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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…
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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…
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psnet.ahrq.gov/node/841468/psn-pdf
December 14, 2022 - can-we-make-airway-management-even-safer-lessons-national-audit
https://psnet.ahrq.gov/issue/patient-safety-incidents-associated-airway-devices-critical-care-review-reports-uk-national
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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…
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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…
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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…
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psnet.ahrq.gov/node/73070/psn-pdf
March 24, 2021 - Incidence, duration and risk factors associated with
delayed and missed diagnostic opportunities related to
tuberculosis: a population-based longitudinal study.
March 24, 2021
Miller AC, Arakkal AT, Koeneman S, et al. Incidence, duration and risk factors associated with delayed and
missed diagnostic opportunities …
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psnet.ahrq.gov/node/41703/psn-pdf
November 08, 2012 - Anatomy of an incident disclosure: the importance of
dialogue.
November 8, 2012
Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient
Saf. 2012;38(10):435-42.
https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
Physician organizations who…
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psnet.ahrq.gov/node/74832/psn-pdf
February 16, 2022 - Preventable adverse events in obstetrics: systemic
assessment of their incidence and linked risk factors.
February 16, 2022
Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic
assessment of their incidence and linked risk factors. Healthcare (Basel). 2022;10(1):97.
doi:10.…
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psnet.ahrq.gov/node/844782/psn-pdf
September 11, 2019 - Do user-applied safety labels on medication syringes
reduce the incidence of medication errors during rapid
medical response intervention for deteriorating patients
in wards? A systematic search and review.
September 11, 2019
Mikhail J, Grantham H, King L. Do User-Applied Safety Labels on Medication Syringes Reduc…
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psnet.ahrq.gov/node/34065/psn-pdf
February 09, 2011 - Incidence and preventability of adverse drug events
among older persons in the ambulatory setting.
February 9, 2011
Gurwitz JH, Field T, Harrold LR, et al. Incidence and Preventability of Adverse Drug Events Among Older
Persons in the Ambulatory Setting. JAMA. 2003;289(9):1107-1116. doi:10.1001/jama.289.9.1107.
ht…
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psnet.ahrq.gov/node/73350/psn-pdf
June 02, 2021 - Learning during crisis: the impact of COVID-19 on
hospital-acquired pressure injury incidence.
June 2, 2021
Polancich S, Hall AG, Miltner RS, et al. Learning during crisis: the impact of COVID-19 on hospital-acquired
pressure injury incidence. J Healthc Qual. 2021;43(3):137-144. doi:10.1097/jhq.0000000000000301.
h…
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psnet.ahrq.gov/node/837960/psn-pdf
August 31, 2022 - Interventions to reduce the incidence of medical error and
its financial burden in health care systems: a systematic
review of systematic reviews.
August 31, 2022
Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of
medical error and its financial burden in health care…
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psnet.ahrq.gov/node/853238/psn-pdf
September 06, 2023 - Potentially inappropriate medication use is associated
with increased risk of incident disability in healthy older
adults.
September 6, 2023
Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with
increased risk of incident disability in healthy older adults. J Am Geria…
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psnet.ahrq.gov/node/73880/psn-pdf
January 01, 2022 - Decreased incidence of cesarean surgical site infection
rate with hospital-wide perioperative bundle.
September 29, 2021
Sood N, Lee RE, To JK, et al. Decreased incidence of cesarean surgical site infection rate with hospital?
wide perioperative bundle. Birth. 2022;49(1):141-146. doi:10.1111/birt.12586.
https://ps…
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psnet.ahrq.gov/node/854631/psn-pdf
October 18, 2023 - Patient safety culture: effects on errors, incident
reporting, and patient safety grade.
October 18, 2023
Kaya S, Banaz Goncuoglu M, Mete B, et al. Patient safety culture: effects on errors, incident reporting, and
patient safety grade. J Patient Saf. 2023;19(7):439-446. doi:10.1097/pts.0000000000001152.
https://p…
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psnet.ahrq.gov/perspective/conversation-remle-p-crowe-phd
May 16, 2022 - patient records for review based on specific criteria, or triggers, with higher risk for potential incidents … Patient Safety Incidents
Perhaps one sign of EMS’s emergence in the field of patient safety is the … A recent systematic review identified a median rate of 5.9 incidents per 100 records/transports/patients … ; authors noted that studies that used record review data had a higher prevalence of patient safety incidents … While the need still exists for a standard way to classify patient safety incidents in this setting,
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psnet.ahrq.gov/node/35967/psn-pdf
January 02, 2017 - Physician perception of hospital safety and barriers to
incident reporting.
January 2, 2017
Schectman JM, Plews-Ogan M. Physician perception of hospital safety and barriers to incident reporting. Jt
Comm J Qual Patient Saf. 2006;32(6):337-43.
https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-ba…
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psnet.ahrq.gov/node/35121/psn-pdf
September 07, 2005 - Classifying laboratory incident reports to identify
problems that jeopardize patient safety.
September 7, 2005
Astion ML; Shojania KG; Hamill TR; Kim S; Ng VL.
https://psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-
safety
The investigators describe a system for …
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meps.ahrq.gov/data_stats/nhc/collect.pdf
December 31, 1996 - C:\WINDOWS\TEMP\COLLECT.WPD
Overview of data collection activities for the 1996 Medical Expenditure Panel Survey Nursing Home Component
Data Subject Screener/Recruitment Round Round 1 Round 2 Round 31 2 3 4
Nursing home �� Verify address �� Structure/eligibility �� Services �� Revenue & expenses
�� Administrator's…