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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40691/psn-pdf
    November 07, 2011 - Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. November 7, 2011 Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident reporting? Development of a Web b…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46264/psn-pdf
    August 09, 2017 - Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. August 9, 2017 Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Controlled Drugs. Jt Comm J Qual Patie…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43093/psn-pdf
    August 12, 2014 - Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. August 12, 2014 Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46176/psn-pdf
    October 04, 2017 - Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit. October 4, 2017 Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in Parenteral Nutrition for Pediatric Inpatients at a Neonat…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44664/psn-pdf
    May 30, 2016 - Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. May 30, 2016 Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10.4187/respcare.04151. https://psnet…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60256/psn-pdf
    April 22, 2020 - A critical review: moral injury in nurses in the aftermath of a patient safety incident. April 22, 2020 Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety incident. J Nurs Scholarsh. 2020;52(3):320-328. doi:10.1111/jnu.12551. https://psnet.ahrq.gov/issue/…
  7. psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
    June 16, 2021 - Study Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' Citation Text: Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…
  8. psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
    March 10, 2021 - Commentary Enhancing safety culture through improved incident reporting: a case study in translational research. Citation Text: Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwoo…
  9. psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
    September 20, 2006 - Book/Report Hospital Reporting of Deaths Related to Restraint and Seclusion.  Citation Text: Hospital Reporting of Deaths Related to Restraint and Seclusion.  Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350 Copy Citation …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73418/psn-pdf
    June 23, 2021 - Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. June 23, 2021 Holmqvist M, Thor J, Ros A, et al. Evaluation of older persons’ medications: a critical incident technique study exploring healthcare professionals’ experiences a…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838185/psn-pdf
    September 28, 2022 - How to mitigate the effects of cognitive biases during patient safety incident investigations. September 28, 2022 Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient safety incident investigations. Jt Comm J Qual Patient Saf. 2022;48(11):612-616. doi:10.1016/j.j…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44397/psn-pdf
    September 30, 2015 - Incidence- versus prevalence-based measures of inappropriate prescribing in the Veterans Health Administration. September 30, 2015 Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate Prescribing in the Veterans Health Administration. J Am Geriatr Soc. 2015;63(8):1601-7…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74109/psn-pdf
    November 24, 2021 - Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. November 24, 2021 Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/bmjoq-2021-001421. https://psne…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34893/psn-pdf
    February 26, 2009 - The incidence of adverse drug events in two large academic long-term care facilities. February 26, 2009 Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018. https://psnet.ahrq.gov/issue/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861763/psn-pdf
    January 31, 2024 - The process and perspective of serious incident investigations in adult community mental health services: integrative review and synthesis. January 31, 2024 Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in adult community mental health services: integrative …
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855098/psn-pdf
    November 08, 2023 - Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. November 8, 2023 Seaman K, Meulenbroeks I, Nguyen A, et al. Innovative approaches to analysing aged care falls incident data: international classification for patient safet…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34705/psn-pdf
    June 23, 2015 - Incidence and types of adverse events and negligent care in Utah and Colorado. June 23, 2015 Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38(3):261-71. https://psnet.ahrq.gov/issue/incidence-and-types-adverse-events-and-neg…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764399/psn-pdf
    March 02, 2022 - Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. March 2, 2022 Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. J Surg Res. 2022;274:136-144. …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43632/psn-pdf
    December 19, 2014 - Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. December 19, 2014 Prang IW, Jelsness-Jørgensen L-P. Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Geriatr Nurs. 2014;35(6):441-447. doi:10.10…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73216/psn-pdf
    May 05, 2021 - Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. May 5, 2021 Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adver…