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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37851/psn-pdf
    June 18, 2008 - Medical errors affecting the pediatric intensive care patient: incidence, identification, and practical solutions. June 18, 2008 Nichter MA. https://psnet.ahrq.gov/issue/medical-errors-affecting-pediatric-intensive-care-patient-incidence- identification-and This article reviews how the complexity of care in the p…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37743/psn-pdf
    June 06, 2008 - Incidence and prevention of iatrogenic urethral injuries. June 6, 2008 Kashefi C, Messer K, Barden R, et al. Incidence and prevention of iatrogenic urethral injuries. J Urol. 2008;179(6):2254-7; discussion 2257-8. doi:10.1016/j.juro.2008.01.108. https://psnet.ahrq.gov/issue/incidence-and-prevention-iatrogenic-ureth…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37953/psn-pdf
    July 30, 2008 - The increased incidence of anesthetic adverse events in late afternoon surgeries. July 30, 2008 Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J. 2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020. https://psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33970/psn-pdf
    March 07, 2005 - Failure in Safety-Critical Systems: A Handbook of Accident and Incident Reporting. March 7, 2005 Johnson CW. Glasgow, Scotland: University of Glasgow Press; 2003. ISBN 0852617844. https://psnet.ahrq.gov/issue/failure-safety-critical-systems-handbook-accident-and-incident-reporting The author provides engineers and…

  5. Novel telephone-based interactive voice response system for incident reporting. | PSNet

    psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
    September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

  6. A critical review: moral injury in nurses in the aftermath of a patient safety incident. | PSNet

    psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
    July 22, 2020 - Review Emerging Classic A critical review: moral injury in nurses in the aftermath of a patient safety incident. Citation Text: Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety incident. J Nurs Schola…

  7. Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet

    psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
    March 21, 2017 - Study Evaluation of the contributions of an electronic web-based reporting system: enabling action. Citation Text: Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15.…

  8. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet

    psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
    March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. Citation Text: Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836812/psn-pdf
    March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39882/psn-pdf
    January 19, 2011 - Incidence and types of non-ideal care events in an emergency department. January 19, 2011 Hall KK, Schenkel SM, Hirshon JM, et al. Incidence and types of non-ideal care events in an emergency department. Qual Saf Health Care. 2010;19 Suppl 3:i20-5. doi:10.1136/qshc.2010.040246. https://psnet.ahrq.gov/issue/inciden…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36922/psn-pdf
    June 22, 2015 - Fluorouracil Incident Root Cause Analysis Report. June 22, 2015 Toronto, CA: Institute for Safe Medication Practices Canada; May 2007. https://psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report This report shares findings from a root cause analysis of a medication error incident that led to a pat…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41357/psn-pdf
    May 24, 2012 - Influences observed on incidence and reporting of medication errors in anesthesia. May 24, 2012 Cooper L, DiGiovanni N, Schultz L, et al. Influences observed on incidence and reporting of medication errors in anesthesia. Can J Anaesth. 2012;59(6):562-70. doi:10.1007/s12630-012-9696-6. https://psnet.ahrq.gov/issue/…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40898/psn-pdf
    February 06, 2012 - Creating a web-based incident analysis and communication system. February 6, 2012 Marsal S, Heffner JE. Creating a web-based incident analysis and communication system. J Hosp Med. 2012;7(2):142-7. doi:10.1002/jhm.956. https://psnet.ahrq.gov/issue/creating-web-based-incident-analysis-and-communication-system This…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40781/psn-pdf
    September 14, 2011 - Reducing the incidence of retained surgical instrument fragments. September 14, 2011 Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014. https://psnet.ahrq.gov/issue/reducing-incidence-retained-surgica…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46119/psn-pdf
    August 15, 2018 - Incidence and predictors of opioid prescription at discharge after traumatic injury. August 15, 2018 Chaudhary MA, Schoenfeld AJ, Harlow AF, et al. Incidence and Predictors of Opioid Prescription at Discharge After Traumatic Injury. JAMA Surg. 2017;152(10):930-936. doi:10.1001/jamasurg.2017.1685. https://psnet.ahr…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847716/psn-pdf
    April 19, 2023 - Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. April 19, 2023 Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40037/psn-pdf
    September 20, 2011 - Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. September 20, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090. https://psnet.ahrq.gov/issue/adverse-events-hospitals-national-incide…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72566/psn-pdf
    January 01, 2021 - Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. December 16, 2020 Avery AJ, Sheehan C, Bell BG, et al. Incidence, nature and causes of avoidable significant harm in primary care in England: retrospective case note review. BMJ Qual Saf. 2021;30(…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37694/psn-pdf
    June 12, 2008 - Incidence, staff awareness and mortality of patients at risk on general wards. June 12, 2008 Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.01.009. https://psnet.ahrq.gov/issue…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40660/psn-pdf
    October 04, 2011 - Incidence, nature and impact of error in surgery. October 4, 2011 Bosma E, Veen EJ, Roukema JA. Incidence, nature and impact of error in surgery. Br J Surg. 2011;98(11):1654-1659. doi:10.1002/bjs.7594. https://psnet.ahrq.gov/issue/incidence-nature-and-impact-error-surgery This study noted a 6% error rate for patie…
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