-
psnet.ahrq.gov/node/36552/psn-pdf
January 12, 2011 - 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
-
psnet.ahrq.gov/node/44344/psn-pdf
July 22, 2015 - can contribute to patient harm, this commentary
advocates for enhanced reporting of device-related incidents … attitudes-toward-medical-device-use-errors-and-prevention-adverse-events
https://psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and
-
psnet.ahrq.gov/node/46538/psn-pdf
February 21, 2018 - triggers-and-trigger-tools
https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients … https://psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-no-harm-incidents-affect-patients
-
psnet.ahrq.gov/node/42252/psn-pdf
May 08, 2013 - safety in orthopedic surgery: prioritizing key areas
of iatrogenic harm through an analysis of 48,095 incidents … safety in orthopedic surgery: prioritizing key areas
of iatrogenic harm through an analysis of 48,095 incidents
-
psnet.ahrq.gov/node/37878/psn-pdf
February 03, 2011 - Electromagnetic interference from radio frequency
identification inducing potentially hazardous incidents … Electromagnetic interference from radio frequency
identification inducing potentially hazardous incidents
-
psnet.ahrq.gov/node/45767/psn-pdf
April 17, 2017 - error reports submitted over a 6-month
period, this analysis found that more than half of the recorded incidents … key to identifying trends and
consequently developing system improvements to reduce risks of such incidents
-
psnet.ahrq.gov/node/34642/psn-pdf
June 24, 2015 - They use case examples to illustrate specific incidents and demonstrate the utility of a systems
approach … prospective analysis
of surgical performance and for retrospective analysis of near misses and critical incidents
-
psnet.ahrq.gov/node/44483/psn-pdf
September 09, 2015 - reports on system failures at the NHS: the Freedom
to Speak Up review, the Investigating Clinical Incidents … psnet.ahrq.gov/issue/freedom-speak-review-whistleblowing-nhs
https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs
-
psnet.ahrq.gov/node/35242/psn-pdf
February 24, 2011 - Learning from patient-reported incidents. … Learning from patient-reported incidents. J Gen Intern Med. 2005;20(9):830-6.
-
psnet.ahrq.gov/node/41067/psn-pdf
February 10, 2012 - perspective/wild-west-patient-safety-office-based-anesthesia
https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us … https://psnet.ahrq.gov/issue/office-surgery-incidents-what-seven-years-florida-data-show-us
-
psnet.ahrq.gov/node/47545/psn-pdf
December 19, 2018 - review discusses adverse events in pediatric dental patients and
suggests that when they occur, such incidents … adverse-events-during-dental-care-children-implications-practitioner-health-and-wellness
https://psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review
-
psnet.ahrq.gov/issue/deciphering-harm-measurement
December 01, 2010 - April 4, 2011
A mixed-methods analysis of patient safety incidents involving opioid substitution … November 2, 2016
Patient safety incidents involving sick children in primary care in … December 16, 2015
Safety incidents in the primary care office setting.
-
psnet.ahrq.gov/node/44768/psn-pdf
February 03, 2016 - Recommendations and low-technology safety solutions
following neuromuscular blocking agent incidents … Recommendations and Low-Technology Safety Solutions Following
Neuromuscular Blocking Agent Incidents
-
psnet.ahrq.gov/node/45862/psn-pdf
February 08, 2017 - openness-and-honesty-when-things-go-wrong-professional-duty-candour
https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs … safety-mind-mental-health-services-and-patient-safety
https://psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
-
psnet.ahrq.gov/node/44961/psn-pdf
May 09, 2017 - In this study, parents of pediatric inpatients were asked if their children experienced any safety
incidents … Physician reviewers evaluated parents' reports and designated incidents as
errors or quality issues
-
psnet.ahrq.gov/node/36962/psn-pdf
June 15, 2011 - discharge databases at two hospitals to examine
how frequently reports were filed and what types of incidents … This
pattern likely influenced the spectrum of problems reported; only a small proportion of reported incidents
-
psnet.ahrq.gov/node/35264/psn-pdf
June 29, 2009 - supported study prospectively
observed intensive care units over a 1-year period and analyzed captured incidents … Discussion provides details of the clinical patient characteristics, the range in severity of
incidents
-
psnet.ahrq.gov/node/45651/psn-pdf
November 16, 2016 - development and evaluation of novel
interventions to engage patients in preventing patient
safety incidents … Development And Evaluation Of Novel Interventions To Engage Patients In Preventing Patient Safety
Incidents
-
psnet.ahrq.gov/issue/patient-safety-primary-care-has-many-aspects-interview-study-primary-care-doctors-and-nurses
July 23, 2008 - April 15, 2009
Patient safety in primary allied health care: what can we learn from incidents … Are health professionals' perceptions of patient safety related to figures on safety incidents … August 8, 2018
Classification of medication incidents associated with information technology
-
psnet.ahrq.gov/issue/checklist-improve-patient-safety-interventional-radiology
September 20, 2011 - September 20, 2011
Nature and timing of incidents intercepted by the SURPASS checklist … Related Resources
Radiographers' experience of preventing patient safety incidents … May 30, 2012
Improving patient safety in radiotherapy by learning from near misses, incidents