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Showing results for "incidents".

61. Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a retrospective content analysis. | PSNet
    psnet.ahrq.gov/issue/care-home-safety-incidents-and-safeguarding-reports-relating-hospital-care-home-transitions
    July 17, 2024 - Study Care home safety incidents and safeguarding reports relating to hospital to … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Common incidents included pressure injuries, medication errors , and premature discharge. … Care home safety incidents and safeguarding reports relating to hospital to care home transitions: a … Related Resources From the Same Author(s) Systematic review of types of safety incidents

62. Addressing patient safety hazards using critical incident reporting in hospitals: a systematic review. | PSNet
    psnet.ahrq.gov/issue/addressing-patient-safety-hazards-using-critical-incident-reporting-hospitals-systematic
    June 08, 2022 - evidence from 41 studies using incident reporting system data to identify and characterize critical incidents … Medication-related incidents and incidents due to “active failures” were the most commonly reported events … The authors observe that only one in three studies reported on corrective actions due to the incidents … June 8, 2022 Support for healthcare professionals after surgical patient safety incidents … September 29, 2017 Occurrence of no-harm incidents and adverse events in hospitalized

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866959/psn-pdf
    October 16, 2024 - A review of incidents related to health information technology in Swedish healthcare to characterise … A review of incidents related to health information technology in Swedish healthcare to characterise … https://psnet.ahrq.gov/issue/review-incidents-related-health-information-technology-swedish-healthcare … About three-quarters of the 95 incidents studied were due to technical factors. … Human factors accounted for 26% of incidents. Of all incidents, 20% led to patient harm.

64. Health care workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis. | PSNet
    psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
    June 23, 2021 - Study Health care workers' experiences of workplace incidents that posed a risk of … Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury … workers in Sweden, the authors explored how individuals, team members and managers respond to critical incidents … Critical incidents are emotionally distressing for healthcare workers but teamwork and trust among … Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury

65. Why is learning from patient safety incidents (still) so hard? A sociocultural perspective on learning from incidents in healthcare organizations. | PSNet
    psnet.ahrq.gov/issue/why-learning-patient-safety-incidents-still-so-hard-sociocultural-perspective-learning
    June 29, 2011 - Study Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … Why is learning from patient safety incidents (still) so hard?

66. Classification of patient-safety incidents in primary care. | PSNet
    psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
    October 12, 2016 - Review Emerging Classic Classification of patient-safety incidents … Classification of patient-safety incidents in primary care. … Classification of patient-safety incidents in primary care. … December 16, 2015 Patient safety incidents involving sick children in primary care in … February 1, 2017 Safety incidents in the primary care office setting.

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/849121/psn-pdf
    May 17, 2023 - Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report … Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report … https://psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality- … improvement-report Learning from patient safety incidents can help health care organizations improve … This article provides a template for organizations to review patient safety incidents and classify them

68. Increased patient safety-related incidents following the transition into Daylight Savings Time. | PSNet
    psnet.ahrq.gov/issue/increased-patient-safety-related-incidents-following-transition-daylight-savings-time
    May 19, 2021 - Study Increased patient safety-related incidents following the transition into Daylight … Increased patient safety-related incidents following the transition into Daylight Savings Time. … This observational study observed nonsignificant increases in patient safety incidents in the week following … Increased patient safety-related incidents following the transition into Daylight Savings Time. … November 26, 2014 Care coordination strategies and barriers during medication safety incidents

69. Patient safety incidents and adverse events in ambulatory dental care: a systematic scoping review. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-and-adverse-events-ambulatory-dental-care-systematic-scoping-review
    August 29, 2018 - Review Patient safety incidents and adverse events in ambulatory dental care: a systematic … Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. … Patient Safety Incidents and Adverse Events in Ambulatory Dental Care: A Systematic Scoping Review. … October 12, 2016 Patient safety incidents involving sick children in primary care in … September 24, 2017 Safety incidents in the primary care office setting.

