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psnet.ahrq.gov/issue/implementation-patient-safety-incident-management-system-viewed-doctors-nurses-and-allied
March 23, 2011 - Study
Implementation of a patient safety incident management system as viewed by … Implementation of a patient safety incident management system as viewed by doctors, nurses and allied … Physicians had a more negative view of incident reporting systems and tended to use more narrow and … physician-centric descriptors when reporting an incident. … Implementation of a patient safety incident management system as viewed by doctors, nurses and allied
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psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
December 23, 2020 - Study
Ten years of online incident reporting and learning using CPiRLS: implications … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety … Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety … August 19, 2020
The fusion of incident learning and failure mode and effects analysis … September 1, 2021
How incident reporting systems can stimulate social and participative
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_5_ADE_and_Near_Miss_Incident_Classification_Form.pdf
June 16, 2021 - DATAFORM 5 ADE and Near Miss Incident Classification Form
DATAFORM 5
ADE and Near Miss Incident … Classification of incident ____ 1. ADE
(Choose only one) 2. Near Miss
3. … Definitely not preventable
Page 1 of 3
6/6/05
Dataform 5: ADE and Near Miss Incident Classification … Pre printed template
Page 2 of 3
6/6/05
Dataform 5: ADE and Near Miss Incident Classification … DATAFORM 5
ADE and Near Miss Incident Classification Form
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
June 16, 2021 - AmbulDATAFORM 4 ADE Incident Identification Formatory Pedi Med Study
DATAFORM 4
ADE Incident … Page 1 of 7
Center of Excellence for Patient Safety Research and Practice 5/27/05
Dataform 4: ADE Incident … Was this incident due to a medication ____ 1. … Page 2 of 7
Center of Excellence for Patient Safety Research and Practice 5/27/05
Dataform 4: ADE Incident … Identification Form Version 0.8
DATAFORM 4
ADE Incident Identification Form
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psnet.ahrq.gov/issue/contribution-nurses-incident-disclosure-narrative-review
March 15, 2016 - Review
The contribution of nurses to incident disclosure: a narrative review. … The contribution of nurses to incident disclosure: a narrative review. … This systematic review found that nurses regularly support patients and physicians during safety incident … The contribution of nurses to incident disclosure: a narrative review. … Patients' and family members' views on how clinicians enact and how they should enact incident
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psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
August 17, 2005 - Study
Voluntary incident reporting by anaesthetic trainees in an Australian hospital … Voluntary incident reporting by anaesthetic trainees in an Australian hospital. … The authors assessed residents' incident reporting using personal digital assistants (PDAs) and found … Voluntary incident reporting by anaesthetic trainees in an Australian hospital. … October 5, 2011
Implementation of a patient safety incident management system as viewed
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/integrating
January 01, 2023 - Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant … Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant … Integrating incident data from …
Principal Investigator
Bates, David
Project Name
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psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety
November 17, 2021 - Study
The fusion of incident learning and failure mode and effects analysis for data-driven … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … The authors propose a method which leverages a radiation oncology incident learning system with a simplified … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … March 8, 2023
Content analysis of patient safety incident reports for older adult patient
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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-reporting-one-uk-accident-and-emergency-department
December 12, 2012 - Study
Incident reporting in one UK accident and emergency department. … Incident reporting in one UK accident and emergency department. … The investigators analyzed incident reporting data from 1 year to inform recommendations for ensuring … Incident reporting in one UK accident and emergency department. … December 1, 2021
Incident reporting systems: what will it take to make them less frustrating
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psnet.ahrq.gov/issue/integrating-incident-reporting-electronic-patient-record-system
June 08, 2010 - Study
Integrating incident reporting into an electronic patient record system. … Integrating incident reporting into an electronic patient record system. … This cohort study, conducted in an Australian hospital, reports on the implementation of an incident … , integration of incident reporting into routine electronic documentation may help increase physician … Integrating incident reporting into an electronic patient record system.
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psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
May 24, 2012 - Commentary
Establishing a global learning community for incident-reporting systems … Establishing a global learning community for incident-reporting systems. … together an international group of error reporting experts in order to develop a learning community for incident … advantages and challenges of current reporting systems, this article proposes guidelines for maximizing incident … Establishing a global learning community for incident-reporting systems.
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psnet.ahrq.gov/issue/characterising-nature-primary-care-patient-safety-incident-reports-england-and-wales-national
December 16, 2015 - Book/Report
Characterising the nature of primary care patient safety incident reports … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National … Management and analysis of incident reporting data must be enhanced in order to realize the potential … able to categorize the types of incidents and prioritize system improvements needed to optimize incident … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National
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psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
December 06, 2023 - Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident … Incident reports provide valuable learning opportunities at individual, team, and organizational levels … This study used incident reports involving anticoagulant medication errors to demonstrate the effectiveness … Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident
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psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and-physicians
March 11, 2013 - Study
Motivational antecedents of incident reporting: evidence from a survey of nurses … Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. … This survey examined the barriers to incident reporting faced by nurses and physicians in Switzerland … Motivational antecedents of incident reporting: evidence from a survey of nurses and physicians. … June 17, 2014
What to do with healthcare incident reporting systems.
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psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
September 10, 2014 - Study
Improved incident reporting following the implementation of a standardized … Improved incident reporting following the implementation of a standardized emergency department peer … The institution of a non-punitive peer review process with standardized feedback for incident reports … Improved incident reporting following the implementation of a standardized emergency department peer … February 27, 2019
Integrating incident data from five reporting systems to assess patient
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psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient
October 27, 2010 - Study
A web-based incident reporting system and multidisciplinary collaborative projects … A web-based incident reporting system and multidisciplinary collaborative projects for patient safety … The investigators observed the effects of a voluntary and anonymous Web-based incident reporting system … A web-based incident reporting system and multidisciplinary collaborative projects for patient safety … January 6, 2010
A comparative analysis of incident reporting lag times in academic medical
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psnet.ahrq.gov/issue/adopting-system-models-multiple-incident-analysis-utility-and-usability
May 19, 2021 - Study
Adopting system models for multiple incident analysis: utility and usability … Adopting systems models for multiple incident analysis: utility and usability. … and Systems Engineering Initiative for Patient Safety (SEIPS) – to better understand patient safety incident … Adopting systems models for multiple incident analysis: utility and usability. … methods of detecting medication errors: a secondary analysis of medication administration errors using 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/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