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Total Results: over 10,000 records

Showing results for "incidents".

41. Deaths following prehospital safety incidents: an analysis of a national database. | PSNet
    psnet.ahrq.gov/issue/deaths-following-prehospital-safety-incidents-analysis-national-database
    October 03, 2018 - Study Deaths following prehospital safety incidents: an analysis of a national database … Deaths following prehospital safety incidents: an analysis of a national database. … This study examined patient deaths related to ambulance safety incidents and found that the majority … Deaths following prehospital safety incidents: an analysis of a national database. … October 3, 2018 Serious incidents after death: content analysis of incidents reported

42. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet
    psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report
    January 15, 2020 - Commentary Thematic reviews of patient safety incidents as a tool for systems thinking … Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report … Learning from patient safety incidents can help health care organizations improve processes and care … This article provides a template for organizations to review patient safety incidents and classify them … The process involves clearly characterizing the safety incidents, describing the involved safety systems

43. Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method study in primary care. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-during-covid-19-health-crisis-france-exploratory-sequential-multi
    February 05, 2020 - Study Patient-safety incidents during COVID-19 health crisis in France: An exploratory … Citation Text: Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential … This study examined patient safety incidents in primary care settings in France during the early months … Of the 132 reported incidents, 44% related to delayed diagnosis, assessments and referrals. … Reported incidents less commonly related to cancellation of care, home confinement-related incidents

44. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. | PSNet
    psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
    March 17, 2021 - Study Care coordination strategies and barriers during medication safety incidents … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … This qualitative study examined medication safety incidents at one VA hospital and found that health … Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive … February 2, 2022 The nature, severity and causes of medication incidents from an Australian

45. Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. | PSNet
    psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units
    November 11, 2020 - Study Learning from patient safety incidents involving acutely sick adults in hospital … Learning from patient safety incidents involving acutely sick adults in hospital assessment units in … 377 included reports, diagnostic errors, medication-related errors, and failure to monitor patient incidents … Learning from patient safety incidents involving acutely sick adults in hospital assessment units in … Related Resources From the Same Author(s) A mixed-methods analysis of patient safety incidents

46. Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement. | PSNet
    psnet.ahrq.gov/issue/critical-incidents-involving-medical-emergency-team-5-year-retrospective-assessment
    November 11, 2020 - Study Critical incidents involving the medical emergency team: a 5-year retrospective … Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare … This retrospective study analyzed critical incidents that occurred during MET responses over a five-year … Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care.

47. Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. | PSNet
    psnet.ahrq.gov/issue/interventions-support-nurses-second-victims-patient-safety-incidents-qualitative-study-nurse
    November 24, 2021 - Study Interventions to support nurses as second victims of patient safety incidents … Interventions to support nurses as second victims of patient safety incidents: a qualitative study of … Interventions to support nurses as second victims of patient safety incidents: a qualitative study of … the Same Author(s) Artificial intelligence for identifying the prevention of medication incidents … May 22, 2024 Flow of information contributing to medication incidents in home care- an

48. Prosocial voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents. | PSNet
    psnet.ahrq.gov/issue/prosocial-voice-hierarchy-healthcare-professionals-role-emotions-after-harmful-patient-safety
    February 23, 2022 - voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents … voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents … Healthcare professionals who are involved in patient safety incidents can experience psychological … this study explored the emotional experience of healthcare professionals involved in patient safety incidents … March 8, 2023 Support for healthcare professionals after surgical patient safety incidents

49. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet
    psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
    May 19, 2021 - Study Patient safety trends in 2021: an analysis of 288,882 serious events and incidents … Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s … Acute care facilities in Pennsylvania are required to report all Incidents and Serious Events to the … Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s … March 24, 2021 Learning from patient safety incidents involving acutely sick adults in

50. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. | PSNet
    psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
    July 06, 2022 - Study 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents … Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents … Of all submitted events in 2020, 97% were from hospitals, and 97% were incidents; 3 percent were serious … October 6, 2021 Reporting incidents involving the use of advanced medical technologies … February 12, 2020 Learning from patient safety incidents involving acutely sick adults

51. Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence. | PSNet
    psnet.ahrq.gov/issue/strengthening-open-disclosure-after-incidents-maternity-care-realist-synthesis-international
    September 18, 2024 - Review Strengthening open disclosure after incidents in maternity care: a realist … Strengthening open disclosure after incidents in maternity care: a realist synthesis of international … Patients and families expect full, timely disclosure after incidents. … Strengthening open disclosure after incidents in maternity care: a realist synthesis of international … March 15, 2023 Identifying no-harm incidents in home healthcare: a cohort study using

52. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet
    psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
    May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in … Blackbox error management: how do practices deal with critical incidents in everyday practice? … i.e., primary care, dentists, dermatology, orthopedic surgery, psychiatry/psychology) define critical incidents … Respondents described critical incidents across a spectrum, from organizational processes to medical … Blackbox error management: how do practices deal with critical incidents in everyday practice?

53. Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. | PSNet
    psnet.ahrq.gov/issue/analysis-nature-and-contributory-factors-medication-safety-incidents-following-hospital
    October 25, 2023 - Study Analysis of the nature and contributory factors of medication safety incidents … Analysis of the nature and contributory factors of medication safety incidents following hospital discharge … Patients over 65 were the most common age group and, of incidents with a stated level of harm, most did … Overall, most incidents occurred at the prescribing stage, but varied by patient age group. … Analysis of the nature and contributory factors of medication safety incidents following hospital discharge

54. The patient's "story": an examination of patient-reported safety incidents in general practice. | PSNet
    psnet.ahrq.gov/issue/patients-story-examination-patient-reported-safety-incidents-general-practice
    November 03, 2021 - Study The patient's "story": an examination of patient-reported safety incidents … The patient’s “story”: an examination of patient-reported safety incidents in general practice. … Patient complaints and patient-reported incidents can help identify safety issues. … This study compared clinician perceptions and patients’ accounts regarding patient safety incidents … The patient’s “story”: an examination of patient-reported safety incidents in general practice.

55. Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents. | PSNet
    psnet.ahrq.gov/issue/patient-safety-palliative-care-mixed-methods-study-reports-national-database-serious
    May 16, 2018 - Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents … after death: content analysis of incidents reported to a national database. … November 11, 2020 Patient safety incidents involving sick children in primary care in … February 1, 2017 Classification of patient-safety incidents in primary care. … February 8, 2018 Learning from patient safety incidents involving acutely sick adults

56. Learning from incident reporting? Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. | PSNet
    psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web-based-system
    August 04, 2021 - Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … May 18, 2022 Exploring changes in patient safety incidents during the COVID-19 pandemic … April 3, 2019 A retrospective review of serious surgical incidents in 5 large UK teaching

57. Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views. | PSNet
    psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or
    March 11, 2020 - Study Artificial intelligence for identifying the prevention of medication incidents … Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate … Building on previous research on the use of text mining related to medication administration error incidents … Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate

58. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between
    August 04, 2021 - Study Patient safety incidents describing patient falls in critical care in North … Patient safety incidents describing patient falls in critical care in North West England between 2009 … The authors reviewed patient safety incidents in critical care units in England between 2009 and 2017 … Common factors involved in fall incidents included patients attempting tasks without assistance, patient … Patient safety incidents describing patient falls in critical care in North West England between 2009

59. Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning System. | PSNet
    psnet.ahrq.gov/issue/safety-anaesthesia-study-12606-reported-incidents-uk-national-reporting-and-learning-system
    October 19, 2022 - Study Safety in anaesthesia: a study of 12,606 reported incidents from the UK National … Safety in anaesthesia: a study of 12,606 reported incidents from the UK National Reporting and Learning … This review of anesthesia incidents reported to the UK's National Patient Safety Agency categorizes … the types of incidents and the level of harm associated with them.  … Many incidents could be attributed to human factors , as detailed in a prior classic study , and about

60. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
    psnet.ahrq.gov/issue/medication-related-patient-safety-incidents-critical-care-review-reports-uk-national-patient
    December 02, 2009 - Study Medication-related patient safety incidents in critical care: a review of reports … Medication-related patient safety incidents in critical care: a review of reports to the UK National … This study categorized more than 12,000 medication-related incidents in an intensive care unit and … Medication-related patient safety incidents in critical care: a review of reports to the UK National … October 21, 2010 Evaluation of critical incidents in general surgery.