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Total Results: over 10,000 records

Showing results for "incidents".

421. Surgical fires, a clear and present danger. | PSNet
     psnet.ahrq.gov/issue/surgical-fires-clear-and-present-danger
     May 16, 2018 - Download Citation Related Resources From the Same Author(s) Serious incidents … after death: content analysis of incidents reported to a national database. … Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents … April 1, 2010 Deaths following prehospital safety incidents: an analysis of a national … September 27, 2016 Learning from patient safety incidents involving acutely sick adults

422. How to discuss errors and adverse events with cancer patients. | PSNet
     psnet.ahrq.gov/issue/how-discuss-errors-and-adverse-events-cancer-patients
     April 01, 2010 - April 1, 2010 Disclosure of patient safety incidents: a comprehensive review. … Patient safety in palliative care: a mixed-methods study of reports to a national database of serious incidents … October 3, 2018 Deaths following prehospital safety incidents: an analysis of a national … September 27, 2016 Serious incidents after death: content analysis of incidents reported

423. 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

424. Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors. | PSNet
     psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis
     December 18, 2013 - safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents … safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents … safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents … December 16, 2015 Safety incidents in the primary care office setting.

425. 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

426. Chartbook on Patient Safety (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
     January 01, 2020 - Five EVENT TYPES can be reported as Incidents or Near misses. … This figure includes Incidents where the EXTENT OF HARM was reported. … ) 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

427. 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

428. 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.

429. 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

430. 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

431. 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

432. 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

433. 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

434. 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

435. 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.

436. 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

437. Mental Health and Occupational Stress in the Emergency Medical Services and 911 Workforces | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/products/ems-911-workforce-mental-health/research
     March 01, 2025 - After critical incidents, the prevalence of high and medium general stress were 39.7 percent and 28.2 … After critical incidents, the mean levels of burnout and general stress were moderate (low SoE). … After critical incidents, the mean levels of depressive symptoms were minimal to mild and anxiety were … Among EMS clinicians during routine practice or after critical incidents, the prevalence of depression … Among EMS clinicians after critical incidents, mean levels of depressive symptoms were minimal to mild

438. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet
     psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective
     February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general … Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. … Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice.

439. 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

440. 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.