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Showing results for "incidents".

  1. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet

    psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
    September 10, 2014 - Study Improved incident reporting following the implementation of a standardized emergency department peer review process. Citation Text: Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …

  2. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. | PSNet

    psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and-physicians
    March 11, 2013 - Study Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Citation Text: Pfeiffer Y, Briner M, Wehner T, et al. Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. Swiss Med Wkly. 2013;143:w13881.…

  3. Learndefects (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/learndefects.doc
    June 02, 2025 - This could include incidents that you believe caused patient harm or put patients at risk for significant

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46209/psn-pdf
    January 01, 2020 - The impact of incident disclosure behaviors on medical malpractice claims. July 19, 2017 Giraldo P, Sato L, Castells X. The Impact of Incident Disclosure Behaviors on Medical Malpractice Claims. J Patient Saf. 2020;16(4):e-225-e229. doi:10.1097/PTS.0000000000000342. https://psnet.ahrq.gov/issue/impact-incident-dis…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43945/psn-pdf
    September 09, 2015 - Hospital and procedure incidence of pediatric retained surgical items. September 9, 2015 Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. https://psnet.ahrq.gov/issue/hospital-and-procedure-incid…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72673/psn-pdf
    January 27, 2021 - Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. January 27, 2021 Bhat A, Mahajan V, Wolfe N. Implicit bias in stroke care: A recurring old problem in the rising incidence of young stroke. J Clin Neurosci. 2021;85(Mar):27-35. doi:10.1016/j.jocn.2020.12.017. https://psn…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73853/psn-pdf
    September 22, 2021 - Incidence of prescription errors in patients discharged from the emergency department. September 22, 2021 Gregory H, Cantley M, Calhoun C, et al. Incidence of prescription errors in patients discharged from the emergency department. Am J Emerg Med. 2021;46:266-270. doi:10.1016/j.ajem.2020.07.061. https://psnet.ahr…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838014/psn-pdf
    September 07, 2022 - Effect of a rapid response team on the incidence of in- hospital mortality. September 7, 2022 Factora F, Maheshwari K, Khanna S, et al. Effect of a rapid response team on the incidence of in-hospital mortality. Anesth Analg. 2022;135(3):595-604. doi:10.1213/ane.0000000000006005. https://psnet.ahrq.gov/issue/effect…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44736/psn-pdf
    December 16, 2015 - Harms from discharge to primary care: mixed methods analysis of incident reports. December 16, 2015 Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687877. https://psnet.ahrq.gov/is…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41458/psn-pdf
    June 19, 2012 - What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service. June 19, 2012 Shearer B, Marshall S, Buist MD, et al. What stops ho…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844048/psn-pdf
    February 08, 2023 - The incidence of opioid misuse among the surgical patients with persistent opioid use. February 8, 2023 Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760. https://psnet.ahrq.gov/issue/incidence-o…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43960/psn-pdf
    April 01, 2015 - Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. April 1, 2015 Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. BMJ Open. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60714/psn-pdf
    July 22, 2020 - Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. July 22, 2020 Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. J Patient Saf. 2020;17(8)…

  14. Diagnostic Safety Grants Awarded in FY 2019 | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/research/grants-2019.html
    March 01, 2024 - Diagnostic Safety Grants Awarded in FY 2019 Congress authorized $2 million in fiscal year 2019 for AHRQ to initiate a research agenda to understand and solve the problem of diagnostic errors. In 2019, AHRQ awarded the four grants below that will more precisely define the scope of diagnostic errors. Utility o…

  15. Trends in Nursing Home Deficiencies and Complaints. | PSNet

    psnet.ahrq.gov/issue/trends-nursing-home-deficiencies-and-complaints
    February 18, 2009 - Book/Report Trends in Nursing Home Deficiencies and Complaints. Citation Text: Trends in Nursing Home Deficiencies and Complaints. Office of the Inspector General. Washington, DC: US Department of Health and Human Services; September 2008. Report No. OEI-02-08-00140. Copy Citation…

  16. Executive Summary_Systematic Review: Association of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2 Diabetes, Obesity, and Body Composition (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/effect-dietary-digestible-executive-summary.pdf
    March 01, 2025 - Executive Summary_Systematic Review: Association of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2 Diabetes, Obesity, and Body Composition Systematic Review Association of Digestible Carbohydrate Intake With Cardiovascular Disease, Type 2 Diabetes, Obesity, and Body Composition Execu…

  17. To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? | PSNet

    psnet.ahrq.gov/issue/what-extent-are-adverse-events-found-patient-records-reported-patients-and-healthcare
    January 21, 2009 - Study To what extent are adverse events found in patient records reported by patients and healthcare professionals via complaints, claims and incident reports? Citation Text: Christiaans-Dingelhoff I, Smits M, Zwaan L, et al. To what extent are adverse events found in patient records r…

  18. Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. | PSNet

    psnet.ahrq.gov/issue/development-theoretical-framework-factors-affecting-patient-safety-incident-reporting
    January 19, 2016 - Review Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. Citation Text: Archer S, Hull L, Soukup T, et al. Development of a theoretical framework of factors affecting patient safety incident reporting: a…

  19. Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. | PSNet

    psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
    March 09, 2022 - Study Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. Citation Text: 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 surgeo…

  20. How well do incident reporting systems work on inpatient psychiatric units? | PSNet

    psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
    September 05, 2018 - Study How well do incident reporting systems work on inpatient psychiatric units? Citation Text: Reilly CA, Cullen SW, Watts B, et al. How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? Jt Comm J Qual Patient Saf. 2019;45(1):63-69. doi:10.1016/j.jcjq.2018.05.002.…
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