Learning From Accidents In Healthcare

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Learning from incidents in healthcare: the journey, not the …

(6 days ago) Incident reporting is widely recognised as an important method for improving safety in healthcare, and many countries have established their own incident reporting systems.1 However, the actual value of these systems is increasingly subject to debate.2 Reporting systems, both local and national, are overwhelmed by the volume of reports and fall short in defining recommendations for improving

https://qualitysafety.bmj.com/content/26/3/252

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VIEWPOINT Learning from incidents in healthcare: …

(9 days ago) Webtional learning ability of mental healthcare institu-tion.9 Organisational learning is defined as the process of creating and applying valid knowledge to enable an organisation to …

https://qualitysafety.bmj.com/content/qhc/26/3/252.full.pdf

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Learning from safety incidents in high-reliability …

(3 days ago) WebHealthcare organizations should be encouraged to use a combination of methods to help staff learn from safety incidents. Healthcare organizations should adapt …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8271183/

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Patient and healthcare worker safety risks and injuries.

(6 days ago) WebAbstract. Objectives: Learning from incident reporting systems is one core strategy to develop a culture of safety for healthcare …

https://www.tandfonline.com/doi/full/10.1080/21679169.2018.1549594

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Patient Safety Incident Reporting and Learning Systems

(8 days ago) Web2. Reporting and learning systems: current status 3 2.1 Reporting seen as central to safety improvement 5 2.2 Weaknesses of most reporting systems in health care 6 2.3 Lessons …

https://apps.who.int/iris/bitstream/handle/10665/334323/9789240010338-eng.pdf?sequence=1

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Learning from failure in health care: frequent …

(2 days ago) WebThe notion that hospitals and medical practices should learn from failures, both their own and others’, has obvious appeal. Yet, healthcare organisations that systematically and …

https://qualitysafety.bmj.com/content/13/suppl_2/ii3

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Learning from safety incidents in high reliability - PSNet

(8 days ago) WebHigh reliability organizations consistently examine and learn from failures. This systematic review identified several effective learning tools that can be adapted and used …

https://psnet.ahrq.gov/issue/learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools

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Learning from excellence in healthcare: a new approach …

(7 days ago) WebTell me how you measure me, and I will tell you how I will behave.Eliyahu Moshe Goldratt1 The pursuit of patient safety is a key component of the wider endeavour to improve quality of healthcare delivery. In its …

https://adc.bmj.com/content/101/9/788

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Learning from patient safety incidents involving acutely …

(3 days ago) WebThe National Reporting and Learning System reports in this study came from front-line healthcare professionals over a 10-year period and provide deeper insight to the most frequently occurring and severe …

https://journals.sagepub.com/doi/full/10.1177/01410768211032589

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Learning from incidents in healthcare: the journey, not the …

(1 days ago) WebLearning from incidents in healthcare: the journey, not the arrival, matters. BMJ Qual Saf. 2017 Mar;26 (3):252-256. doi: 10.1136/bmjqs-2015-004853. Epub 2016 Apr 1.

https://pubmed.ncbi.nlm.nih.gov/27037302/

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Learning from incidents in health care: Critique from a Safety-II

(7 days ago) WebAbstract. Patients are continually being put at risk of harm, and health care organisations are struggling to learn effectively from past experiences in order to improve …

https://www.sciencedirect.com/science/article/pii/S0925753516301679

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Learning the lessons from patient safety incidents

(4 days ago) WebLearning the lessons from patient safety incidents. 25 February 2021. Patient Safety. John Tingle. 02 February 2021. Volume 30 · Issue 4. ISSN (print): 0966-0461. …

https://www.britishjournalofnursing.com/content/patient-safety/learning-the-lessons-from-patient-safety-incidents/

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Patient and healthcare worker safety risks and injuries.

(5 days ago) WebHealthcare workers’ incidents and injuries were reg-istered mainly by nurses and assistant nurses. Sixteen percent of the injuries required treatment. Prevalence of incidents was …

https://www.tandfonline.com/doi/pdf/10.1080/21679169.2018.1549594

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Learning from safety incidents in high-reliability organizations: a

(1 days ago) WebThese learning tools were found to have a positive impact on learning if conducted soon after the incident with efficient facilitation. Conclusion: Healthcare …

https://pubmed.ncbi.nlm.nih.gov/33729493/

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Learning from incidents in healthcare: the journey, not the - PSNet

(6 days ago) WebThis commentary describes the Dutch national reporting system effort to encourage individual hospital learning through collecting comparative data on activities locally, …

https://psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters

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Learning from incidents and accidents: The gift of failure

(8 days ago) WebOverview. Learning from accidents is the acquisition of knowledge and skills from a thorough study of accidents and their antecedents. The knowledge acquired may …

https://risk-engineering.org/learning-incidents-accidents/

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Learning from accidents—what more do we need to know?

(3 days ago) WebLearning from failure: the need for independent safety investigation in healthcare. November 19, 2014 Medicines reconciliation in the emergency department: …

https://psnet.ahrq.gov/issue/learning-accidents-what-more-do-we-need-know

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Learning from incidents: From normal accidents to high reliability

(7 days ago) WebWe use the model to motivate managers to implement incident learning systems as a way of moving safety performance from normal accidents to high reliability. The simulation …

https://mayoclinic.elsevierpure.com/en/publications/learning-from-incidents-from-normal-accidents-to-high-reliability

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Human errors and their prevention in healthcare - PMC

(3 days ago) WebAbstract. Human errors form a significant portion of preventable mishaps in healthcare. Even the most competent clinicians are not immune to it. Errors in the …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562433/

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Patient safety incident reporting and learning systems: technical

(2 days ago) WebThe use of incident reporting systems for true learning in order to achieve sustainable reductions in risk and improvements in patient safety is still work in progress. …

https://www.who.int/publications-detail-redirect/9789240010338

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Normal accidents: learning how to learn about safety

(5 days ago) WebThree lessons for health service research are drawn: case studies have a role in investigations of safety in health care processes; Normal Accidents is an excellent …

https://academic.oup.com/policy-press-scholarship-online/book/21120/chapter/180718050

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Strategies and Approaches for Investigating Patient Safety Events

(1 days ago) WebThis primer provides a broad overview of three widely used tools for investigating and responding to patient safety events and near misses. Tools covered in this primer are …

https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events

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