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Showing results for "incidents".

281. Managing risk: systems approach versus personal responsibility for hospital incidents. | PSNet
     psnet.ahrq.gov/issue/managing-risk-systems-approach-versus-personal-responsibility-hospital-incidents
     November 25, 2015 - Commentary Managing risk: systems approach versus personal responsibility for hospital incidents … Managing risk: systems approach versus personal responsibility for hospital incidents. … Managing risk: systems approach versus personal responsibility for hospital incidents.

282. Medicare trims payments to 800 hospitals, citing patient safety incidents. | PSNet
     psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents
     July 19, 2017 - Magazine Article Medicare trims payments to 800 hospitals, citing patient safety incidents … Citation Text: Medicare trims payments to 800 hospitals, citing patient safety incidents. Rau J. … Citation Citation Text: Medicare trims payments to 800 hospitals, citing patient safety incidents

283. 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

284. 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.

285. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43757/psn-pdf
     March 20, 2015 - The association between patient-reported incidents in hospitals and estimated rates of patient harm. … The association between patient-reported incidents in hospitals and estimated rates of patient harm. … https://psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates … https://psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm … https://psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm

286. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47106/psn-pdf
     August 15, 2018 - Imitating incidents: how simulation can improve safety investigation and learning from adverse events … Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events … https://psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and- … https://psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse … https://psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46658/psn-pdf
     April 18, 2018 - Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices … Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices … https://psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices

288. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40823/psn-pdf
     October 05, 2011 - Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. … Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. … https://psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general- … https://psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective … https://psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44418/psn-pdf
     September 23, 2015 - Learning from patient safety incidents in incident review meetings: organisational factors and indicators … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and … https://psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46725/psn-pdf
     April 11, 2018 - Underreporting of safety incidents in pediatric surgery. … - underreporting of safety incidents in pediatric surgery. J Surg Res. 2018;221:336-342. … https://psnet.ahrq.gov/issue/are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric- … https://psnet.ahrq.gov/issue/are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric-surgery … https://psnet.ahrq.gov/issue/are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric-surgery

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46223/psn-pdf
     June 14, 2017 - Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional … Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional … https://psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large … https://psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional … https://psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44348/psn-pdf
     September 04, 2016 - Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory … Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory … https://psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety- incidents-using-theory … https://psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory … https://psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety-incidents-using-theory

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46642/psn-pdf
     December 13, 2017 - Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. … Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. … psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical- incidents … /psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents … /psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33927/psn-pdf
     June 23, 2015 - Errors, incidents and accidents in anaesthetic practice. … Errors, incidents and accidents in anaesthetic practice. … https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice This review discusses … The authors provide definitions of, and describe the relationships between, errors, incidents, and accidents … https://psnet.ahrq.gov/issue/errors-incidents-and-accidents-anaesthetic-practice https://psnet.ahrq.gov

295. 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.

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850166/psn-pdf
     June 07, 2023 - /classification-health-information-technology-safety-events-pediatric-tertiary- care-hospital For incidents … 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

297. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. | PSNet
     psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
     March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an … Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective … the authors analyzed the medical records of 1006 hospital admissions for evidence of patient safety incidents … Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43068/psn-pdf
     May 29, 2014 - Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members … Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members … https://psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice- interdisciplinary-team-members … https://psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members … https://psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36149/psn-pdf
     September 29, 2010 - When incidents happen. September 29, 2010 Newfield JS. When Incidents Happen. … https://psnet.ahrq.gov/issue/when-incidents-happen The author discusses post-incident documentation  … https://psnet.ahrq.gov/issue/when-incidents-happen

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35784/psn-pdf
     March 22, 2006 - Human factors in pediatric anesthesia incidents. March 22, 2006 Marcus R. … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents The author studied pediatric … anesthesia incidents from a human factors perspective and found the most common were errors in judgment … https://psnet.ahrq.gov/issue/human-factors-pediatric-anesthesia-incidents https://psnet.ahrq.gov//#humanfactors