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Total Results: over 10,000 records

Showing results for "incidents".

241. 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:

242. 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

243. 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

244. 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

245. The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study. | PSNet
     psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
     May 20, 2020 - Study The challenges in monitoring and preventing patient safety incidents for people … The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities … The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35816/psn-pdf
     July 21, 2010 - Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. … https://psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia … anesthetists in designing an online reporting system to facilitate the sharing and discussion of adverse incidents … https://psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37557/psn-pdf
     February 27, 2008 - Learning from patient safety incidents: creating participative risk regulation in healthcare. … Learning from patient safety incidents: Creating participative risk regulation in healthcare. … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-creating-participative-risk-regulation-healthcare

248. Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients? | PSNet
     psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
     December 14, 2022 - Half of all incident reports involved interunit/department/team transfers and the majority (69%) of incidents … 15, 2021 Medication safety in mental health hospitals: a mixed-methods analysis of incidents … international perspective on definitions and terminology used to describe serious reportable patient safety incidents … 27, 2024 Analysis of the nature and contributory factors of medication safety incidents … Improving Diagnostic Safety and Quality April 26, 2023 Learning from safety incidents

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37227/psn-pdf
     December 15, 2011 - Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter … Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter … https://psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients- … https://psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter … https://psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42777/psn-pdf
     December 11, 2013 - Risk of medication safety incidents with antibiotic use measured by defined daily doses. … Risk of medication safety incidents with antibiotic use measured by defined daily doses. … https://psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses … Most prior studies of inpatient antibiotic adverse events reported absolute numbers of incidents, but … https://psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37071/psn-pdf
     September 30, 2011 - Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors … https://psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35263/psn-pdf
     June 29, 2009 - A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … A system factors analysis of "line, tube, and drain" incidents in the intensive care unit. … https://psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit … intensive care unit and analyzed the systemic factors contributing to invasive line, tube, and drain incidents … https://psnet.ahrq.gov/issue/system-factors-analysis-line-tube-and-drain-incidents-intensive-care-unit

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40014/psn-pdf
     April 24, 2011 - Underreporting of patient safety incidents reduces health care's ability to quantify and accurately … Underreporting of patient safety incidents reduces health care's ability to quantify and accurately … https://psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify … https://psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately … https://psnet.ahrq.gov/issue/underreporting-patient-safety-incidents-reduces-health-cares-ability-quantify-and-accurately

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36499/psn-pdf
     January 07, 2011 - Retrospective analysis of medication incidents reported using an on-line reporting system. … Retrospective analysis of medication incidents reported using an on-line reporting system. … https://psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting … https://psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system … https://psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39786/psn-pdf
     August 25, 2010 - Trend analysis of radiation therapy incidents over seven years. … Trend analysis of radiation therapy incidents over seven years. … https://psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years Analysis of … voluntary error reports indicated a decrease in safety incidents at a high-volume radiation oncology … https://psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years https://psnet.ahrq.gov

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846447/psn-pdf
     March 22, 2023 - voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents … voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents … prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after- harmful-patient-safety Healthcare professionals who are involved in patient safety incidents … this study explored the emotional experience of healthcare professionals involved in patient safety incidents

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74074/psn-pdf
     November 17, 2021 - https://psnet.ahrq.gov/issue/how-safe-prehospital-care-systematic-review Patient safety incidents occurring … 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.

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842768/psn-pdf
     January 18, 2023 - evidence from 41 studies using incident reporting system data to identify and characterize critical incidents … Medication-related incidents and incidents due to “active failures” were the most commonly reported … The authors observe that only one in three studies reported on corrective actions due to the incidents

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36341/psn-pdf
     March 09, 2009 - The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning … The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning … https://psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and … https://psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning … https://psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning

260. PSOPPC: Supporting Documents - Version 1.2

     Research Study
     www.psoppc.org/psoppc_web/publicpages/supportingDocsV1.2
     March 31, 2025 - Patient safety concerns for this module include incidents, near misses, and unsafe conditions, and do … Patient safety concerns for Fall include only incidents that occur in a hospital. … Patient safety concerns for the HAI category include only incidents that occur in a hospital. … The Pressure Ulcer category includes only incidents that occur in a hospital. … Patient safety concerns for the VTE category include only incidents that occur in a hospital.