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Showing results for "incidents".

4181. Safety learning system development--incident reporting component for family practice. | PSNet
      psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice
      March 21, 2012 - Related Resources From the Same Author(s) Emotional impact of patient safety incidents … December 11, 2013 Safety incidents in family medicine. … April 4, 2012 Safety incidents in family medicine.

4182. 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

4183. 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

4184. The Role of the Patient in Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
      March 01, 2007 - October 2, 2024 Patient safety incidents in endoscopy: a human factors analysis of non-procedural … significant harm incidents from the National Reporting and Learning System (NRLS). … December 23, 2020 A mixed-methods analysis of patient safety incidents involving opioid

4185. Implementation of Patient Safety Projects | PSNet
      psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
      November 10, 2025 - factors for effective implementation of healthcare workers support interventions after patient safety incidents … factors for effective implementation of healthcare workers support interventions after patient safety incidents … supporting successful implementation of programs to support healthcare workers involved in patient safety incidents

4186. Making Information Technology a Team Player in Safety: The Case of Infusion Devices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Nemeth.pdf
      January 01, 2002 - Infusion Devices 329 Relationship between studies of devices and adverse event reports Adverse incidents … Cook, et al.8 and Cook and Woods9 provide examples of adverse drug infusion incidents involving these … Attempts have been made to create adverse event reporting systems to capture and analyze incidents … Features of infusion device related incidents revealed by systematic analysis of an incident reporting

4187. Appendix III (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiid.html
      June 01, 2010 - State Respondent: N/A Mode of Data Collection: N/A Total Items/indicators: Six categories of incidents … Testing: Field tested only Summary: Participating States provide information concerning the number of incidents … States may provide required data via NCI form titled "NCI Protocol for Reporting Incidents: Abuse and … *States are NOT identified in the final Incidents report, which is used for internal project purposes

4188. Reducing the incidence of retained surgical instrument fragments. | PSNet
      psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
      June 01, 2021 - Commentary Reducing the incidence of retained surgical instrument fragments. Citation Text: Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014. Copy Citation Format: …

4189. Incidence, patterns, and prevention of wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/incidence-patterns-and-prevention-wrong-site-surgery
      September 30, 2010 - Study Classic Incidence, patterns, and prevention of wrong-site surgery. Citation Text: Kwaan MR, Studdert DM, Zinner MJ, et al. Incidence, patterns, and prevention of wrong-site surgery. Arch Surg. 2006;141(4):353-358. Copy Citation Format: Goog…

4190. ADE Incident Identification Form | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/ade-incident-identification
      January 01, 2023 - ADE Incident Identification Form Description This form identifies an adverse drug event using data reported by a clinician. Document Type Data Collection Form Document Source Statewide Implementation of Electronic Health Records PDF ADE Incident Identi…

4191. Incidence of speech recognition errors in the emergency department. | PSNet
      psnet.ahrq.gov/issue/incidence-speech-recognition-errors-emergency-department
      February 14, 2017 - Study Incidence of speech recognition errors in the emergency department. Citation Text: Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005. Copy Citation Format: …

4192. Perceptions of hospital safety climate and incidence of readmission. | PSNet
      psnet.ahrq.gov/issue/perceptions-hospital-safety-climate-and-incidence-readmission
      March 25, 2015 - Study Perceptions of hospital safety climate and incidence of readmission. Citation Text: Hansen LO, Williams M, Singer SJ. Perceptions of hospital safety climate and incidence of readmission. Health Serv Res. 2011;46(2):596-616. doi:10.1111/j.1475-6773.2010.01204.x. Copy Citation …

4193. Safety incident reports associated with blood transfusions. | PSNet
      psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions
      July 13, 2010 - Study Safety incident reports associated with blood transfusions. Citation Text: Vossoughi S, Perez G, Whitaker BI, et al. Safety incident reports associated with blood transfusions. Transfusion (Paris). 2019;59(9):2827-2832. doi:10.1111/trf.15429. Copy Citation Format: DOI…

4194. Improving incident reporting among physician trainees. | PSNet
      psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-trainees
      October 08, 2016 - Study Improving incident reporting among physician trainees. Citation Text: Krouss M, Alshaikh J, Croft LD, et al. Improving Incident Reporting Among Physician Trainees. J Patient Saf. 2019;15(4):308-310. doi:10.1097/PTS.0000000000000325. Copy Citation Format: DOI Google Sc…

4195. Possible solutions for barriers in incident reporting by residents. | PSNet
      psnet.ahrq.gov/issue/possible-solutions-barriers-incident-reporting-residents
      April 14, 2011 - Study Possible solutions for barriers in incident reporting by residents. Citation Text: Martowirono K, Jansma JD, van Luijk SJ, et al. Possible solutions for barriers in incident reporting by residents. J Eval Clin Pract. 2012;18(1):76-81. doi:10.1111/j.1365-2753.2010.01544.x. Copy …

4196. Fluorouracil Incident Root Cause Analysis Report. | PSNet
      psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
      September 02, 2014 - Book/Report Fluorouracil Incident Root Cause Analysis Report. Citation Text: Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007. Copy Citation Save Save to your library Print Download …

4197. Barriers to incident notification in a regional prehospital setting. | PSNet
      psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting
      December 21, 2022 - Study Barriers to incident notification in a regional prehospital setting. Citation Text: Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J. 2011;28(6):526-9. doi:10.1136/emj.2010.090738. Copy Citation Format: DOI Goog…

4198. Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system. | PSNet
      psnet.ahrq.gov/issue/paediatric-medication-incident-reporting-multicentre-comparison-study-medication-errors
      January 18, 2023 - Study Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system. Citation Text: Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre…

4199. SOPS Nursing Home Survey Version 2.0 Items and Composite Measures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-items-composite-measures-english-2.0.pdf
      June 05, 2025 - This nursing home makes changes to prevent the same incidents from happening again.

4200. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
      August 01, 2022 - Is a risk manager available at all times to respond to patient safety incidents?