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psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors
October 21, 2020 - Study
Voluntary medical incident reporting tool to improve physician reporting of … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … After introducing a web-based voluntary incident reporting system in an academic emergency department … A prior PSNet perspective discussed incident reporting systems and the importance of not only increasing … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency
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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/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
December 29, 2014 - Study
Learning from patient safety incidents in incident review meetings: organisational … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … This observational study of incident report review meetings found that high workload, lack of organizational … Learning from patient safety incidents in incident review meetings: Organisational factors and indicators … Healthcare practitioners' views of the effectiveness of incident reporting.
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psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
August 28, 2013 - Study
Exploring health care professionals' perceptions of incidents and incident … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation … The limitations of standard incident reporting systems have been well documented . … This interview study investigated health care providers' perceptions of safety events and incident reporting … Exploring Health Care Professionals' Perceptions of Incidents and Incident Reporting in Rehabilitation
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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/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/efficacy-incident-reporting-system-cellular-pathology-practical-experience
August 21, 2024 - Study
Efficacy of an incident-reporting system in cellular pathology: a practical … Efficacy of an incident-reporting system in cellular pathology: a practical experience. … Efficacy of an incident-reporting system in cellular pathology: a practical experience. … impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident … February 15, 2010
Classifying laboratory incident reports to identify problems that jeopardize
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psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
June 15, 2024 - Commentary
Wrong site surgery: a critical incident analysis of a near miss. … Wrong site surgery: A critical incident analysis of a near miss. … Wrong site surgery: A critical incident analysis of a near miss.
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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/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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psnet.ahrq.gov/issue/analysis-critical-incident-reports-using-natural-language-processing
June 14, 2023 - Study
Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … Analysis of critical incident reports using natural language processing. … identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident
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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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www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/incident-reports.html
January 01, 2013 - Preventing Falls in Hospitals
Tool 5A: Information To Include in Incident Reports
Previous … References
Word Version [30.61 KB]
Background: The purpose of this tool is to audit incident … How to use this tool: Review your last 10 incident reports for falls and see whether the information … Information systems staff may also use this tool to develop or update electronic templates for submitting incident … Information To Include in Incident Reports
Examples of Information
Reason To Collect This Information
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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/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/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