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psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
March 23, 2011 - Study
Attitudes toward the large-scale implementation of an incident reporting system … Attitudes toward the large-scale implementation of an incident reporting system. … Nurses were more likely than physicians to utilize a new incident reporting system and were also more … Attitudes toward the large-scale implementation of an incident reporting system. … June 23, 2010
Review of the Australian Incident Monitoring System.
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psnet.ahrq.gov/issue/how-incident-reporting-systems-can-stimulate-social-and-participative-learning-mixed-methods
November 04, 2020 - Study
How incident reporting systems can stimulate social and participative learning … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … The authors identified five core areas related to incident reporting: (1) changed staff attitudes and … How incident reporting systems can stimulate social and participative learning: a mixed-methods study … March 31, 2021
Learning from incident reporting?
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psnet.ahrq.gov/issue/qualitative-content-analysis-framework-substantive-review-hospital-incident-reports
March 16, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident … Qualitative content analysis: a framework for the substantive review of hospital incident reports. … Effective incident reporting systems play an essential role in identifying and mitigating patient safety … content analysis can support incident analysis and help identify risk mitigation strategies, performance … Qualitative content analysis: a framework for the substantive review of hospital incident reports.
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psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
October 12, 2016 - Study
Nature of blame in patient safety incident reports: mixed methods analysis … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. … Poor safety culture has been identified as a barrier to incident reporting . … Researchers analyzed a sample of family practice patient safety incident reports from the England and … Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database.
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psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
February 14, 2018 - Study
International recommendations for national patient safety incident reporting … International recommendations for national patient safety incident reporting systems: an expert Delphi … Researchers interviewed experts to establish consensus on the role of patient safety incident reporting … Consistent with prior research , experts agreed that incident reporting systems should not be used to … International recommendations for national patient safety incident reporting systems: an expert Delphi
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psnet.ahrq.gov/issue/health-care-workers-experiences-workplace-incidents-posed-risk-patient-and-worker-injury
June 23, 2021 - workers' experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident … workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident … of organizational support for managing risks, individual closure, and providing support after an incident … Resources From the Same Author(s)
Evaluation of older persons' medications: a critical incident … September 19, 2016
Critical incident stress management (CISM) in complex systems: cultural
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psnet.ahrq.gov/issue/critical-incident-reviews-significant-adverse-event-reports-and-action-plans
June 26, 2019 - Government Resource
Critical Incident Reviews, Significant Adverse Event Reports … Citation Text:
Critical Incident Reviews, Significant Adverse Event Reports and Action Plans. … This report describes an investigation into a 5-year delay in action plans for critical incident reviews … Copy URL
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Critical Incident … patient safety problems associated with information technology in general practice: an analysis of incident
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psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
July 03, 2016 - priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting … In this mixed-methods study, researchers analyzed patient safety incident reports regarding patients … 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/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
June 15, 2011 - Study
Comparing process- and outcome-oriented approaches to voluntary incident reporting … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Incident reporting (IR) systems serve as an important mechanism to understand, analyze, and potentially … This study categorized more than 2200 incident reports into whether they described aberrant care processes … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals.
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psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
January 08, 2025 - Review
Patient safety incident reporting and learning guidelines implemented by health … Patient safety incident reporting and learning guidelines implemented by health care professionals in … Patient safety incident reporting and learning (PSIRL) systems are integral to ensuring patient safety … Patient safety incident reporting and learning guidelines implemented by health care professionals in … 22, 2024
Exploring the "Black Box" of recommendation generation in local health care incident
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effectivehealthcare.ahrq.gov/products/incident-user-design/research
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psnet.ahrq.gov/issue/accuracy-proprietary-large-language-model-labeling-obstetric-incident-reports
September 23, 2020 - Study
Accuracy of a proprietary large language model in labeling obstetric incident … Accuracy of a proprietary large language model in labeling obstetric incident reports. … Voluntary incident reporting is an important resource for identifying adverse events and near misses, … used the large language model (LLM) ChatGPT-3.5 in a secure environment to label a sample of obstetric incident … Accuracy of a proprietary large language model in labeling obstetric incident reports.
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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/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
April 28, 2021 - Study
Connecting perspectives on quality and safety: patient-level linkage of incident … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint … Safety events in hospitalized patients are captured in three ways: incident reports (process problems … Among Dutch surgical patients, the three methods captured unique problems, but patients with an incident … Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint
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psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
January 12, 2022 - Commentary
Enhancing patient safety by integrating ethical dimensions to critical incident … Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. … The authors suggest that integrating these dimensions into existing incident reporting system processes … Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. … GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident
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psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade
August 26, 2020 - Study
Patient safety culture: effects on errors, incident reporting, and patient … Patient safety culture: effects on errors, incident reporting, and patient safety grade. … Patient safety culture: effects on errors, incident reporting, and patient safety grade. … February 21, 2024
Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.
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psnet.ahrq.gov/issue/interventions-increase-clinical-incident-reporting-health-care
September 02, 2009 - Review
Interventions to increase clinical incident reporting in health care. … Interventions to increase clinical incident reporting in health care. … This systematic review examined the effectiveness of interventions to increase incident reporting by … Interventions to increase clinical incident reporting in health care. … June 18, 2014
What to do with healthcare incident reporting systems.
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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/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
February 10, 2011 - Study
Classic
Incident reporting system does not detect … The incident reporting system does not detect adverse drug events: a problem for quality improvement. … This study determined the rate with which adverse drug events (ADE) resulted in an incident report … The authors offer a plan to improve reporting systems and provide examples of how past incident reports … The incident reporting system does not detect adverse drug events: a problem for quality improvement.
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psnet.ahrq.gov/issue/psychological-impact-and-recovery-after-involvement-patient-safety-incident-repeated-measures
September 19, 2016 - Study
Psychological impact and recovery after involvement in a patient safety incident … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures … Investigators surveyed more than 900 clinicians involved in a patient safety incident across 33 Belgian … other findings, the study showed that supportive environments reduced the psychological impact of the incident … Psychological impact and recovery after involvement in a patient safety incident: a repeated measures