U.S. flag

An official website of the Department of Health & Human Services

AHRQ: Agency for Healthcare Research and Quality

Search AHRQ

For an exact phrase match, enclose search terms in double quotes.

Go to Advanced Search
Go to Basic Search

Results

Total Results: over 10,000 records

Showing results for "incidents".

  1. Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
    August 05, 2020 - Citation Related Resources From the Same Author(s) Identifying no-harm incidents … February 21, 2018 Development of a trigger tool to identify adverse events and no-harm incidents … 2015 Using statistical text classification to identify health information technology incidents … January 15, 2014 Reasons for not reporting patient safety incidents in general practice … June 16, 2010 Evaluation of critical incidents in general surgery.

  2. The Swiss cheese model of safety incidents: are there holes in the metaphor? | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor
    February 24, 2011 - Commentary The Swiss cheese model of safety incidents: are there holes in the metaphor … The Swiss cheese model of safety incidents: are there holes in the metaphor? … The Swiss cheese model of safety incidents: are there holes in the metaphor? … November 29, 2023 Reduced postdischarge incidents after implementation of a hospital-to-home

  3. A 3-year study of medication incidents in an acute general hospital. | PSNet

    psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital
    July 15, 2020 - Study A 3-year study of medication incidents in an acute general hospital. … A 3-year study of medication incidents in an acute general hospital. … A 3-year study of medication incidents in an acute general hospital.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44778/psn-pdf
    July 18, 2016 - This systematic review commissioned by the World Health Organization examined patient safety incidents … Estimates diverged widely between studies, and most patient safety incidents did not lead to harm. … However, the types of incidents most likely to cause harm were missed and delayed diagnoses and medication … accompanying editorial highlights the need to implement consistent and clear definitions for patient safety incidents

  5. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
    August 29, 2018 - This study investigated the different types of patient safety incidents in dentistry , along with the … December 18, 2013 Patient safety incidents and adverse events in ambulatory dental care … December 16, 2015 Safety incidents in the primary care office setting. … August 12, 2014 Patient-safety–related hospital deaths in England: thematic analysis of incidents

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860390/psn-pdf
    January 10, 2024 - factors for effective implementation of healthcare workers support interventions after patient safety incidents … factors for effective implementation of healthcare workers support interventions after patient safety incidents … supporting successful implementation of programs to support healthcare workers involved in patient safety incidents

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44773/psn-pdf
    January 13, 2016 - A tool for the concise analysis of patient safety incidents. … A Tool for the Concise Analysis of Patient Safety Incidents. … https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents Once identified, adverse … https://psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents https://psnet.ahrq.gov/primer

  8. Device or Medical/Surgical Supply including Health Information Technology Dashboard (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Device_Dashboard_Data_2024.xlsx
    January 01, 2024 - NOTE: The 'No Harm Percentage' and 'Harm Percentage' cells are calculated as the percentage of all incidents … NOTE: The 'No Harm Percentage' and 'Harm Percentage' cells are calculated as the percentage of all incidents … microbiology and pathology systems * * NOTE: The 'Percentage' cells are calculated as the percentage of all incidents … NOTE: The 'No Harm Percentage' and 'Harm Percentage' cells are calculated as the percentage of all incidents

  9. Patient safety in out-of-hours primary care: a review of patient records. | PSNet

    psnet.ahrq.gov/issue/patient-safety-out-hours-primary-care-review-patient-records
    June 16, 2021 - This study found a low rate of patient safety incidents involving telephone care interactions. … Most incidents were related to failures in clinical reasoning. … June 28, 2011 Classification of medication incidents associated with information technology

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74157/psn-pdf
    December 08, 2021 - international perspective on definitions and terminology used to describe serious reportable patient safety incidents … international perspective on definitions and terminology used to describe serious reportable patient safety incidents … systematic review explored international approaches to defining serious reportable patient safety incidents

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846161/psn-pdf
    March 15, 2023 - This longitudinal study describes chiropractic safety incidents reported to an online reporting and … One-quarter of incidents related to post-treatment distress or pain. … assessing-adverse-events-after-chiropractic-care-chiropractic-teaching-clinic-active https://psnet.ahrq.gov/issue/reporting-patient-safety-incidents-first-experiences-chiropractic-reporting-and-learning

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42641/psn-pdf
    January 07, 2015 - Classification of medication incidents associated with information technology. … Classification of medication incidents associated with information technology. … https://psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology Numerous … https://psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology https

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39174/psn-pdf
    December 16, 2009 - Involvement of parents in critical incidents in a neonatal- paediatric intensive care unit. … Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. … https://psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit … https://psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858171/psn-pdf
    December 13, 2023 - researchers applied a previously validated taxonomy to identify and characterize medical oncology-related incidents … The majority of incidents involved four types of errors – prescriber ordering (22%), nursing care (15% … Nearly 45% of incidents reached the patient without causing harm, but 8.4% resulted in patient harm.

  15. Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary team members. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members
    February 15, 2011 - Study Patient safety incidents in home hospice care: the experiences of hospice interdisciplinary … 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 … July 2, 2014 Patient safety incidents in hospice care: observations from interdisciplinary

  16. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
    June 29, 2009 - Study Intensive care unit safety incidents for medical versus surgical patients: … 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 … Resources From the Same Author(s) A system factors analysis of "line, tube, and drain" incidents

  17. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. | PSNet

    psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical
    June 11, 2014 - Study Miscount incidents: a novel approach to exploring risk factors for unintentionally … Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical … Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical … Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents

  18. Managing the after effects of serious patient safety incidents in the NHS: an online survey study. | PSNet

    psnet.ahrq.gov/issue/managing-after-effects-serious-patient-safety-incidents-nhs-online-survey-study
    December 29, 2014 - Study Managing the after effects of serious patient safety incidents in the NHS: … Managing the after effects of serious patient safety incidents in the NHS: an online survey study. … Managing the after effects of serious patient safety incidents in the NHS: an online survey study. … December 4, 2016 Successful remediation of patient safety incidents: a tale of two medication

  19. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
    January 01, 2024 - A physician panel classified adverse events and service quality incidents. … a rate of 68.9 incidents per 100 admissions. … Patients who report service quality incidents may help identify patient safety hazards. … Learning from patient-reported incidents. J Gen Intern Med 2005; 20:830-36. 8. … Learning from patient-reported incidents. J Gen Intern Med 2005; 20:830-36. 17.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838629/psn-pdf
    October 19, 2022 - the general populations, patients with developmental disabilities experienced more patient safety incidents … Although the data did not include the causes of the incidents, the results support improving both inpatient … assessing-dangers-hospital-stay-patients-developmental-disability-england-2017-19 https://psnet.ahrq.gov/issue/challenges-monitoring-and-preventing-patient-safety-incidents-people-intellectual
SHARE:
Facebook Twitter Print Facebook Share

Similar Terms:

Search the AHRQ Archive

Information and reports more than 5 years old may be found in the AHRQ Archive site.

Search Archive

Search Within A Specific AHRQ Site

Click to show only results for the selected site.

psnet.ahrq.gov (10709)

www.ahrq.gov (1450)

effectivehealthcare.ahrq.gov (835)

www.uspreventiveservicestaskforce.org (564)

digital.ahrq.gov (411)

hcup-us.ahrq.gov (149)

meps.ahrq.gov (23)

pso.ahrq.gov (11)

cds.ahrq.gov (4)

integrationacademy.ahrq.gov (4)

qualityindicators.ahrq.gov (4)

cdsic.ahrq.gov (3)