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psnet.ahrq.gov/node/73086/psn-pdf
January 01, 2022 - Barriers to incident reporting among nurses: a qualitative
systematic review.
March 31, 2021
Hamed MMM, Konstantinidis S. Barriers to incident reporting among nurses: a qualitative systematic
review. West J Nurs Res. 2022;44(5):506-523. doi:10.1177/0193945921999449.
https://psnet.ahrq.gov/issue/barriers-incident-r…
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psnet.ahrq.gov/node/36734/psn-pdf
March 10, 2011 - Integrating incident reporting into an electronic patient
record system.
March 10, 2011
Haller G, Myles PS, Stoelwinder J, et al. Integrating incident reporting into an electronic patient record
system. J Am Med Inform Assoc. 2007;14(2):175-81.
https://psnet.ahrq.gov/issue/integrating-incident-reporting-electronic…
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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.
April 16, 2018
Archer G, Colhoun A. Incident reporting behaviours following the Francis report: A cross-sectional survey. J
Eval Clin Pract. 2017;24(2). doi:10.1111/jep.12849.
https://psnet.ahrq.gov/issue/incident-reporting-behav…
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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 in reporting
adverse events.
September 26, 2018
Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases
Psychiatrist Participation in Reporting Adverse Events. J Pa…
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psnet.ahrq.gov/node/44737/psn-pdf
December 16, 2015 - How effective are incident-reporting systems for
improving patient safety? A systematic literature review.
December 16, 2015
Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;93(4):826-866.
https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-
systematic-literature
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - Critical incident studies in anesthesia
have found that around 80 percent of reported incidents involve … assessment and giving feedback; only if
video recordings are available; to
debrief/discuss critical incidents … Errors, incidents
and accidents in anaesthetic practice. An analysis of
2,000 incident reports. … Anesthesia crisis
resource management training: teaching
anesthesiologists to handle critical incidents
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
January 01, 2004 - The issues discussed included what types of incidents were of
concern (e.g., any spontaneous mention … personnel includes a clearly defined chain of responsibility,” “follow-up
procedures are defined,” and “incidents … incident 2.4 3.5
A documentation form is individually created by the
site/program
3.2 2.875
Incidents … are documented in the progress note 5 4.625
Incidents are documented in a computer system designed
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www.ahrq.gov/sites/default/files/2024-12/li-report.pdf
January 01, 2024 - mistakes 72.4±25.3 -- --
Domain 6: handoffs 70.8±26.6 -- --
Domain 7: feedback & communication about incidents … 4.496 .083
Domain 6: handoffs 8.306 .002 9.907 <.000
Domain 7: feedback and
communication about incidents … handoffs 0.98 (0.95, 1.02) [0.330] 1.00 (0.96, 1.03) [0.749] 0.810
7: feedback and
communication about
incidents … Mistakes 1.0164 0.6864
Domain 6: Handoffs 1.0907 0.0305*
Domain 7: Feedback and Communication about Incidents
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiii.html
June 01, 2010 - Human Services
Use history: In 2005 the Division created an automated system for reporting unusual incidents … the Division created two annual reports with statistics on the aggregate data collected on types of incidents … Using: South Dakota
Psychometric Testing: Not specified
Summary: The Division monitors unusual incidents … on an ongoing basis by collecting data on incidents of unplanned medical attention sought, law enforcement
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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: results from
the National Reporting and Learning System.
June 15, 2011
Hutchinson A, Young TA, Cooper KL, et al. Trends in healthcare incident reporting and relationship to
safety and quality data in acute hospi…
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psnet.ahrq.gov/node/73065/psn-pdf
March 24, 2021 - Implementing the clinical occurrence reporting and
learning system: a double-loop learning incident
reporting system in long-term care.
March 24, 2021
Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a
double-loop learning incident reporting system in long-term car…
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psnet.ahrq.gov/node/72856/psn-pdf
March 17, 2021 - The fusion of incident learning and failure mode and
effects analysis for data-driven patient safety
improvements.
March 17, 2021
Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and
effects analysis for data-driven patient safety improvements. Pract Radiat Oncol. 2020;1…
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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
program in a large, multisite radiation oncology
department.
September 20, 2017
Gabriel PE, Volz E, Bergendahl HW, et al. Incident learning in pursuit of high reliability: implementing a
comprehensive, low-thre…
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psnet.ahrq.gov/node/46867/psn-pdf
February 20, 2019 - Connecting perspectives on quality and safety: patient-
level linkage of incident, adverse event and complaint
data.
February 20, 2019
de Vos MS, Hamming JF, Chua-Hendriks JJC, et al. Connecting perspectives on quality and safety:
patient-level linkage of incident, adverse event and complaint data. BMJ Qual Saf. 2…
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psnet.ahrq.gov/node/46185/psn-pdf
August 20, 2018 - Incidence and trends of sepsis in US hospitals using
clinical vs claims data, 2009--2014.
August 20, 2018
Rhee C, Dantes RB, Epstein L, et al. Incidence and Trends of Sepsis in US Hospitals Using Clinical vs
Claims Data, 2009-2014. JAMA. 2017;318(13):1241-1249. doi:10.1001/jama.2017.13836.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/37849/psn-pdf
March 23, 2011 - The incidence and nature of in-hospital adverse events: a
systematic review.
March 23, 2011
de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse
events: a systematic review. Qual Saf Health Care. 2008;17(3):216-223. doi:10.1136/qshc.2007.023622.
https://psnet.ahrq.gov/is…
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psnet.ahrq.gov/node/38371/psn-pdf
January 28, 2009 - Continuous monitoring of adverse events: influence on
the quality of care and the incidence of errors in general
surgery.
January 28, 2009
Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care
and the incidence of errors in general surgery. World J Surg. 2009;33…
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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 health
professionals.
June 15, 2011
Travaglia J, Westbrook MT, Braithwaite J. Implementation of a patient safety incident management system
as viewed by doctors, nurses and allied health professionals. Health (Lon…
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psnet.ahrq.gov/node/36769/psn-pdf
June 15, 2011 - Using incident reporting to improve patient safety: a
conceptual model.
June 15, 2011
Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J
Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05.
https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-s…
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psnet.ahrq.gov/issue/adverse-events-rehabilitation-hospitals-national-incidence-among-medicare-beneficiaries
January 09, 2019 - Book/Report
Classic
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries.
Citation Text:
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. Levinson DR. Washington, DC: US Departmen…