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Showing results for "incidents".

81. 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

82. 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

83. 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.

84. Medication safety incidents associated with the remote delivery of primary care: a rapid review. | PSNet
    psnet.ahrq.gov/issue/medication-safety-incidents-associated-remote-delivery-primary-care-rapid-review
    June 29, 2022 - Review Medication safety incidents associated with the remote delivery of primary … Medication safety incidents associated with the remote delivery of primary care: a rapid review. … This rapid review was conducted to determine the types and frequency of medication safety incidents associated … Medication safety incidents associated with the remote delivery of primary care: a rapid review. … June 29, 2022 Care coordination strategies and barriers during medication safety incidents

85. 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

86. 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

87. 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.

88. 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.

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/856584/psn-pdf
    January 01, 2024 - Patient safety incidents in endoscopy: a human factors analysis of non-procedural significant harm incidents … Patient safety incidents in endoscopy: a human factors analysis of nonprocedural significant harm incidents … https://psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural … Kingdom to examine the human factors contributing to non- procedural endoscopy-related patient safety incidents … and Classification System coding, decision-based errors were the most common factor contributing to incidents

90. Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet
    psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
    August 28, 2013 - Study Exploring health care professionals' perceptions of incidents and incident … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation … Participants were more likely to report events with severe harm to patients, events classified as critical incidents … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60694/psn-pdf
    January 01, 2021 - Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross … Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional … https://psnet.ahrq.gov/issue/reporting-incidents-involving-use-advanced-medical-technologies-nurses- … The majority of incidents resulted in no or mild harm. … Most incidents were attributable to product failures, as well as organization of care (e.g., unclear

92. 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.

93. 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

94. 2024 Network of Patient Safety Databases Chartbook (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-medication-chartbook-2024.pdf
    January 01, 2024 - ■ The majority of medication events submitted were incidents (i.e., the event reached the patient … Among all Medication and Other Substance events, Incidents were the most commonly reported. … The majority of Medication or Other Substance Incidents are reported as Incorrect actions. … or Other Substance Incidents is examined below. … Incorrect actions include patient safety reports that are Incidents and Near Misses.

95. Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/multimorbidity-and-patient-safety-incidents-primary-care-systematic-review-and-meta-analysis
    February 15, 2017 - Review Multimorbidity and patient safety incidents in primary care: a systematic … Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis. … This systematic review assessed the potential link between multimorbidity and patient safety incidents … health component, such as depression, were at particularly high risk for errors and patient safety incidents … Multimorbidity and Patient Safety Incidents in Primary Care: A Systematic Review and Meta-Analysis.

96. Learning from incidents in health care: critique from a Safety-II perspective. | PSNet
    psnet.ahrq.gov/issue/learning-incidents-health-care-critique-safety-ii-perspective
    August 19, 2020 - Commentary Learning from incidents in health care: critique from a Safety-II perspective … Citation Text: Learning from incidents in health care: critique from a Safety-II perspective. … Copy URL Cite Citation Citation Text: Learning from incidents

97. A 3-year study of medication incidents in an acute general hospital. | PSNet
    psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital
    July 15, 2020 - Study A 3-year study of medication incidents in an acute general hospital. … A 3-year study of medication incidents in an acute general hospital. … A 3-year study of medication incidents in an acute general hospital.

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866311/psn-pdf
    January 01, 2025 - Systematic review of types of safety incidents and the processes and systems used for safety incident … Systematic review of types of safety incidents and the processes and systems used for safety incident … https://psnet.ahrq.gov/issue/systematic-review-types-safety-incidents-and-processes-and-systems-used- … The authors summarize how incidents are detected; common contributing, mitigating, and ameliorating … factors; as well as actions and interventions to reduce the risk of patient safety incidents.

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73506/psn-pdf
    July 21, 2021 - Patient-safety incidents during COVID-19 health crisis in France: An exploratory sequential multi-method … https://psnet.ahrq.gov/issue/patient-safety-incidents-during-covid-19-health-crisis-france-exploratory … This study examined patient safety incidents in primary care settings in France during the early months … Of the 132 reported incidents, 44% related to delayed diagnosis, assessments and referrals. … Reported incidents less commonly related to cancellation of care, home confinement-related incidents

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60757/psn-pdf
     August 05, 2020 - Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. … Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. … https://psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool … The most common incidents identified by the trigger tool were falls without injury, medication management … incidents, and moderate pain.