in 2009 and … Review of patient safety incidents reported from critical care units in North-West England in 2009 and … September 29, 2010 A system factors analysis of "line, tube, and drain" incidents in … June 29, 2009 Medication-related patient safety incidents in critical care: a review

210. Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet
     psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident
     July 28, 2021 - In this longitudinal study, community pharmacists reported 1,013 medication incidents, mainly at the … Related Resources From the Same Author(s) The nature, severity and causes of medication incidents … July 28, 2021 Care coordination strategies and barriers during medication safety incidents … December 7, 2022 The nature, severity and causes of medication incidents from an Australian

211. 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

212. 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

213. Office surgery incidents: what seven years of Florida data show us. | PSNet
     psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us
     August 19, 2009 - Study Office surgery incidents: what seven years of Florida data show us. … Office surgery incidents: what seven years of Florida data show us. … The majority of deaths and hospital transfers occurred in patients undergoing cosmetic procedures, incidents … Office surgery incidents: what seven years of Florida data show us.

214. 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

215. Executive Summary_Systematic Review: Mental Health and Occupational Stress in the Emergency Medical Services and 911 Workforces (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/ems-911-workforce-mental-health-executive-summary.pdf
     February 01, 2025 - After critical incidents, the prevalence of high and medium general stress were 39.7 percent and 28.2 … During routine practice as well as after critical incidents, the prevalence of depression, anxiety, … After critical incidents, the mean levels of burnout and general stress were moderate (low SoE). … After critical incidents, the mean levels of depressive symptoms were minimal to mild and anxiety were … Critical incidents 8 studies (5,511 participants) (low SoE) Considerable variation for severe general

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50428/psn-pdf
     September 04, 2019 - Patient safety incidents caused by poor quality surgical instruments. … Patient Safety Incidents Caused by Poor Quality Surgical Instruments. … https://psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments This … https://psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments https:

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74858/psn-pdf
     February 23, 2022 - Improving responses to safety incidents: we need to talk about justice. … Improving responses to safety incidents: we need to talk about justice. … https://psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice Patient … https://psnet.ahrq.gov/issue/improving-responses-safety-incidents-we-need-talk-about-justice https://

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46070/psn-pdf
     May 10, 2017 - Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: … Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: … psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety- incidents … This systematic review of disclosure of patient safety incidents found variation in the frequency of … psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44307/psn-pdf
     November 06, 2015 - The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian … The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian … https://psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported … of these skills played a role in ameliorating these events, while lack of these skills exacerbated incidents … https://psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37906/psn-pdf
     July 16, 2008 - Medication-related patient safety incidents in critical care: a review of reports to the UK National … Medication-related patient safety incidents in critical care: a review of reports to the UK National … https://psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk … - national-patient This study categorized more than 12,000 medication-related incidents in an intensive … https://psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient