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Showing results for "incidents".

  1. The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. | PSNet

    psnet.ahrq.gov/issue/nature-causes-and-clinical-impact-errors-clinical-laboratory-testing-process-leading
    May 18, 2022 - Study The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. Citation Text: van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical…

  2. Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/developing-passive-digital-marker-prediction-childhood-asthma-treatment
    July 31, 2025 - Developing a Passive Digital Marker for the Prediction of Childhood Asthma Treatment Response Project Description Publications Applying novel machine learning methodologies in real time to readily available risk and prognostic data in electronic health records could contr…

  3. Incidence of adverse drug events and potential adverse drug events: implications for prevention. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-potential-adverse-drug-events-implications-prevention
    February 10, 2011 - Study Classic Incidence of adverse drug events and potential adverse drug events: implications for prevention. Citation Text: Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. …

  4. Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. | PSNet

    psnet.ahrq.gov/issue/near-misses-and-unsafe-conditions-reported-pediatric-emergency-research-network
    June 07, 2017 - Study Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. Citation Text: Ruddy RM, Chamberlain JM, Mahajan P, et al. Near misses and unsafe conditions reported in a Pediatric Emergency Research Network. BMJ Open. 2015;5(9):e007541. doi:10.1136/bmjopen-20…

  5. Accuracy of a proprietary large language model in labeling obstetric incident reports. | PSNet

    psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
    September 23, 2020 - Study Accuracy of a proprietary large language model in labeling obstetric incident reports. Citation Text: Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.10…

  6. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/incidence-and-characteristics-adverse-events-paediatric-inpatient-care-systematic-review-and
    September 21, 2022 - Review Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis. Citation Text: Dillner P, Eggenschwiler LC, Rutjes AWS, et al. Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and…

  7. Increased risk of burnout for physicians and nurses involved in a patient safety incident. | PSNet

    psnet.ahrq.gov/issue/increased-risk-burnout-physicians-and-nurses-involved-patient-safety-incident
    September 21, 2016 - Study Increased risk of burnout for physicians and nurses involved in a patient safety incident. Citation Text: Van Gerven E, Elst TV, Vandenbroeck S, et al. Increased Risk of Burnout for Physicians and Nurses Involved in a Patient Safety Incident. Med Care. 2016;54(10):937-943. doi:10.1…

  8. Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-computerised-physician-order-entry-cpoe-incidence-chemotherapy-related-medication
    May 25, 2022 - Review Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. Citation Text: Srinivasamurthy SK, Ashokkumar R, Kodidela S, et al. Impact of computerised physician order entry (CPOE) on the incidence of chemothe…

  9. Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. | PSNet

    psnet.ahrq.gov/issue/incidence-origins-and-avoidable-harm-missed-opportunities-diagnosis-longitudinal-patient
    December 16, 2020 - Study Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. Citation Text: Cheraghi-Sohi S, Holland F, Singh H, et al. Incidence, origins and avoidable harm of missed opportunities in diagnosis: lon…

  10. Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. | PSNet

    psnet.ahrq.gov/issue/incidence-never-events-among-weekend-admissions-versus-weekday-admissions-us-hospitals
    November 03, 2015 - Study Classic Incidence of "never events" among weekend admissions versus weekday admissions to US hospitals: national analysis. Citation Text: Attenello FJ, Wen T, Cen SY, et al. Incidence of "never events" among weekend admissions versus weekday admissions to …

  11. Understand the Science of Safety Module Alternate Text | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/understand/alt-text.html
    July 01, 2018 - Understand the Science of Safety Module Alternate Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Cover Slide (CUSP Toolkit logo) The "Understand the Science of Safety" module of the CUSP Toolkit. The CUSP toolkit is a modular approach to pat…

  12. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/integrating
    January 01, 2023 - Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Jt Comm J Qual Patient Sa…

  13. Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. | PSNet

    psnet.ahrq.gov/issue/medicare-part-d-beneficiaries-serious-risk-opioid-misuse-or-overdose-closer-look
    August 09, 2017 - Book/Report Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. Citation Text: Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. HHS OIG Data Brief. Washington DC; Office of the Inspector General: May 4, 2020…

  14. Adverse Events in Hospitals: Public Disclosure of Information About Events. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-public-disclosure-information-about-events
    August 01, 2012 - Book/Report Adverse Events in Hospitals: Public Disclosure of Information About Events. Citation Text: Adverse Events in Hospitals: Public Disclosure of Information About Events. Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; Ja…

  15. Mental Health and Occupational Stress in the Emergency Medical Service and 911 Workforce: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/ems-911-workforce-mental-health-protocol-amendment.pdf
    January 22, 2024 - literally resist manifestations of clinical distress, impairment, or dysfunction associated with critical incidents … and effectively rebound from psychological and/or behavioral perturbations associated with critical incidents … in the wake of a significant clinical distress, impairment, or dysfunction subsequent to critical incidents

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41088/psn-pdf
    March 02, 2012 - Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. March 2, 2012 Fasolino T, Snyder R. Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence. J Nurs Care Qual. 2012;27(2):E9-16. doi:10.1097/NCQ.0b0…

  17. Archived: Risk Factors and Other Epidemiologic Considerations for Cervical Cancer Screening: A Narrative Review for the U.S. Preventive Services Task Force: Cervical Cancer: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/risk-factors-and-other-epidemiologic-considerations-for-cervical-cancer-screening-a-narrative-review-for-the-us-preventive-services-task-force/cervical-cancer-screening-2012
    October 15, 2011 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Risk Factors and Other Epidemiologic Considerations for Cervical Cancer Screening: A Narrative Review for the U.S. Preventive Services Task Force Cervical Cancer: Screen…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38307/psn-pdf
    January 07, 2009 - Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. January 7, 2009 Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 month…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46586/psn-pdf
    January 01, 2020 - Adverse event reporting: harnessing residents to improve patient safety. November 8, 2017 Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. https://psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-sa…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47851/psn-pdf
    May 22, 2019 - Communication and Resolution After an Adverse Health Care Incident. May 22, 2019 Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201. https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident Communication-and-resolution mechanisms are seen as important approache…
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