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psnet.ahrq.gov/node/47144/psn-pdf
June 13, 2018 - Canadian Anesthesia Incident Reporting System.
June 13, 2018
Canadian Anaesthesiologists Society.
https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. This website
provides a secure tool for submitting…
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psnet.ahrq.gov/node/37839/psn-pdf
April 22, 2011 - Incidence, severity and preventability of medication-
related visits to the emergency department: a prospective
study.
April 22, 2011
Zed PJ, Abu-Laban RB, Balen RM, et al. Incidence, severity and preventability of medication-related visits
to the emergency department: a prospective study. CMAJ. 2008;178(12):1563-…
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psnet.ahrq.gov/node/48152/psn-pdf
July 17, 2019 - Safety incident reports associated with blood
transfusions.
July 17, 2019
Vossoughi S, Perez G, Whitaker BI, et al. Safety incident reports associated with blood transfusions.
Transfusion (Paris). 2019;59(9):2827-2832. doi:10.1111/trf.15429.
https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-tra…
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psnet.ahrq.gov/node/41279/psn-pdf
September 19, 2016 - Medical error, incident investigation and the second
victim: doing better but feeling worse?
September 19, 2016
Wu AW, Steckelberg RC. Medical error, incident investigation and the second victim: doing better but
feeling worse? BMJ Qual Saf. 2012;21(4):267-70. doi:10.1136/bmjqs-2011-000605.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/40238/psn-pdf
February 23, 2011 - Feasibility of centre-based incident reporting in primary
healthcare: the SPIEGEL study.
February 23, 2011
Zwart DLM, Steerneman AHM, van Rensen ELJ, et al. Feasibility of centre-based incident reporting in
primary healthcare: the SPIEGEL study. BMJ Qual Saf. 2011;20(2):121-7.
doi:10.1136/bmjqs.2009.033472.
https…
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psnet.ahrq.gov/node/35585/psn-pdf
March 28, 2011 - Communication failures in patient sign-out and
suggestions for improvement: a critical incident analysis.
March 28, 2011
Arora VM, Johnson JK, Lovinger D, et al. Communication failures in patient sign-out and suggestions for
improvement: a critical incident analysis. Qual Saf Health Care. 2005;14(6):401-7.
https:/…
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psnet.ahrq.gov/node/33916/psn-pdf
December 22, 2014 - Training of Hospital Staff To Respond to a Mass Casualty
Incident. Summary, Evidence Report/Technology
Assessment.
December 22, 2014
Hsu EB, Jenckes MW, Catlett CL, et al. In: AHRQ Evidence Report Summaries. Rockville, MD: Agency for
Healthcare Research and Quality; 1998-2005. 95. AHRQ Publication No. 04-E015-1
h…
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psnet.ahrq.gov/node/42491/psn-pdf
September 18, 2013 - The incidence of diagnostic error in medicine.
September 18, 2013
Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27.
doi:10.1136/bmjqs-2012-001615.
https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
This review examines eight research methods used to es…
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psnet.ahrq.gov/node/39989/psn-pdf
December 21, 2014 - The incidence and cost of unexpected hospital use after
scheduled outpatient endoscopy.
December 21, 2014
Leffler DA, Kheraj R, Garud S, et al. The incidence and cost of unexpected hospital use after scheduled
outpatient endoscopy. Arch Intern Med. 2010;170(19):1752-7. doi:10.1001/archinternmed.2010.373.
https://p…
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psnet.ahrq.gov/issue/food-and-drug-administrations-national-drug-code-directory
February 15, 2017 - Government Resource
The Food and Drug Administration's National Drug Code Directory.
Citation Text:
The Food and Drug Administration's National Drug Code Directory. Levinson DR. Washington DC; Office of the Inspector General, US Department of Health and Human Services: August 2006. R…
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psnet.ahrq.gov/node/38413/psn-pdf
November 25, 2009 - Incidence of adverse drug events and medication errors
in intensive care units: a prospective multicenter study.
November 25, 2009
Benkirane RR, Abouqal R, R-Abouqal R, et al. Incidence of adverse drug events and medication errors in
intensive care units: a prospective multicenter study. J Patient Saf. 2009;5(1):16…
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psnet.ahrq.gov/node/38472/psn-pdf
March 11, 2009 - Feedback from incident reporting: information and action
to improve patient safety.
March 11, 2009
Benn J, Koutantji M, Wallace L, et al. Feedback from incident reporting: information and action to improve
patient safety. Qual Saf Health Care. 2009;18(1):11-21. doi:10.1136/qshc.2007.024166.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/35375/psn-pdf
January 02, 2017 - Integrating the intensive care unit safety reporting system
with existing incident reporting systems.
January 2, 2017
Thompson DA, Lubomski LH, Holzmueller CG, et al. Integrating the intensive care unit safety reporting
system with existing incident reporting systems. Jt Comm J Qual Patient Saf. 2005;31(10):585-93.…
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psnet.ahrq.gov/node/61036/psn-pdf
October 21, 2020 - Incidence of nosocomial COVID-19 in patients
hospitalized at a large US academic medical center.
October 21, 2020
Rhee C, Baker M, Vaidya V, et al. Incidence of nosocomial COVID-19 in patients hospitalized at a large US
academic medical center. JAMA Netw Open. 2020;3(9):e2020498-e.
doi:10.1001/jamanetworkopen.2020…
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psnet.ahrq.gov/node/72467/psn-pdf
November 18, 2020 - Higher incidence of adverse events in isolated patients
compared with non-isolated patients: a cohort study.
November 18, 2020
Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse
events in isolated patients compared with non-isolated patients: a cohort study. BMJ Open.…
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psnet.ahrq.gov/node/39997/psn-pdf
December 17, 2010 - Literature review: do rapid response systems reduce the
incidence of major adverse events in the deteriorating
ward patient?
December 17, 2010
Massey D, Aitken LM, Chaboyer W. Literature review: do rapid response systems reduce the incidence of
major adverse events in the deteriorating ward patient? J Clin Nurs. 2…
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psnet.ahrq.gov/node/38312/psn-pdf
March 09, 2010 - Which aspects of safety culture predict incident reporting
behavior in neonatal intensive care units? A multilevel
analysis.
March 9, 2010
Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting
behavior in neonatal intensive care units? A multilevel analysis. Crit C…
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psnet.ahrq.gov/node/74014/psn-pdf
October 27, 2021 - Adopting system models for multiple incident analysis:
utility and usability.
October 27, 2021
Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual
Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135.
https://psnet.ahrq.gov/issue/adopting-system-model…
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psnet.ahrq.gov/node/39623/psn-pdf
June 23, 2010 - Safety learning system development--incident reporting
component for family practice.
June 23, 2010
O'Beirne M, Sterling P, Reid R, et al. Safety learning system development--incident reporting component
for family practice. Qual Saf Health Care. 2010;19(3):252-7. doi:10.1136/qshc.2008.027748.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/41870/psn-pdf
December 12, 2012 - The social dimensions of safety incident reporting in
maternity care: the influence of working relationships and
group processes.
December 12, 2012
Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the
influence of working relationships and group processes. Soc…