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Showing results for "incidents".

4461. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34651/psn-pdf
      March 04, 2011 - Incidence and types of preventable adverse events in elderly patients: population based review of medical records. March 4, 2011 Thomas EJ, Brennan TA. Incidence and types of preventable adverse events in elderly patients: population based review of medical records. BMJ. 2000;320(7237):741-4. https://psnet.ahrq.g…

4462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43287/psn-pdf
      July 02, 2014 - Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. July 2, 2014 Wrigstad J, Bergström J, Gustafson P. Mind the gap between recom…

4463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866157/psn-pdf
      June 19, 2024 - Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. June 19, 2024 Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized con…

4464. 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…

4465. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41333/psn-pdf
      April 25, 2012 - Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. April 25, 2012 St Andrews, Scotland: Scottish Information Commissioner; February 21, 2012. Reference No: 201100433. https://psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans This report de…

4466. Adverse Events in Hospitals: State Reporting Systems. | PSNet
      psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
      January 14, 2009 - Book/Report Adverse Events in Hospitals: State Reporting Systems. Citation Text: Adverse Events in Hospitals: State Reporting Systems. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471. …

4467. Barriers to incident reporting among nurses: a qualitative systematic review. | PSNet
      psnet.ahrq.gov/issue/barriers-incident-reporting-among-nurses-qualitative-systematic-review
      September 21, 2022 - Review Emerging Classic Barriers to incident reporting among nurses: a qualitative systematic review. Citation Text: Hamed MMM, Konstantinidis S. Barriers to incident reporting among nurses: a qualitative systematic review. West J Nurs Res. 2022;44(5):506-523. d…

4468. Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. | PSNet
      psnet.ahrq.gov/issue/implementation-patient-safety-incident-management-system-viewed-doctors-nurses-and-allied
      March 23, 2011 - Study Implementation of a patient safety incident management system as viewed by doctors, nurses and allied health professionals. Citation Text: Travaglia J, Westbrook MT, Braithwaite J. Implementation of a patient safety incident management system as viewed by doctors, nurses and alli…

4469. Artificial Intelligence Tool Shows Strong Performance in Predicting Patient Deterioration During Pandemic | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/922.html
      July 01, 2024 - Systematic review of types of safety incidents and the processes and systems used for safety incident

4470. 114-Mrsa-Prevention-Learning-From-Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/114-mrsa-prevention-learning-from-defects.docx
      October 01, 2024 - This could include incidents that you believe caused patient harm or put patients at risk for significant

4471. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4a_pdi01-lacerationpuncture-bestpractices.pdf
      May 31, 2016 - puncture or laceration to patients.1 • Rates in children are high, ranging anywhere from 0.64 to 2.2 incidents

4472. Diagnostic Stewardship in Action | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship6.html
      August 01, 2024 - While inappropriate transfusion may reflect mismanagement of a correctly diagnosed patient, such incidents

4473. National Action Alliance Webinar June 18, 2024: Empowering Patient Voice in Safety Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-june-2024.pdf
      January 01, 2024 - Children’s Snapshot Simplified View of our Journey Key Factors Serious Safety Event Rate Rate of DART Incidents

4474. Selected Best Practices and Suggestions for Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4o_combo_pdi01-lacerationpuncture-bestpractices.pdf
      May 31, 2016 - puncture or laceration to patients.1 • Rates in children are high, ranging anywhere from 0.64 to 2.2 incidents

4475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33573/psn-pdf
      March 15, 2025 - teaching professionalism and addressing disruptive behavior during training may prevent subsequent incidents

4476. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic | PSNet
      psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
      September 09, 2020 - Related Resources From the Same Author(s) Increased patient safety-related incidents

4477. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/refs.html
      May 01, 2016 - Learning from patient-reported incidents. J Gen Intern Med2005 Sept; 20(9):830–6. 31.

4478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36346/psn-pdf
      April 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. April 11, 2011 Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedu…

4479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60180/psn-pdf
      April 01, 2020 - Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. April 1, 2020 Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient Saf. 2020;16(1):79-83. doi:10.109…

4480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850158/psn-pdf
      June 07, 2023 - Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. June 7, 2023 Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveilla…