Results

Total Results: over 10,000 records

Showing results for "incidents".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33931/psn-pdf
     June 23, 2015 - The authors describe characteristics from more than 1000 incidents collected and offer strategies to … the patterns noted, the discussion suggests that human error played a dominant role in the reported incidents … The authors conclude that it may be beneficial to classify specific incidents by a preventive strategy

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34706/psn-pdf
     December 23, 2012 - Of the 805 incidents reported, 76% were qualitatively judged to be preventable and 27% to have the potential … The authors provide a detailed breakdown of the types of incidents, factors that mitigated the harm … caused by the incidents, and demographics of the affected patients.

423. Using the WHO International Classification of patient safety framework to identify incident characteristics and contributing factors for medical or surgical complication deaths | PSNet
     psnet.ahrq.gov/issue/using-who-international-classification-patient-safety-framework-identify-incident
     January 15, 2020 - December 15, 2021 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. … July 3, 2016 Patient safety incidents in advance care planning for serious illness: a

424. Analysis of results from event investigations in industrial and patient safety contexts. | PSNet
     psnet.ahrq.gov/issue/analysis-results-event-investigations-industrial-and-patient-safety-contexts
     July 06, 2022 - Same Author(s) Patient safety trends in 2021: an analysis of 288,882 serious events and incidents … 2021 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents … June 29, 2022 Learning from patient safety incidents involving acutely sick adults in … March 30, 2022 Artificial intelligence for identifying the prevention of medication incidents

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47199/psn-pdf
     October 03, 2018 - Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents … Patient safety in palliative care: A mixed-methods study of reports to a national database of serious incidents … In this mixed-methods study, researchers analyzed patient safety incidents among patients receiving

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867748/psn-pdf
     March 12, 2025 - This study analyzed 145 safety incidents related to telehealth at the VHA. … The largest category was delays in care, and 90% of incidents resulted in no harm.

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45562/psn-pdf
     October 12, 2016 - This publication explored primary care incidents reported in England and Wales over an 8-year period … inconsistencies and gaps in information collected, including a lack of defined reasons explaining why incidents … Despite weaknesses in the data, they were able to categorize the types of incidents and prioritize system

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862620/psn-pdf
     February 14, 2024 - https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/862153/psn-pdf
     February 07, 2024 - In this retrospective study, researchers evaluated safety incidents reported using the Psychiatry Morbidity … Reporting Tool (PMMIRT) and proposed a revised categorization to better understand the types of safety incidents

430. Students have a key role in a culture of safety: analysis of student-associated medication incidents. | PSNet
     psnet.ahrq.gov/issue/students-have-key-role-culture-safety-analysis-student-associated-medication-incidents
     July 25, 2018 - Students have a key role in a culture of safety: analysis of student-associated medication incidents … Text: Students have a key role in a culture of safety: analysis of student-associated medication incidents … Text: Students have a key role in a culture of safety: analysis of student-associated medication incidents

431. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
     July 10, 2017 - Commentary Improving patient safety in radiotherapy by learning from near misses, incidents … Improving patient safety in radiotherapy by learning from near misses, incidents and errors. … Improving patient safety in radiotherapy by learning from near misses, incidents and errors.

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866561/psn-pdf
     August 21, 2024 - researchers found that the spring transition to DST was not associated with higher severity patient safety incidents … sleep-and-circadian-misalignment-hospitalist-review https://psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866247/psn-pdf
     July 10, 2024 - Most incidents were medication-related, followed by patient falls, and incidents related to venous thromboembolism

434. Clear liquids may place patients at risk. | PSNet
     psnet.ahrq.gov/issue/clear-liquids-may-place-patients-risk
     May 19, 2021 - Author(s) 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents … September 9, 2011 Reporting of health information technology system-related patient safety incidents … August 3, 2022 Medication safety in mental health hospitals: a mixed-methods analysis of incidents

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855431/psn-pdf
     January 01, 2024 - The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents … The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents

436. Identification of adverse events at an orthopedics department in Sweden. | PSNet
     psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden
     May 08, 2013 - May 8, 2013 Identifying no-harm incidents in home healthcare: a cohort study using trigger … January 25, 2023 Occurrence of no-harm incidents and adverse events in hospitalized patients … February 21, 2018 Development of a trigger tool to identify adverse events and no-harm incidents … safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846148/psn-pdf
     March 15, 2023 - //psnet.ahrq.gov/issue/near-miss-events-detected-using-emergency-department-trigger-tool Near-miss incidents … This study used a computerized trigger tool to identify near-miss incidents in the emergency department

438. Changes in physician practice patterns after implementation of a communication-and-resolution program. | PSNet
     psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
     September 01, 2018 - Related Resources From the Same Author(s) The "Seven Pillars" response to patient safety incidents … September 20, 2011 Successful remediation of patient safety incidents: a tale of two … December 4, 2016 Responding to patient safety incidents: the "seven pillars." … October 24, 2018 The "Seven Pillars" response to patient safety incidents: effects on

439. Preventable adverse drug events and their causes and contributing factors: the analysis of register data. | PSNet
     psnet.ahrq.gov/issue/preventable-adverse-drug-events-and-their-causes-and-contributing-factors-analysis-register
     August 01, 2016 - August 19, 2020 An analysis of electronic health record–related patient safety incidents … August 3, 2017 Reporting of health information technology system-related patient safety incidents … patient feedback as a safety valve: an automated language analysis of unnoticed and unresolved safety incidents … September 14, 2022 Artificial intelligence for identifying the prevention of medication incidents

440. Harm caused by adverse events in primary care: a clinical observational study. | PSNet
     psnet.ahrq.gov/issue/harm-caused-adverse-events-primary-care-clinical-observational-study
     July 23, 2008 - June 2, 2010 Classification of medication incidents associated with information technology … January 7, 2015 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 … Are health professionals' perceptions of patient safety related to figures on safety incidents