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psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
April 13, 2022 - Study
Older folks in hospitals: the contributing factors and recommendations for incident … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … This retrospective review of incident reports at a tertiary care hospital revealed that errors related … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident
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psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
June 16, 2021 - Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years … Incident reporting remains a cornerstone of patient safety efforts, despite its documented shortcomings … Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years … January 19, 2022
Patient-assisted incident reporting: including the patient in patient … September 1, 2018
Can patient safety incident reports be used to compare hospital safety
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psnet.ahrq.gov/issue/anaesthetic-adverse-incident-reports-australian-study-1231-outcomes
August 21, 2013 - Study
Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes … Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. … The authors examined adverse outcome reports over a five-year period to find trends in incident claims … Anaesthetic adverse incident reports: an Australian study of 1,231 outcomes. … care: description of 4846 incident reports.
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psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
November 03, 2015 - Study
Automated identification of extreme-risk events in clinical incident reports … Automated identification of extreme-risk events in clinical incident reports. … Incident reports can yield useful information about safety problems, but manual review of all voluntary … This study reports on the use of informatics technology to screen incident reports in order to identify … Automated identification of extreme-risk events in clinical incident reports.
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psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
June 15, 2011 - Study
Attitudes and barriers to incident reporting: a collaborative hospital study … Attitudes and barriers to incident reporting: a collaborative hospital study. … The researchers surveyed physicians and nurses in South Australia regarding their use of incident reporting … Attitudes and barriers to incident reporting: a collaborative hospital study. … Resources From the Same Author(s)
Evaluation of an intervention aimed at improving voluntary incident
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psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
June 29, 2009 - Commentary
Using incident reporting to improve patient safety: a conceptual model … Using Incident Reporting to Improve Patient Safety. … Though all hospitals are mandated to maintain an incident reporting system, there is limited evidence … In this study, the authors provide a conceptual framework for using data from incident reporting systems … Using Incident Reporting to Improve Patient Safety.
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psnet.ahrq.gov/issue/narrativizing-errors-care-critical-incident-reporting-clinical-practice
September 06, 2017 - Commentary
Narrativizing errors of care: critical incident reporting in clinical … Narrativizing errors of care: critical incident reporting in clinical practice. … The authors propose that critical incident reporting can help to involve clinicians in evaluating and … Narrativizing errors of care: critical incident reporting in clinical practice. … September 6, 2017
Practising open disclosure: clinical incident communication and systems
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psnet.ahrq.gov/issue/patient-assisted-incident-reporting-including-patient-patient-safety
June 16, 2011 - Commentary
Patient-assisted incident reporting: including the patient in patient … Patient-assisted incident reporting: including the patient in patient safety. … This commentary suggests that patient-assisted incident reporting following an adverse event can reveal … Patient-assisted incident reporting: including the patient in patient safety. … December 15, 2011
Establishing a global learning community for incident-reporting systems
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psnet.ahrq.gov/issue/how-well-do-incident-reporting-systems-work-inpatient-psychiatric-units
September 05, 2018 - Study
How well do incident reporting systems work on inpatient psychiatric units? … How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units? … A number of studies have shown that incident reporting systems only capture a small proportion of suspected … A recent commentary discussed the inherent limitations of incident reporting systems and suggested … How Well Do Incident Reporting Systems Work on Inpatient Psychiatric Units?
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psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
June 30, 2021 - Study
Evaluating incident learning systems and safety culture in two radiation oncology … Evaluating incident learning systems and safety culture in two radiation oncology departments. … surveyed radiation oncology staff in two local health districts to assess understanding and use of incident … Evaluating incident learning systems and safety culture in two radiation oncology departments. … September 7, 2022
Impact of technological and departmental changes on incident rates
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psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
October 16, 2013 - Study
A comprehensive overview of medical error in hospitals using incident-reporting … A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints … Comparing adverse events detected by the hospital's voluntary incident reporting system , retrospective … September 7, 2011
Which aspects of safety culture predict incident reporting behavior … January 9, 2014
Motivational antecedents of incident reporting: evidence from a survey
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psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
December 14, 2022 - Study
Content analysis of patient safety incident reports for older adult patient … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and … This study reviewed incident reports involving older adult patient transitions in geriatrics, cardiology … Few incident reports referenced individual or organizational learning (e.g., team discussions, root cause … Content analysis of patient safety incident reports for older adult patient transfers, handovers, and
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psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature
November 10, 2015 - Review
Incident and error reporting systems in intensive care: a systematic review … Incident and error reporting systems in intensive care: a systematic review of the literature. … This systematic review found that incident reporting systems used in intensive care units failed to meet … Incident and error reporting systems in intensive care: a systematic review of the literature. … November 6, 2012
Design and implementation of an ICU incident registry.
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psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice
January 08, 2014 - Study
"Every error counts": a web-based incident reporting and learning system for … "Every error counts": a web-based incident reporting and learning system for general practice. … This article reports on the development and dissemination of a web-based, German language incident reporting … "Every error counts": a web-based incident reporting and learning system for general practice. … August 14, 2013
Improving critical incident reporting in primary care through education
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psnet.ahrq.gov/node/47366/psn-pdf
October 31, 2018 - Patient and family engagement in incident investigations:
exploring hospital manager and incident investigators … Patient and family engagement in incident investigations: exploring hospital
manager and incident investigators … -
manager-and-incident
Patient and family engagement enriches both incident reporting and adverse event … https://psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident … https://psnet.ahrq.gov/issue/patient-and-family-engagement-incident-investigations-exploring-hospital-manager-and-incident
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psnet.ahrq.gov/issue/classification-patient-safety-incidents-primary-care
October 12, 2016 - Health Organization International Classification for Patient Safety enables measurement of safety incident … October 12, 2016
Nature of blame in patient safety incident reports: mixed methods analysis … December 16, 2020
Harms from discharge to primary care: mixed methods analysis of incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … February 11, 2015
Incident reporting practices in the preanalytical phase: low reported
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psnet.ahrq.gov/issue/analysing-potential-harm-australian-general-practice-incident-monitoring-study
July 29, 2020 - Classic
Analysing potential harm in Australian general practice: an incident-monitoring … Analysing potential harm in Australian general practice: an incident-monitoring study. … The authors report an observational study of adverse event incident reports collected from 1993 through … Analysing potential harm in Australian general practice: an incident-monitoring study.
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psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
January 19, 2022 - Study
Differences in hospitals' workplace violence incident reporting practices: … Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. … This article describes data collected during the first three years of a new statewide incident reporting … system, California’s Workplace Violent Incident Reporting System (WVIRS) for Hospitals. … Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.
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psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
January 19, 2022 - Review
Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … Incident reporting systems (IRS) allow providers, staff, and, in some cases, patients and families, to … Perceptions of U.S. and U.K. incident reporting systems: a scoping review. … July 19, 2023
Comparing rates of adverse events detected in incident reporting and the
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psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
February 06, 2019 - Study
Using incident reports to assess communication failures and patient outcomes … Using Incident Reports to Assess Communication Failures and Patient Outcomes. … Investigators examined incident reports at an academic medical center to characterize how communication … Using Incident Reports to Assess Communication Failures and Patient Outcomes.