Search results for "Incident report"
showing 6 items of 6 documents
5PSQ-106 Analysis of the medication incident reports at the university children’s hospital
2018
Background Currently no national reporting system is in place in the country that would collect reports on patient safety incidents (PSI). Such a system was introduced in the Children’s Hospital in 2013. ‘Reporting’ has very negative, meaning in society in general, because of the country’s political past. Purpose To analyse trends in reporting of PSI focusing on medication incidents reports (MIRs). Material and methods A retrospective analysis from 1 January to 31 December 2016. Patient safety team members automatically receive alerts to emails when MIRs are submitted to the hospital intranet and have access to these MIRs and patients’ medical records if more detailed information is needed.…
PS-075 Evaluation of fall risks in elderly patients
2014
Background Falls among hospitalised elderly patients are a major public health concern since they can cause loss of independence, injury and sometimes patient death. Purpose To examine risk factors, especially drugs, potentially related to falls in elderly patients and to define possible actions. Materials and methods A retrospective (May 1 2010–March 31 2013) study was performed at ISMETT, a 90-bed hospital. Patient characteristics (age/gender/body mass index, BMI), clinical conditions (diagnosis/comorbidity), ward (Intensive Care Unit, Step-Down Unit, Cardiothoracic Surgery Unit and Abdominal Surgery Unit), length of stay, number of medicines taken within three days before falling and sev…
How Students Get Going : Triggers for Students’ Learning in Project-Based Education
2018
Repeatedly documented positive student responses to project-based learning during its decades-long tradition in CS attest to the effectiveness of learning by doing. Support for reflective learning nevertheless continues to be a topic worth studying because the intensity of project work together with a high technical orientation among CS students often complicate reflective practice. A critical incident-inspired assignment was added to a project-based course to support reflective practice in spring 2017. In a previous study, the authors analyzed how students approached the assignment and whether they found it supportive for learning. The present study content-analyses the situations that tri…
Descriptive retrospective study analyzing relevant factors related to dental implant failure
2019
Background The objective of this retrospective descriptive study was to analyze the characteristics of incident reports provided by dentists while using a specific brand of dental implants. Material and Methods The study was carried out in collaboration with Oxtein Iberia S.L.®, with the company providing access to the incident database in order to evaluate the characteristics of incidents from January 2014 to December 2017 (a total of 917 over four years). The data sheet recorded different variables during each of the stages of implant treatment, from initial implant placement to subsequent prosthetic rehabilitation. These variables included age, sex, systemic pathologies, smoking habits, …
Human, Technologies and Quality of Education: Proceedings of Scientific Papers, 2019
2019
Rischio clinico e sistemi di Incident Reporting a confronto: critesi ed ipotesi di miglioramento, quando funzionano e perché falliscono
2009
gli Autori individuano alcune criticità del sistema di incident reporting attraverso un'analisi retrospettiva di esperienze nazionali ed internazionali, e, a conclusione, descrivono alcune possibili vie percorribili per il miglioramento del sistema.