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Showing results for "incidents".
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/2019-nhsops-dbreport-parti-rev091721.pdfJanuary 01, 2019 - Feedback and communication about incidents Staff discuss ways to keep residents safe, tell someone … if they see something that might harm a resident, and talk about ways to keep incidents from happening … Feedback and Communication About Incidents 85% 9.39% 54% 72% 79% 86% 92% 96% 100% 3. … Feedback and Communication About Incidents When staff report something that could harm a resident, someone … (B4) 83% 10.46% 46% 69% 76% 84% 91% 95% 100% In this nursing home, we talk about ways to keep incidents
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74141/psn-pdfDecember 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41646/psn-pdfSeptember 05, 2012 - Interventions to increase clinical incident reporting in health care. September 5, 2012 Parmelli E, Flodgren G, Fraser SG, et al. Interventions to increase clinical incident reporting in health care. Cochrane Database Syst Rev. 2012;8(8):CD005609. doi:10.1002/14651858.cd005609.pub2. https://psnet.ahrq.gov/issue/in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38693/psn-pdfJune 15, 2011 - Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. June 15, 2011 Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Arch Dis Child Fetal Neonatal Ed. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45526/psn-pdfJanuary 01, 2019 - Improving incident reporting among physician trainees. September 28, 2016 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. https://psnet.ahrq.gov/issue/improving-incident-reporting-among-physician-train… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/865711/psn-pdfMay 01, 2024 - Paediatric medication incident reporting: a multicentre comparison study of medication errors identified at audit, detected by staff and reported to an incident system. May 1, 2024 Li L, Badgery-Parker T, Merchant A, et al. Paediatric medication incident reporting: a multicentre comparison study of medication erro… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47571/psn-pdfDecember 12, 2018 - Enhancing safety culture through improved incident reporting: a case study in translational research. December 12, 2018 Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwood). 2018;37(11):1797-1804. doi:10.1… -
psnet.ahrq.gov/clinical-areasMarch 24, 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.
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www.ahrq.gov/hai/tools/mvp/modules/cusp/physician-staff-engagement-facguide.htmlMarch 01, 2017 - Say: Industries and companies that have higher levels of staff engagement have fewer safety incidents … meta-analysis conducted in 2012 by Gallup, the same New York Times article reported 48 percent fewer safety incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/physician-staff-engagement-facguide.docxJanuary 01, 2017 - SAY: Industries and companies that have higher levels of staff engagement have fewer safety incidents … meta-analysis conducted in 2012 by Gallup, the same New York Times article reported 48 percent fewer safety incidents
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psnet.ahrq.gov/web-mm/do-me-favorSeptember 12, 2016 - classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents … classification framework to identify causal factors for medication and medical device-related adverse clinical incidents
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfersDecember 21, 2017 - standardized procedures are developed or refined, clinicians may find it helpful to analyze internal transfer incidents … Incidents relating to the intra-hospital transfer of critically ill patients.
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psnet.ahrq.gov/web-mm/feeling-no-painAugust 30, 2023 - What information does it provide about why the incident occurred that could be used to prevent similar incidents … Plenary address to: Workshop on the Investigation and reporting of incidents and accidents; July 2002
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psnet.ahrq.gov/web-mm/forgotten-medJuly 01, 2006 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents … September 18, 2019 Care coordination strategies and barriers during medication safety incidents
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psnet.ahrq.gov/perspective/rethinking-root-cause-analysisAugust 21, 2016 - Focus on single incidents and institutions Incidents tend to be investigated in isolation—single events
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psnet.ahrq.gov/web-mm/mistaken-identityDecember 18, 2014 - The United Kingdom Patient Safety Agency reported 236 incidents and near misses in less than 2 years … related to missing or incorrect wristbands.( 2 ) The State of New York recorded 27 incidents of invasive
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psnet.ahrq.gov/web-mm/over-not-so-easyApril 01, 2005 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents … September 18, 2019 Care coordination strategies and barriers during medication safety incidents
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836784/psn-pdfMarch 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. March 23, 2022 Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/jhrm.21498. https://psnet.ahrq.gov/iss… -
Spotlight Case [MONTH] 2003 (ppt file)
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.110_slideshow.pptDecember 01, 2005 - Abstract&list_uids=15465959 Creating a Safe Environment Establish clear protocol for reporting incidents -
www.ahrq.gov/sites/default/files/2024-04/koss-report.pdfJanuary 01, 2024 - as well as the ability to accurately capture potential occurrences or near misses, and why actual incidents … the information provided by the quarterly reports helps to accurately organize various categories of incidents
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