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psnet.ahrq.gov/node/38157/psn-pdf
October 22, 2008 - Contributing factors identified by hospital incident report
narratives. … Contributing factors identified by hospital incident report
narratives. … https://psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
The … utility of routine incident reporting data is limited by the voluntary nature of these data, lack of … This analysis of
traditional paper-based incident reports from two hospitals sought to classify the
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psnet.ahrq.gov/node/47075/psn-pdf
November 21, 2018 - Integrating systemic accident analysis into patient safety
incident investigation practices. … Integrating systemic accident analysis into patient safety incident
investigation practices. … https://psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation … https://psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices … https://psnet.ahrq.gov/issue/integrating-systemic-accident-analysis-patient-safety-incident-investigation-practices
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psnet.ahrq.gov/node/40378/psn-pdf
June 01, 2024 - Organisation Patient Safety Incident Reports. … 18, 2018
National Patient Safety Agency
https://psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports … June 2024, Learn from patient safety events (LFPSE) service replaced
the Organisation Patient Safety Incident … https://psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports
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psnet.ahrq.gov/node/867226/psn-pdf
December 04, 2024 - The nature of the response to airway management
incident reports in high income countries: a scoping … The nature of the response to airway management incident reports in high
income countries: a scoping … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review … https://psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review
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psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
March 23, 2011 - Study
Cultural and associated enablers of, and barriers to, adverse incident reporting … Cultural and associated enablers of, and barriers to, adverse incident reporting. … Cultural and associated enablers of, and barriers to, adverse incident reporting. … June 14, 2011
Attitudes toward the large-scale implementation of an incident reporting … June 29, 2011
Implementation of a patient safety incident management system as viewed
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psnet.ahrq.gov/node/74014/psn-pdf
October 27, 2021 - Adopting system models for multiple incident analysis:
utility and usability. … Adopting systems models for multiple incident analysis: utility and usability. … https://psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability … and Systems Engineering Initiative for Patient Safety (SEIPS) – to better understand patient
safety incident … https://psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability
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psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
October 12, 2016 - Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident … October 12, 2016
Harms from discharge to primary care: mixed methods analysis of incident … September 26, 2018
Nature of blame in patient safety incident reports: mixed methods
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psnet.ahrq.gov/node/861763/psn-pdf
January 31, 2024 - The process and perspective of serious incident
investigations in adult community mental health services … The process and perspective of serious incident investigations in
adult community mental health services … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community- … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health … https://psnet.ahrq.gov/issue/process-and-perspective-serious-incident-investigations-adult-community-mental-health
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psnet.ahrq.gov/node/855098/psn-pdf
November 08, 2023 - Innovative approaches to analysing aged care falls
incident data: International Classification for Patient … Innovative approaches to analysing aged care falls incident
data: international classification for patient … https://psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international … https://psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification … https://psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification
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psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - Using a national database of patient safety incident reports in the United Kingdom, this study characterized … Over 1,100 incident reports were identified; nearly half resulted in some degree of harm but most (39% … October 12, 2016
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 … September 26, 2018
Nature of blame in patient safety incident reports: mixed methods
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psnet.ahrq.gov/node/61049/psn-pdf
January 01, 2021 - The effects of hospital-physician financial integration on
adverse incident rate: an agency theory perspective … The effects of hospital-physician financial
integration on adverse incident rate: an agency theory perspective … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory … https://psnet.ahrq.gov/issue/effects-hospital-physician-financial-integration-adverse-incident-rate-agency-theory
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psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
August 03, 2022 - Voluntary incident reports are critical to identifying adverse events, but reading through the text … This study found that a machine learning approach to electronically analyze incident reports successfully … The authors conclude that it is feasible to apply automated text analysis to incident reports to categorize … May 4, 2022
View More
Related Resources
Incident reporting systems … April 12, 2011
Incident reporting in one UK accident and emergency department.
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psnet.ahrq.gov/node/44861/psn-pdf
February 17, 2016 - Voluntary medical incident reporting tool to improve
physician reporting of medical errors in an emergency … Voluntary medical incident reporting tool to improve physician
reporting of medical errors in an emergency … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical … -
errors
After introducing a web-based voluntary incident reporting system in an academic emergency … A prior PSNet perspective
discussed incident reporting systems and the importance of not only increasing
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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? … https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety- … systematic-literature
This systematic review found little evidence that incident reporting systems performed … Although incident reporting systems did help enhance
processes of care, there was no evidence that even … The limitations of incident reporting were discussed in a previous PSNet perspective.
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psnet.ahrq.gov/node/36734/psn-pdf
March 10, 2011 - Integrating incident reporting into an electronic patient
record system. … Integrating incident reporting into an electronic patient record
system. … https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system
This cohort … study, conducted in an Australian hospital, reports on the implementation of an incident
reporting … psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
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psnet.ahrq.gov/node/47257/psn-pdf
September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting
Tool increases psychiatrist participation … The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases
Psychiatrist Participation … Incident reporting systems are widely implemented in health care systems, but they are often underutilized … This institution implemented a psychiatry-specific incident reporting tool. … Researchers found
that physicians submitted more incident reports but there was no significant change
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psnet.ahrq.gov/node/46475/psn-pdf
April 16, 2018 - Incident reporting behaviours following the Francis
report: a cross-sectional survey. … Incident reporting behaviours following the Francis report: A cross-sectional survey. … https://psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey … In this mixed-methods study across 11 hospitals in England, researchers
surveyed physicians on incident … reporting and found that incident reporting still requires improvement.
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psnet.ahrq.gov/node/73386/psn-pdf
June 16, 2021 - Healthcare professionals' encounters with ethnic minority
patients: the critical incident approach. … Healthcare professionals’ encounters with ethnic minority patients: the
critical incident approach. … https://psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident … https://psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach … https://psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach
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psnet.ahrq.gov/node/838185/psn-pdf
September 28, 2022 - How to mitigate the effects of cognitive biases during
patient safety incident investigations. … How to mitigate the effects of cognitive biases during patient
safety incident investigations. … https://psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-
investigations … https://psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations … https://psnet.ahrq.gov/issue/how-mitigate-effects-cognitive-biases-during-patient-safety-incident-investigations
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psnet.ahrq.gov/node/60985/psn-pdf
October 07, 2020 - Rapid-cycle improvement during the COVID-19 pandemic:
using safety reports to inform incident command … Rapid-cycle improvement during the COVID-19 pandemic: using safety
reports to inform incident command … psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-
inform-incident-command … //psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command … //psnet.ahrq.gov/issue/rapid-cycle-improvement-during-covid-19-pandemic-using-safety-reports-inform-incident-command