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psnet.ahrq.gov/node/46328/psn-pdf
August 09, 2017 - Critical incident stress debriefing after adverse patient
safety events.
August 9, 2017
Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual.
2017;23(5):310-312.
https://psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description)
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Table of Contents
The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
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psnet.ahrq.gov/issue/nursing-home-complaint-investigations
September 27, 2006 - Government Resource
Nursing Home Complaint Investigations.
Citation Text:
Nursing Home Complaint Investigations. Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340.
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psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
February 21, 2024 - Study
Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.
Citation Text:
Kaya GK, Ustebay S, Nixon J, et al. Exploring the impact of safety culture on incident reporting: lessons learn…
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psnet.ahrq.gov/node/36699/psn-pdf
March 28, 2011 - Hospital staff should use more than one method to detect
adverse events and potential adverse events: incident
reporting, pharmacist surveillance and local real-time
record review may all have a place.
March 28, 2011
Olsen S, Neale G, Schwab K, et al. Hospital staff should use more than one method to detect advers…
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psnet.ahrq.gov/node/837961/psn-pdf
August 31, 2022 - Risk reduction strategy to decrease incidence of retained
surgical items.
August 31, 2022
Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained
surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264.
https://psnet.ahrq.gov/issue/risk-reduc…
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psnet.ahrq.gov/node/74150/psn-pdf
December 08, 2021 - Worldwide incidence of surgical site infections in general
surgical patients: a systematic review and meta-analysis
of 488,594 patients.
December 8, 2021
Gillespie BM, Harbeck EL, Rattray M, et al. Worldwide incidence of surgical site infections in general
surgical patients: a systematic review and meta-analysis o…
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psnet.ahrq.gov/node/37646/psn-pdf
April 11, 2011 - Incidence, preventability and consequences of adverse
events in older people: results of a retrospective case-
note review.
April 11, 2011
Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older
people: results of a retrospective case-note review. Age Ageing. 2008;37…
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psnet.ahrq.gov/node/43528/psn-pdf
October 01, 2014 - Critical incident stress management (CISM) in complex
systems: cultural adaptation and safety impacts in
healthcare.
October 1, 2014
Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex
systems: cultural adaptation and safety impacts in healthcare. Accid Anal Prev. …
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psnet.ahrq.gov/node/50675/psn-pdf
November 20, 2019 - A systematic review of natural language processing for
classification tasks in the field of incident reporting and
adverse event analysis.
November 20, 2019
Young IJB, Luz S, Lone N. A systematic review of natural language processing for classification tasks in
the field of incident reporting and adverse event ana…
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psnet.ahrq.gov/node/37772/psn-pdf
May 21, 2008 - Critical incident monitoring in anaesthesia.
May 21, 2008
Choy CY. Critical incident monitoring in anaesthesia. Curr Opin Anaesthesiol. 2008;21(2):183-6.
doi:10.1097/ACO.0b013e3282f33592.
https://psnet.ahrq.gov/issue/critical-incident-monitoring-anaesthesia
This article discusses how critical incident monitoring i…
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psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries
October 16, 2012 - Book/Report
Classic
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Department of Health and Human Serv…
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psnet.ahrq.gov/node/43769/psn-pdf
December 17, 2014 - Prospective risk analysis and incident reporting for better
pharmaceutical care at paediatric hospital discharge.
December 17, 2014
Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better
pharmaceutical care at paediatric hospital discharge. Int J Clin Pharm. 2014…
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psnet.ahrq.gov/node/40220/psn-pdf
March 21, 2012 - Incidence and preventability of adverse events requiring
intensive care admission: a systematic review.
March 21, 2012
Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive
care admission: a systematic review. J Eval Clin Pract. 2012;18(2):485-97. doi:10.1111/j…
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psnet.ahrq.gov/node/34712/psn-pdf
February 18, 2011 - Incidence of adverse events and negligence in
hospitalized patients. Results of the Harvard Medical
Practice Study I.
February 18, 2011
Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized
Patients. N Engl J Med. 1991;324(6):370-376. doi:10.1056/nejm199102073240604.
ht…
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psnet.ahrq.gov/node/46941/psn-pdf
August 01, 2018 - Incident reporting to improve patient safety: the effects of
process variance on pediatric patient safety in the
emergency department.
August 1, 2018
O?Connell KJ, Shaw KN, Ruddy RM, et al. Incident Reporting to Improve Patient Safety: The Effects of
Process Variance on Pediatric Patient Safety in the Emergency De…
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psnet.ahrq.gov/node/46761/psn-pdf
February 14, 2018 - Development of a theoretical framework of factors
affecting patient safety incident reporting: a theoretical
review of the literature.
February 14, 2018
Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety
incident reporting: a theoretical review of the lite…
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psnet.ahrq.gov/node/35722/psn-pdf
March 28, 2011 - Attitudes and barriers to incident reporting: a
collaborative hospital study.
March 28, 2011
Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital
study. Qual Saf Health Care. 2006;15(1):39-43.
https://psnet.ahrq.gov/issue/attitudes-and-barriers-incident-report…
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psnet.ahrq.gov/node/35247/psn-pdf
December 17, 2008 - Review of the Australian Incident Monitoring System.
December 17, 2008
Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-
61.
https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
The authors surveyed users of the Australian Incident Monitorin…
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psnet.ahrq.gov/node/852450/psn-pdf
August 16, 2023 - Incidence and severity of medication reconciliation
discrepancies in trauma patients.
August 16, 2023
Dunbar EG, Massey AC, Lee YL, et al. Incidence and severity of medication reconciliation discrepancies in
trauma patients. Am Surg. 2023;89(7):3272-3274. doi:10.1177/00031348231161686.
https://psnet.ahrq.gov/issue…