Results

Total Results: over 10,000 records

Showing results for "incidents".

41. 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

42. 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

43. 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

44. 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.

45. 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

46. An analysis of electronic health record–related patient safety incidents. | PSNet
    psnet.ahrq.gov/issue/analysis-electronic-health-record-related-patient-safety-incidents
    August 19, 2020 - Study An analysis of electronic health record–related patient safety incidents. … An analysis of electronic health record-related patient safety incidents. … This observational study found a significant number of patient safety incidents associated with use of … An analysis of electronic health record-related patient safety incidents. … March 22, 2023 Sensitivity of routine system for reporting patient safety incidents in

47. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national
    November 29, 2023 - Study Patient safety incidents associated with equipment in critical care: a review … Patient safety incidents associated with equipment in critical care: a review of reports to the UK National … Approximately 1 in 12 reported incidents in critical care units was related to equipment problems, including … more than 500 incidents of overt equipment failure during a 6-month period. … January 12, 2011 Medication-related patient safety incidents in critical care: a review

48. 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.

49. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
    December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident … Research shows that systems failures are the root cause of the majority of safety incidents. … • Improving understanding of the causes of adverse incidents and near incidents. … It is estimated that up to half of all incidents may be preventable.1 The way in which such incidents … • The majority of incidents appear to involve protocol violation.

50. Use of a human factors classification framework to identify causal factors for medication and medical device-related adverse clinical incidents. | PSNet
    psnet.ahrq.gov/issue/use-human-factors-classification-framework-identify-causal-factors-medication-and-medical
    March 16, 2016 - classification framework to identify causal factors for medication and medical device-related adverse clinical incidents … classification framework to identify causal factors for medication and medical device-related adverse clinical incidents … Researchers examined a random sample of 200 medication errors and 200 medical device-related clinical incidents … Medication errors primarily involved staff actions that led to mistakes, whereas the device incidents … March 16, 2016 A tool for the concise analysis of patient safety incidents.

51. Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology. | PSNet
    psnet.ahrq.gov/issue/occurrence-no-harm-incidents-and-adverse-events-hospitalized-patients-ischemic-stroke-or-tia
    August 05, 2020 - Study Occurrence of no-harm incidents and adverse events in hospitalized patients … Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA … Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA … Citation Related Resources From the Same Author(s) Identifying no-harm incidents … 2020 Patients who die by suicide: a study of treatment patterns and patient safety incidents

52. Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. | PSNet
    psnet.ahrq.gov/issue/interorganizational-health-information-exchange-related-patient-safety-incidents-descriptive
    November 10, 2021 - Study Interorganizational health information exchange-related patient safety incidents … Interorganizational health information exchange-related patient safety incidents: a descriptive register-based … identify the types, causes, and consequences of health information exchange- (HIE) related patient safety incidents … The two main kinds of HIE-related incidents were (1) inadequate documentation and inadequate use of information … Interorganizational health information exchange-related patient safety incidents: a descriptive register-based

53. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet
    psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
    June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … Why is learning from patient safety incidents (still) so hard?

54. A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial. | PSNet
    psnet.ahrq.gov/issue/multifaceted-risk-management-program-improve-reporting-rate-patient-safety-incidents-primary
    August 24, 2022 - A multifaceted risk management program to improve the reporting rate of patient safety incidents … A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary … A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary … August 24, 2022 Patient safety incidents are common in primary care: a national prospective … June 12, 2024 Blackbox error management: how do practices deal with critical incidents

55. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. | PSNet
    psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety-incidents-effects
    August 19, 2020 - Study Reporting of health information technology system-related patient safety incidents … Reporting of health information technology system-related patient safety incidents: the effects of organizational … Organizational culture can influence whether or not clinicians report patient safety incidents. … about their experiences with non-reporting of health information technology (HIT)-related safety incidents … June 1, 2022 Increased patient safety-related incidents following the transition into

56. Classification of patient-safety incidents in primary care. | PSNet
    psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
    October 12, 2016 - Review Emerging Classic Classification of patient-safety incidents … Classification of patient-safety incidents in primary care. … Classification of patient-safety incidents in primary care. … December 16, 2015 Patient safety incidents involving sick children in primary care in … February 1, 2017 Safety incidents in the primary care office setting.

57. Benefits of reporting and analyzing nursing students' near-miss medication incidents. | PSNet
    psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-incidents
    March 16, 2022 - Study Benefits of reporting and analyzing nursing students' near-miss medication incidents … Benefits of reporting and analyzing nursing students' near-miss medication incidents. … The authors found that dosing errors were 81% of the incidents, but there were multiple contributing … Benefits of reporting and analyzing nursing students' near-miss medication incidents. … February 16, 2022 Exploring changes in patient safety incidents during the COVID-19 pandemic

58. A classification system for incidents and accidents in the health-care system. | PSNet
    psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system
    September 28, 2010 - Study Classic A classification system for incidents and … A classification for incidents and accidents in the health-care system. … Using a computerized model, incidents and events were organized into a hierarchical and interrelated … A classification for incidents and accidents in the health-care system. … September 28, 2010 Errors, incidents and accidents in anaesthetic practice.

59. Systems Analysis of Critical Incidents: the London Protocol. | PSNet
    psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
    April 06, 2016 - Book/Report Systems Analysis of Critical Incidents: the London Protocol. … Citation Text: Systems Analysis of Critical Incidents: the London Protocol. … Cite Citation Citation Text: Systems Analysis of Critical Incidents … : development and evaluation of novel interventions to engage patients in preventing patient safety incidents

60. Responding to patient safety incidents: the "seven pillars." | PSNet
    psnet.ahrq.gov/issue/responding-patient-safety-incidents-seven-pillars
    June 05, 2013 - Study Responding to patient safety incidents: the "seven pillars." … Responding to patient safety incidents: the "seven pillars". … Responding to patient safety incidents: the "seven pillars". … June 5, 2013 The "Seven Pillars" response to patient safety incidents: effects on medical … June 1, 2022 Successful remediation of patient safety incidents: a tale of two medication