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Showing results for "incidents".

  1. Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. | PSNet

    psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and
    July 08, 2015 - Review Factors that influence the recognition, reporting and resolution of incidents … Factors that influence the recognition, reporting and resolution of incidents related to medical devices … Factors that influence the recognition, reporting and resolution of incidents related to medical devices … How can we improve the recognition, reporting and resolution of medical device-related incidents

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47734/psn-pdf
    March 13, 2019 - Medicare trims payments to 800 hospitals, citing patient safety incidents. March 13, 2019 Rau J. … https://psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents Financial … https://psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents https

  3. 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

  4. The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care. | PSNet

    psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
    August 21, 2024 - May 8, 2024 Identifying no-harm incidents in home healthcare: a cohort study using trigger … February 21, 2018 Development of a trigger tool to identify adverse events and no-harm incidents … Patient Safety in Home Dialysis April 28, 2021 Identifying no-harm incidents … safety virtual quality improvement collaboratives February 26, 2020 Patient safety incidents

  5. 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

  6. Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional
    October 14, 2015 - Study Patient-reported safety incidents in older patients with long-term conditions … Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional … Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional … Related Resources From the Same Author(s) Multimorbidity and patient safety incidents

  7. A practical tool to learn from defects in patient care. | PSNet

    psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
    September 28, 2010 - The authors describe a tool for investigating incidents and making necessary safety improvements. … January 20, 2010 A system factors analysis of "line, tube, and drain" incidents in the … June 29, 2009 Intensive care unit safety incidents for medical versus surgical patients

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46268/psn-pdf
    September 27, 2017 - Learning from incidents in health care: critique from a Safety-II perspective. … https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective Studying … https://psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective https://psnet.ahrq.gov

  9. Being open: communicating patient safety incidents with patients and their carers. | PSNet

    psnet.ahrq.gov/issue/being-open-communicating-patient-safety-incidents-patients-and-their-carers
    October 26, 2007 - Multi-use Website Being open: communicating patient safety incidents with patients … Citation Text: Being open: communicating patient safety incidents with patients and their carers. … Cite Citation Citation Text: Being open: communicating patient safety incidents

  10. Coworker abuse in healthcare: voices of mistreated workers. | PSNet

    psnet.ahrq.gov/issue/coworker-abuse-healthcare-voices-mistreated-workers
    March 22, 2023 - voice in the hierarchy of healthcare professionals: the role of emotions after harmful patient safety incidents … March 23, 2022 Medication safety incidents associated with the remote delivery of primary … February 15, 2023 Moving on after critical incidents in health care: a qualitative study … January 11, 2023 Moving on after critical incidents in health care: a qualitative study

  11. Long-term care healthcare-associated infections in 2023: an analysis of 23,970 reports. | PSNet

    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2023-analysis-23970-reports
    July 08, 2020 - 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

  12. Feasibility of prospective error reporting in home palliative care: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
    November 11, 2020 - Related Resources From the Same Author(s) A mixed-methods analysis of patient safety incidents … Resources Multiple points of system failure underpin continuous subcutaneous infusion safety incidents … December 4, 2016 Patient safety incidents in home hospice care: the experiences of hospice … May 29, 2014 Patient safety incidents in hospice care: observations from interdisciplinary

  13. Learning from excellence in healthcare: a new approach to incident reporting. | PSNet

    psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
    August 31, 2022 - June 12, 2008 Patient safety incidents in advance care planning for serious illness: … December 6, 2013 Review of patient safety incidents reported from critical care units … November 17, 2010 Patient safety incidents associated with equipment in critical care … June 10, 2010 Medication-related patient safety incidents in critical care: a review

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34778/psn-pdf
    December 23, 2008 - The discussion continues by contrasting incidents and accidents and the cognitive processes involved … The authors recommend greater emphasis on detecting simple incidents, using simulators to promote education … and training, detailing backup equipment, and disseminating effective protocols for particular incidents

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34982/psn-pdf
    July 14, 2010 - The investigators aimed to create an easy-to-use system that assists in characterizing captured incidents … includes details of the design features, a table of the system-based factors contributing to reported incidents … after implementation demonstrated wide variability in use, but consistency existed in the types of incidents

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45351/psn-pdf
    July 20, 2016 - patient-safety-toolkit-general-practice https://psnet.ahrq.gov/primer/ambulatory-care-safety https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting … https://psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting https://psnet.ahrq.gov/primer … psnet.ahrq.gov/primer/medication-reconciliation https://psnet.ahrq.gov/issue/investigating-clinical-incidents-nhs

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33932/psn-pdf
    May 27, 2011 - preventable-anesthesia-mishaps-study-human-factors This study reports on the retrospective analysis of nearly 360 preventable incidents … Findings attributed the majority of incidents to human error, with a relatively small percentage due … The authors suggest that their method of examining incidents may be effective to help pool similar data

  18. The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach. | PSNet

    psnet.ahrq.gov/issue/orthopaedic-error-index-development-and-application-novel-national-indicator-assessing
    July 18, 2016 - December 16, 2015 Safety incidents in the primary care office setting. … July 3, 2016 A mixed-methods analysis of patient safety incidents involving opioid substitution … November 11, 2020 Patient safety incidents involving sick children in primary care in … February 1, 2017 Classification of patient-safety incidents in primary care. … safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents

  19. Developing agreement on never events in primary care dentistry: an international eDelphi study. | PSNet

    psnet.ahrq.gov/issue/developing-agreement-never-events-primary-care-dentistry-international-edelphi-study
    October 05, 2016 - Download Citation Related Resources From the Same Author(s) Patient safety incidents … December 16, 2020 A mixed-methods analysis of patient safety incidents involving opioid … October 12, 2016 Patient safety incidents involving sick children in primary care in … September 24, 2017 Safety incidents in the primary care office setting. … October 19, 2016 Safety incidents in the primary care office setting.

  20. Patient safety concerns in COVID-19–related events: a study of 343 event reports from 71 hospitals in Pennsylvania. | PSNet

    psnet.ahrq.gov/issue/patient-safety-concerns-covid-19-related-events-study-343-event-reports-71-hospitals
    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
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