Results

Total Results: over 10,000 records

Showing results for "incidents".

241. Classification of health information technology safety events in a pediatric tertiary care hospital. | PSNet
     psnet.ahrq.gov/issue/classification-health-information-technology-safety-events-pediatric-tertiary-care-hospital
     May 20, 2019 - For incidents to be properly addressed, incident reports must be appropriately identified and categorized … This study compared the categorization of incidents as involving health information technology (HIT) … Safety managers only agreed with the HIT specialist classification 25% and 75% of the time on incidents … managers on the interaction of HIT and patient safety may result in better classification of HIT-related incidents

242. Register-based research of adverse events revealing incomplete records threatening patient safety. | PSNet
     psnet.ahrq.gov/issue/register-based-research-adverse-events-revealing-incomplete-records-threatening-patient
     October 06, 2021 - This retrospective review of patient incident reports in Finland found that nearly half of the 82,353 incidents … Same Author(s) Reporting of health information technology system-related patient safety incidents … January 25, 2023 Critical incidents involving the medical emergency team: a 5-year retrospective … April 28, 2021 Learning from safety incidents in high reliability organizations: a systematic

243. 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

244. 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

245. 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

246. Are health professionals' perceptions of patient safety related to figures on safety incidents? | PSNet
     psnet.ahrq.gov/issue/are-health-professionals-perceptions-patient-safety-related-figures-safety-incidents
     November 23, 2011 - Are health professionals' perceptions of patient safety related to figures on safety incidents … Are health professionals' perceptions of patient safety related to figures on safety incidents? … Are health professionals' perceptions of patient safety related to figures on safety incidents? … the Same Author(s) Patient safety in primary allied health care: what can we learn from incidents … June 3, 2020 Classification of medication incidents associated with information technology

247. Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
     July 03, 2016 - Incidents related to medications were common, accounting for 613 out of the 1072 safety events included … Download Citation Related Resources From the Same Author(s) Safety incidents … July 3, 2016 Patient safety incidents in advance care planning for serious illness: a … April 1, 2020 Patient safety incidents involving sick children in primary care in England … February 1, 2017 Classification of patient-safety incidents in primary care.

248. Toward learning from patient safety reporting systems. | PSNet
     psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
     January 02, 2017 - developed through funding by the Agency for Healthcare Research and Quality (AHRQ), collected data on incidents … A substantial minority (42%) of incidents led to patient harm, and most had multiple contributing factors … January 2, 2017 A system factors analysis of "line, tube, and drain" incidents in the … June 29, 2009 Intensive care unit safety incidents for medical versus surgical patients … August 25, 2010 Pediatric safety incidents from an intensive care reporting system.

249. Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet
     psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
     January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication … Successful remediation of patient safety incidents: a tale of two medication errors. … Successful remediation of patient safety incidents: a tale of two medication errors. … December 4, 2016 Managing the after effects of serious patient safety incidents in the

250. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet
     psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
     June 14, 2023 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … December 21, 2017 Patient safety incidents involving sick children in primary care in

251. Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/interpreting-adverse-drug-reaction-adr-reports-hospital-patient-safety-incidents
     August 04, 2021 - Study Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents. … November 12, 2008 Medication-related patient safety incidents in critical care: a review

252. 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

253. 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

254. 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

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/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

257. 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

258. Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. | PSNet
     psnet.ahrq.gov/issue/equipment-related-incidents-operating-room-analysis-occurrence-underlying-causes-and
     February 14, 2024 - Study Equipment-related incidents in the operating room: an analysis of occurrence … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences … Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences … March 4, 2009 View More Related Resources Patient safety 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. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37418/psn-pdf
     October 01, 2024 - Systems Analysis of Critical Incidents: the London Protocol. … https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol This revised report … https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol https://psnet.ahrq.gov