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Total Results: over 10,000 records

Showing results for "incidents".

3901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43894/psn-pdf
      February 25, 2015 - impact-standardized-incident-reporting-system-perioperative-setting-single- center-experience This study analyzed voluntarily reported safety incidents … Over 3 years, a total of 2563 incidents were reported—roughly half were adverse events and half were

3902. Psn-Pdf (pdf file)
      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

3903. Psn-Pdf (pdf file)
      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

3904. Psn-Pdf (pdf file)
      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

3905. Psn-Pdf (pdf file)
      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

3906. Psn-Pdf (pdf file)
      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

3907. Psn-Pdf (pdf file)
      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

3908. Psn-Pdf (pdf file)
      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

3909. Psn-Pdf (pdf file)
      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

3910. Psn-Pdf (pdf file)
      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

3911. Psn-Pdf (pdf file)
      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

3912. Psn-Pdf (pdf file)
      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.

3913. Deciphering harm measurement. | PSNet
      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.

3914. Psn-Pdf (pdf file)
      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

3915. Psn-Pdf (pdf file)
      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

3916. Mary Lanning Memorial Hospital: communication is key. | PSNet
      psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key
      July 16, 2015 - September 30, 2015 Identifying no-harm incidents in home healthcare: a cohort study using … February 21, 2018 Development of a trigger tool to identify adverse events and no-harm incidents … January 2, 2017 Being open: communicating patient safety incidents with patients and

3917. Strategies for improving patient safety: linking task type to error type. | PSNet
      psnet.ahrq.gov/issue/strategies-improving-patient-safety-linking-task-type-error-type
      August 22, 2012 - September 19, 2018 Adaption of a trigger tool to identify harmful incidents, no harm … incidents, and near misses in prehospital emergency care of children. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

3918. Designing highly reliable adverse-event detection systems to predict subsequent claims. | PSNet
      psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
      September 01, 2018 - September 1, 2018 The "Seven Pillars" response to patient safety incidents: effects on … September 20, 2011 Successful remediation of patient safety incidents: a tale of two … June 8, 2010 Responding to patient safety incidents: the "seven pillars."

3919. Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses. | PSNet
      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

3920. A checklist to improve patient safety in interventional radiology. | PSNet
      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