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psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-among-young-children
February 23, 2018 - The majority of incidents (71.6%) involved children 2 years and younger. … Incidents were equally divided among calls involving prescription-only medications, over-the-counter … One-third of all incidents involved medication that had been removed from the original container; this … was more likely in incidents involving prescription drugs compared to OTC drugs (adjusted odds ratio
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psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance
December 19, 2018 - As with previous studies , two physicians reviewed all incidents and rated the severity and preventability … of all incidents. … About half the incidents reported by family members were determined to be safety concerns; fewer than … 10% of these incidents were felt to be preventable adverse events.
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psnet.ahrq.gov/node/41319/psn-pdf
May 17, 2012 - Nature and timing of incidents intercepted by the
SURPASS checklist in surgical patients. … Nature and timing of incidents intercepted by the SURPASS
checklist in surgical patients. … https://psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients … https://psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients
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psnet.ahrq.gov/node/44151/psn-pdf
July 03, 2016 - Safety incidents in the primary care office setting. … Safety incidents in the primary care office setting. … https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
Patient safety in outpatient … https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
https://psnet.ahrq.gov/primer
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psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
January 10, 2024 - 2011
Look-alike medications in the perioperative setting: scoping review of medication incidents … October 11, 2023
Moving on after critical incidents in health care: a qualitative study … of Patient's Family In Reducing Harm
June 14, 2023
The impact of critical incidents … February 10, 2021
A longitudinal evaluation of computed tomography radiation incidents
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psnet.ahrq.gov/node/35359/psn-pdf
November 28, 2016 - Being open: communicating patient safety incidents with
patients and their carers. … https://psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers … https://psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers
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psnet.ahrq.gov/node/37285/psn-pdf
December 24, 2007 - Safer Care for the Acutely Ill Patient: Learning from
Serious Incidents. … https://psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
In analyzing … https://psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/45945/psn-pdf
April 24, 2018 - As with previous studies, two physicians reviewed all incidents and rated the severity and
preventability … of all incidents. … About half the incidents reported by family members were determined to be
safety concerns; fewer than … 10% of these incidents were felt to be preventable adverse events.
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psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices
October 18, 2018 - Study
Safer healthcare at home: detecting, correcting and learning from incidents … 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 … View More
Related Resources
Analysis of paediatric long-term ventilation incidents
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psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
December 18, 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 … safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents … December 16, 2015
Safety incidents in the primary care office setting.
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psnet.ahrq.gov/issue/can-patients-report-patient-safety-incidents-hospital-setting-systematic-review
December 21, 2016 - Review
Can patients report patient safety incidents in a hospital setting? … Can patients report patient safety incidents in a hospital setting? A systematic review. … Can patients report patient safety incidents in a hospital setting? A systematic review. … : development and evaluation of novel interventions to engage patients in preventing patient safety incidents
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psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
September 04, 2016 - Study
Understanding the attitudes of hospital pharmacists to reporting medication incidents … Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative … Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative … Author(s)
Examining the attitudes of hospital pharmacists to reporting medication safety incidents
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psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
December 29, 2014 - Study
Learning from patient safety incidents in incident review meetings: organisational … 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 … 2016
Examining the attitudes of hospital pharmacists to reporting medication safety incidents
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psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
February 28, 2024 - Commentary
Imitating incidents: how simulation can improve safety investigation and … 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
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psnet.ahrq.gov/issue/attitudes-nursing-students-and-clinical-instructors-towards-reporting-irregular-incidents
June 01, 2019 - The attitudes of nursing students and clinical instructors towards reporting irregular incidents … The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the … The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the
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psnet.ahrq.gov/node/43304/psn-pdf
July 02, 2014 - Finding and Preventing Patient Safety Incidents. … https://psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
Analyzing Medicare data … https://psnet.ahrq.gov/issue/finding-and-preventing-patient-safety-incidents
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
May 16, 2018 - Download Citation
Related Resources From the Same Author(s)
Serious incidents … after death: content analysis of incidents reported to a national database. … Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents … April 1, 2010
Deaths following prehospital safety incidents: an analysis of a national … September 27, 2016
Learning from patient safety incidents involving acutely sick adults
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psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patients
April 01, 2010 - April 1, 2010
Disclosure of patient safety incidents: a comprehensive review. … Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents … October 3, 2018
Deaths following prehospital safety incidents: an analysis of a national … September 27, 2016
Serious incidents after death: content analysis of incidents reported
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psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature
June 15, 2011 - Review
Incidents and errors in neonatal intensive care: a review of the literature … Incidents and errors in neonatal intensive care: a review of the literature. … Incidents and errors in neonatal intensive care: a review of the literature.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
June 12, 2008 - A well-functioning PSRS should collect events (incidents) that could or did lead to patient harm. … In essence, incidents should be used as golden nuggets of data to
address and fix a specific hazard … This was one of many cases found
when the ICUSRS team reviewed incidents to evaluate underreporting … How to place incidents into taxonomies? … Understanding incidents in the aggregate requires a
classification of those incidents.