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Total Results: over 10,000 records

Showing results for "incidents".

401. 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

402. 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

403. Psn-Pdf (pdf file)
     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

404. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
     January 01, 2023 - Finally, while there is a recognized need to collect data on Venous Thromboembolism Incidents, the … Four EVENT TYPES can be reported as Incidents, Near misses, or Unsafe conditions. … Surgery or Anesthesia event types can be reported as Incidents or Near misses. … (21,967 / 95,918) and 23.8% (7,335 / 30,843) of Incidents and Near misses, respectively. … Both near misses and unsafe conditions may occur more commonly in practice than incidents.

405. 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

406. Blood Dashboard Data (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2022.xlsx
     January 01, 2022 - 8,353 Lymphocytes 0.0% * 8,353 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 … 3,544 Unknown 17.9% 634 3,544 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 … 4,127 Unknown 15.8% 653 4,127 NOTE: The Percentage cells are calculated as the percentage of all incidents

407. 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

408. Psn-Pdf (pdf file)
     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.

409. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
     January 01, 2021 - Five EVENT TYPES can be reported as Incidents or Near misses. … The most frequent answer value reported Fall Incidents. … ) of Fall Incidents. … This figure includes Incidents where the EXTENT OF HARM was reported. … The proportion of Incidents with residual harm was highest among Incidents originating with Purchasing

410. Creating a culture of safety by coaching clinicians to competence. | PSNet
     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

411. Psn-Pdf (pdf file)
     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

412. Blood Dashboard Data (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Blood_Dashboard_Data_2019.xlsx
     January 01, 2019 - Granulocytes * * Lymphocytes 0.0% 0 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 … manipulation 1.5% 36 Sample receipt * * 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

413. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-391
     April 26, 2023 - Commentary Thematic reviews of patient safety incidents as a tool for systems thinking … 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 … Learning from patient safety incidents can help health care organizations improve processes and care

414. Long-term care healthcare-associated infections in 2022: an analysis of 20,216 reports. | PSNet
     psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2022-analysis-20216-reports
     July 24, 2024 - July 13, 2022 Patient safety trends in 2021: an analysis of 288,882 serious events and incidents … July 6, 2022 Patient safety trends in 2022: an analysis of 256,679 serious events and incidents … 2023 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents … May 19, 2021 Patient safety trends in 2023: an analysis of 287,997 serious events and incidents

415. Circumstances involved in unsupervised solid dose medication exposures among young children. | PSNet
     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

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38656/psn-pdf
     May 27, 2009 - Pediatric safety incidents from an intensive care reporting system. … https://psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system The Intensive … https://psnet.ahrq.gov/issue/pediatric-safety-incidents-intensive-care-reporting-system

417. Can patients report patient safety incidents in a hospital setting? A systematic review. | PSNet
     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

418. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. | PSNet
     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

419. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
     January 01, 2019 - Five EVENT TYPES can be reported as Incidents or Near misses. … Most HIT-RELATED DEVICE Incidents did not result in any harm. … (7 / 65,013) of Fall Incidents. … This figure includes Incidents where the EXTENT OF HARM was reported. … The proportion of Incidents with residual harm was highest among Incidents originating with Purchasing

420. Network of Patient Safety Databases Chartbook, 2019 (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2019.pdf
     January 01, 2019 - Five EVENT TYPES can be reported as Incidents or Near misses. … Most HIT-RELATED DEVICE Incidents did not result in any harm. … (7 / 65,013) of Fall Incidents. … This figure includes Incidents where the EXTENT OF HARM was reported. … The proportion of Incidents with residual harm was highest among Incidents originating with Purchasing