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Total Results: over 10,000 records

Showing results for "incidents".

481. SRDR - Systematic Review Data Repository |
     srdr.ahrq.gov/projects/1622/studies/192815
     January 01, 2012 - Study Preview Study Title and Description Increased situation awareness in major incidents-radio … Post/View Title Data Title Increased situation awareness in major incidents-radio

482. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40205/psn-pdf
     April 14, 2011 - patient-safety-out-hours-primary-care-review-patient-records This study found a low rate of patient safety incidents … Most incidents were related to failures in clinical reasoning.

483. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40729/psn-pdf
     October 04, 2011 - critical-incident-reports-concerning-anaesthetic-equipment-analysis-uk- national-reporting-and Analysis of critical incidents … involving anesthesia equipment failure found that the vast majority of incidents did not lead to patient

484. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46921/psn-pdf
     May 02, 2018 - This commentary reviews three medication safety incidents involving school nurses and emotional difficulties … model to help school nurses and educational leadership understand, plan for, and respond after such incidents

485. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37259/psn-pdf
     March 23, 2011 - tool for measuring organizational learning and provides a framework for how to assess and learn from incidents … organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance https://psnet.ahrq.gov/issue/classification-system-incidents-and-accidents-health-care-system

486. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35254/psn-pdf
     April 06, 2011 - Investigators collected, categorized, and analyzed anonymized data from nearly 29,000 incidents, with … detailed presentation of the frequency of events, their location of occurrence, and the low rate of incidents

487. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43501/psn-pdf
     September 10, 2014 - emergency-department-patient-safety-incident-characterization-observational- analysis-findings To characterize patient safety incidents … Analysis of the data revealed that most emergency department patient safety incidents were primarily

488. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40643/psn-pdf
     July 27, 2011 - A study of the sociotechnical context through the analysis of reported medication incidents. … A study of the sociotechnical context through the analysis of reported medication incidents.

489. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46409/psn-pdf
     November 08, 2017 - defining-patient-safety-hospice-principles-guide-measurement-and-public-reporting https://psnet.ahrq.gov/issue/patient-safety-incidents-home-hospice-care-experiences-hospice-interdisciplinary-team-members … https://psnet.ahrq.gov/issue/patient-reported-safety-incidents-older-patients-long-term-conditions-large-cross-sectional

490. Near Miss with Bedside Medications | PSNet
     psnet.ahrq.gov/web-mm/near-miss-bedside-medications
     February 01, 2006 - Combining these two factors yields: (i) incidents that never reached the patient, (ii) incidents that … reached the patient but did not cause harm, and (iii) incidents that reached the patient and caused … It is desirable to have multiple channels by which frontline health care workers can report incidents … Patients and families can report near miss incidents.( 6 ) Importantly for institutions, it is not … Learning from patient-reported incidents. J Gen Intern Med. 2005;20:830-836. [go to PubMed] 7.

491. SRDR - Systematic Review Data Repository |
     srdr.ahrq.gov/projects/1622/studies/192754
     January 01, 2015 - Description Load index model: An advanced tool to support decision making during mass-casualty incidents … Title Load index model: An advanced tool to support decision making during mass-casualty incidents

492. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46872/psn-pdf
     May 09, 2018 - psnet.ahrq.gov/issue/obstetric-care-consensus-no-5-severe-maternal-morbidity-screening-and- review Incidents … provides a set of diagnostic and complication screening criteria to assess severe maternal morbidity incidents

493. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36244/psn-pdf
     June 13, 2012 - series from the United Kingdom's National Patient Safety Agency, analyzes nearly 45,000 patient safety incidents … The majority of reported incidents were from inpatient mental health facilities, primarily involving

494. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37737/psn-pdf
     January 06, 2017 - All reported incidents were reviewed by physicians to determine if a true error occurred.  … Although many incidents were reported, only a very small percentage were determined to represent true

495. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44524/psn-pdf
     March 16, 2016 - classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents … classification framework for patient safety to identify precursor and contributing factors to adverse clinical incidents

496. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37859/psn-pdf
     June 25, 2008 - the strengths and limitations of seven different sources of information on inpatient patient safety incidents … Relying on information from multiple sources is more likely to identify a broader range of incidents

497. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44344/psn-pdf
     July 22, 2015 - can contribute to patient harm, this commentary advocates for enhanced reporting of device-related incidents … attitudes-toward-medical-device-use-errors-and-prevention-adverse-events https://psnet.ahrq.gov/issue/factors-influence-recognition-reporting-and-resolution-incidents-related-medical-devices-and

498. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
     January 01, 2023 - Finally, while there is a recognized need to collect data on Venous Thromboembolism Incidents, the … Four EVENT TYPES can be reported as Incidents, Near misses, or Unsafe conditions. … Surgery or Anesthesia event types can be reported as Incidents or Near misses. … (21,967 / 95,918) and 23.8% (7,335 / 30,843) of Incidents and Near misses, respectively. … Both near misses and unsafe conditions may occur more commonly in practice than incidents.

499. Network of Patient Safety Databases Chartbook, 2023 (pdf file)
     preventiveservices.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023.pdf
     January 01, 2023 - Finally, while there is a recognized need to collect data on Venous Thromboembolism Incidents, the … Four EVENT TYPES can be reported as Incidents, Near misses, or Unsafe conditions. … Surgery or Anesthesia event types can be reported as Incidents or Near misses. … (21,967 / 95,918) and 23.8% (7,335 / 30,843) of Incidents and Near misses, respectively. … Both near misses and unsafe conditions may occur more commonly in practice than incidents.

500. Improving the Value of Patient Safety Reporting Systems (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Pronovost_95.pdf
     June 12, 2008 - A well-functioning PSRS should collect events (incidents) that could or did lead to patient harm. … In essence, incidents should be used as golden nuggets of data to address and fix a specific hazard … This was one of many cases found when the ICUSRS team reviewed incidents to evaluate underreporting … How to place incidents into taxonomies? … Understanding incidents in the aggregate requires a classification of those incidents.