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Showing results for "incidents".

  1. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. | PSNet

    psnet.ahrq.gov/issue/creating-infrastructure-safety-event-reporting-and-analysis-multicenter-pediatric-emergency
    October 08, 2013 - Study Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network. Citation Text: Chamberlain JM, Shaw KN, Lillis KA, et al. Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emer…

  2. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? | PSNet

    psnet.ahrq.gov/issue/what-makes-hospitalized-patients-more-vulnerable-and-increases-their-risk-experiencing
    March 23, 2011 - Study What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Citation Text: Aranaz-Andrés JM, Limón R, Mira JJ, et al. What makes hospitalized patients more vulnerable and increases their risk of experiencing an adverse event? Int J Qu…

  3. Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. | PSNet

    psnet.ahrq.gov/issue/organizational-and-social-psychological-conditions-healthcare-and-their-importance-patient
    August 16, 2017 - Study Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. Citation Text: Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and…

  4. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. | PSNet

    psnet.ahrq.gov/issue/continuous-monitoring-adverse-events-influence-quality-care-and-incidence-errors-general
    March 09, 2022 - Study Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. Citation Text: Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in gener…

  5. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. | PSNet

    psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
    June 25, 2014 - Study Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. Citation Text: Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative c…

  6. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. | PSNet

    psnet.ahrq.gov/issue/prevention-wrong-location-misadministration-through-use-intradepartmental-incident-learning
    January 22, 2017 - Study Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Citation Text: Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. M…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39501/psn-pdf
    January 03, 2017 - Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. January 3, 2017 Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low- molecular-weight heparin in three patient safety reporting programs…

  8. Global Patient Safety Alerts. | PSNet

    psnet.ahrq.gov/issue/global-patient-safety-alerts
    May 12, 2009 - Database/Directory Global Patient Safety Alerts. Citation Text: Global Patient Safety Alerts. Canadian Patient Safety Institute; CPSI. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  9. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - United Kingdom determine a fair and consistent course of action toward staff involved in patient safety incidents … Tree supports the aim of creating an open culture, where employees feel able to report patient safety incidents … cause analysis to: • Identify causes and contributing factors of a sentinel event or a cluster of incidents … Implement risk reduction strategies that decrease the likelihood of a recurrence of the event or incidents

  10. Improving Patient Safety in Nursing Homes: A Resource List (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursing-home-resource-list-2.0.pdf
    April 01, 2025 - Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents https://www.ahrq.gov … United Kingdom determine a fair and consistent course of action toward staff involved in patient safety incidents … Tree supports the aim of creating an open culture, where employees feel able to report patient safety incidents … Facilities: Training Modules Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents

  11. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
    January 01, 2003 - for their own mistakes. 2.23 .757 Disagree 14. are willing to report near miss/close call patient incidents … error. 7. regularly report clinical errors. 14. are willing to report near miss/close call patient incidents … Hospital safety climate and its relationship with safe work practices and workplace exposure incidents

  12. Archived: Family Violence: Screening and Interventions, 1996 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/family-violence-screening-interventions-1996
    January 01, 1996 - , robbery, or rape committed by their spouse, ex-spouse, or intimate partner 19 over half of these incidents … Domestic violence tends to be repetitive — female victims reported an average of six violent incidents … abuse victims and perpetrators to other professionals and community services to help prevent future incidents

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49478/psn-pdf
    April 01, 2005 - Compare and Contrast April 1, 2005 Cho KC, Chertow GM. Compare and Contrast. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/compare-and-contrast Case Objectives Define contrast nephropathy (CN) List risk factors for CN Implement pharmacologic strategies for CN prophylaxis Follow an algorithm for CN risk …

  14. Compare and Contrast | PSNet

    psnet.ahrq.gov/web-mm/compare-and-contrast
    July 16, 2019 - SPOTLIGHT CASE Compare and Contrast Citation Text: Cho KC, Chertow GM. Compare and Contrast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35885/psn-pdf
    December 14, 2007 - 'Wrong site' surgeries on the rise. December 14, 2007 Davis R. https://psnet.ahrq.gov/issue/wrong-site-surgeries-rise This article reports on a recent AHRQ-funded study on the incidence of wrong-site surgery and shares various perspectives on the issue. https://psnet.ahrq.gov/issue/wrong-site-surgeries-rise https…

  16. Section 5.A, Table 4 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
    December 01, 2013 - Section 5.A, Table 4                                                                                                 Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Graphics for Section V. …

  17. Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
    April 08, 2011 - Study Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. Citation Text: Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…

  18. The nature and causes of unintended events reported at 10 internal medicine departments. | PSNet

    psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
    August 17, 2016 - Study The nature and causes of unintended events reported at 10 internal medicine departments. Citation Text: Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…

  19. Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-related-health-care-spain-results-spanish-national-study-adverse
    December 01, 2011 - Study Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. Citation Text: Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. Incidence of adverse events related to health care in Spain: results of the Spanish Nat…

  20. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
    February 18, 2011 - Study Classic Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. Citation Text: Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…
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