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867692/psn-pdf
    March 05, 2025 - Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … Why is learning from patient safety incidents (still) so hard? … A sociocultural perspective on learning from incidents in healthcare organizations. … https://psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters

71. Reported clinical incidents of children with intellectual disability: a qualitative analysis. | PSNet
    psnet.ahrq.gov/issue/reported-clinical-incidents-children-intellectual-disability-qualitative-analysis
    March 16, 2022 - Study Reported clinical incidents of children with intellectual disability: a qualitative … Reported clinical incidents of children with intellectual disability: a qualitative analysis. … In this study, researchers qualitatively analyzed hospital incident reporting data and identified incidents … Reported clinical incidents of children with intellectual disability: a qualitative analysis. … February 5, 2020 A mixed-methods analysis of patient safety incidents involving opioid

72. A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in a United Kingdom hospital. | PSNet
    psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls
    June 15, 2022 - Study A 6-year thematic review of reported incidents associated with cardiopulmonary … A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in … A 6-year thematic review of reported incidents associated with cardiopulmonary resuscitation calls in … Related Resources From the Same Author(s) A retrospective review of serious surgical incidents … May 26, 2021 Exploring changes in patient safety incidents during the COVID-19 pandemic

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74256/psn-pdf
    January 19, 2022 - Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring … Potentially severe incidents during interhospital transport of critically ill patients, frequently occurring … Reporting patient safety incidents is essential to improving patient safety. … This study compared the number of self-reported (to the study team) safety incidents during interhospital … transport and the number of incidents submitted to the hospital’s reporting system.

74. Final Progress Report: Patient Safety in Hospice Care (pdf file)
    www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
    January 01, 2024 - Interviewees often characterized such risks or incidents as being outside of their control to prevent … care, only a few interviewees recalled any incidents or harm related to errors or missed opportunities … Aim 3: Identify opportunities for preventing patient safety incidents or for detecting them early to … Patient Safety Incidents Conceptual Framework: For our study, we used the conceptual framework from … We will also explore the impact of patient safety incidents on the patients’ family caregivers.

75. Responding to patient safety incidents: the "seven pillars." | PSNet
    psnet.ahrq.gov/issue/responding-patient-safety-incidents-seven-pillars
    June 05, 2013 - Study Responding to patient safety incidents: the "seven pillars." … Responding to patient safety incidents: the "seven pillars". … Responding to patient safety incidents: the "seven pillars". … June 5, 2013 The "Seven Pillars" response to patient safety incidents: effects on medical … June 1, 2022 Successful remediation of patient safety incidents: a tale of two medication

76. Safety incidents in the primary care office setting. | PSNet
    psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
    October 12, 2016 - Study Safety incidents in the primary care office setting. … Safety incidents in the primary care office setting. … Safety incidents in the primary care office setting. … October 12, 2016 Patient safety incidents involving sick children in primary care in … April 1, 2020 Classification of patient-safety incidents in primary care.

77. Classification of medication incidents associated with information technology. | PSNet
    psnet.ahrq.gov/issue/classification-medication-incidents-associated-information-technology
    November 23, 2012 - Study Classification of medication incidents associated with information technology … Classification of medication incidents associated with information technology. … Classification of medication incidents associated with information technology.

78. Systems Analysis of Critical Incidents: the London Protocol. | PSNet
    psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
    April 06, 2016 - Book/Report Systems Analysis of Critical Incidents: the London Protocol. … Citation Text: Systems Analysis of Critical Incidents: the London Protocol. … Cite Citation Citation Text: Systems Analysis of Critical Incidents … : development and evaluation of novel interventions to engage patients in preventing patient safety incidents

79. Disclosure of patient safety incidents: a comprehensive review. | PSNet
    psnet.ahrq.gov/issue/disclosure-patient-safety-incidents-comprehensive-review
    November 10, 2010 - Review Disclosure of patient safety incidents: a comprehensive review. … Disclosure of patient safety incidents: a comprehensive review. … Disclosure of patient safety incidents: a comprehensive review. … September 27, 2016 Serious incidents after death: content analysis of incidents reported … October 24, 2018 The "Seven Pillars" response to patient safety incidents: effects on

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/839815/psn-pdf
    November 09, 2022 - A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. … A longitudinal evaluation of computed tomography radiation incidents within a multisite NHS trust. … https://psnet.ahrq.gov/issue/longitudinal-evaluation-computed-tomography-radiation-incidents-within- … Researchers reviewed 133 radiation incidents reported to one NHS trust from 2015-2018. … Reported events included radiation incidents, near-miss incidents, and repeat scans.