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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
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psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
November 02, 2022 - Study
Suicide as an incident of severe patient harm: a retrospective cohort study … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide … Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide … March 31, 2021
Learning from incident reporting? … October 14, 2020
How incident reporting systems can stimulate social and participative
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psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
August 17, 2022 - Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … September 7, 2022
Descriptive analysis of patient misidentification from incident report … February 16, 2022
Learning from incident reporting?
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psnet.ahrq.gov/node/38570/psn-pdf
April 22, 2009 - Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
Incident reporting … Of note, physicians were less likely to report surgical complications
compared to other incident types … https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
https://psnet.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/mcc/pathak-r01grant.pdf
November 30, 2015 - and a few have also
investigated the incidence of depression, the "temporal relationship" between
incident … MDD and incident HF is undetermined and under-studied. … Main Objective
Investigate the temporal
relationship between MDD
and HF to understand
whether incident … MDD is a
risk factor for incident HF, a
consequence of incident HF,
and/or a comorbid factor
that
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psnet.ahrq.gov/node/44043/psn-pdf
September 20, 2017 - Incident learning in pursuit of high reliability:
implementing a comprehensive, low-threshold reporting … Incident learning in pursuit of high reliability: implementing a
comprehensive, low-threshold reporting … https://psnet.ahrq.gov/issue/incident-learning-pursuit-high-reliability-implementing-comprehensive-low … -
threshold-reporting
This study describes the experience of an incident learning program in a radiation … https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/60256/psn-pdf
April 22, 2020 - A critical review: moral injury in nurses in the aftermath of
a patient safety incident. … A critical review: moral injury in nurses in the aftermath of a patient safety
incident. … https://psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
This … provides a critical review of the literature about moral injury observed in nurses after a patient
safety incident … https://psnet.ahrq.gov/issue/critical-review-moral-injury-nurses-aftermath-patient-safety-incident
https
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psnet.ahrq.gov/node/73418/psn-pdf
June 23, 2021 - Evaluation of older persons' medications: a critical
incident technique study exploring healthcare … Evaluation of older persons’ medications: a critical incident technique
study exploring healthcare professionals … https://psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study- … https://psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare … https://psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare
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psnet.ahrq.gov/node/764399/psn-pdf
March 02, 2022 - Show me the money, I'll show you my complications:
impacts of incentivized incident self-reporting among … Show me the money, I'll show you my complications: impacts of
incentivized incident self-reporting among … https://psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident … https://psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting … https://psnet.ahrq.gov/issue/show-me-money-ill-show-you-my-complications-impacts-incentivized-incident-self-reporting
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psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
February 16, 2011 - Study
Physician perception of hospital safety and barriers to incident reporting. … Physician perception of hospital safety and barriers to incident reporting. … Physician perception of hospital safety and barriers to incident reporting. … July 26, 2011
Design and implementation of an ICU incident registry.
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psnet.ahrq.gov/node/38434/psn-pdf
June 15, 2011 - Trends in healthcare incident reporting and relationship
to safety and quality data in acute hospitals … Trends in healthcare incident reporting and relationship to
safety and quality data in acute hospitals … -
acute-hospitals
Incident reporting systems are an important method for capturing, analyzing, and … However, using the number of incident reports filed as a metric of safety is
not a proven relationship … This
study examined hospital-based incident reports to the United Kingdom's National Patient Safety
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psnet.ahrq.gov/node/853238/psn-pdf
September 06, 2023 - Potentially inappropriate medication use is associated
with increased risk of incident disability in … Potentially inappropriate medication use is associated with
increased risk of incident disability in … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability … https://psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability
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psnet.ahrq.gov/node/854631/psn-pdf
October 18, 2023 - Patient safety culture: effects on errors, incident
reporting, and patient safety grade. … Patient safety culture: effects on errors, incident reporting, and
patient safety grade. … https://psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade … between the
dimensions of safety culture and four outcomes: making an error, witnessing an error, incident … https://psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade
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psnet.ahrq.gov/node/38026/psn-pdf
March 21, 2017 - /psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
Hospital incident … Prior research has documented that physicians, in particular, do not file incident
reports. … This evaluation of more than 260,000 incident reports from a broad cross-section of hospitals
examined … links between the severity of the incident and who reported the incident. … A successful intervention to improve physician
incident reporting was described in a prior study.
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psnet.ahrq.gov/node/38595/psn-pdf
June 15, 2011 - Implementation of a patient safety incident management
system as viewed by doctors, nurses and allied … Implementation of a patient safety incident management system
as viewed by doctors, nurses and allied … https://psnet.ahrq.gov/issue/implementation-patient-safety-incident-management-system-viewed-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.
-
psnet.ahrq.gov/node/74109/psn-pdf
November 24, 2021 - Patient and caregiver factors in ambulatory incident
reports: a mixed-methods analysis. … Patient and caregiver factors in ambulatory incident reports: a
mixed-methods analysis. … https://psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods- … https://psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis … https://psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis