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Showing results for "incidents".

  1. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet

    psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
    December 23, 2020 - This longitudinal study describes chiropractic safety incidents reported to an online reporting and … One-quarter of incidents related to post-treatment distress or pain. … December 23, 2020 Learning from patient safety incidents involving acutely sick adults … June 15, 2011 The reporting of patient safety incidents—first experiences with the chiropractic

  2. Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet

    psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
    January 12, 2022 - Staff reported incidents with linked patient complaints frequently described greater harm from the safety … that generated contested patient and staff accounts, and how differing interpretations of the same 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

  3. Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation. | PSNet

    psnet.ahrq.gov/issue/descriptive-analysis-patient-misidentification-incident-report-system-data-large-academic
    August 24, 2022 - Patient identification incidents reported in one hospital were examined to identify errors and contributory … Of the 293 reported incidents, the most common errors were missing wristbands , wrong charts or notes … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … October 6, 2021 Medication safety in mental health hospitals: a mixed-methods analysis of incidents

  4. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet

    psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
    February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient … Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. … Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. … April 29, 2020 View More Related Resources Critical incidents involving … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA). | PSNet

    psnet.ahrq.gov/issue/standardizing-patient-safety-event-reporting-between-care-delivered-or-purchased-veterans
    June 26, 2024 - This retrospective study compared patient safety event incidents reported in Veterans Health Administration … January 16, 2025 Patient safety trends in 2023: an analysis of 287,997 serious events and incidents … August 16, 2023 Patient safety trends in 2022: an analysis of 256,679 serious events and incidents … November 16, 2022 Learning from safety incidents in high reliability organizations: a

  17. Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. | PSNet

    psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
    August 07, 2018 - Book/Report Safer Care for the Acutely Ill Patient: Learning from Serious Incidents … Citation Text: Safer Care for the Acutely Ill Patient: Learning from Serious Incidents. … Citation Citation Text: Safer Care for the Acutely Ill Patient: Learning from Serious Incidents … November 20, 2013 Learning from patient safety incidents involving acutely sick adults

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45293/psn-pdf
    February 01, 2017 - Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods … Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods … https://psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and … They found that about one third of 2191 safety incidents represented cases of severe harm. … https://psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods

  19. 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

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38414/psn-pdf
    March 31, 2009 - Patient safety incidents associated with airway devices in critical care: a review of reports to the … Patient safety incidents associated with airway devices in critical care: a review of reports to the … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national … https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
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