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psnet.ahrq.gov/node/40691/psn-pdf
November 07, 2011 - Do we know what foundation year doctors think about
patient safety incident reporting? Development of a web
based tool to assess attitude and knowledge.
November 7, 2011
Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety
incident reporting? Development of a Web b…
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psnet.ahrq.gov/node/46264/psn-pdf
August 09, 2017 - Intraoperative handoffs among anesthesia providers
increase the incidence of documentation errors for
controlled drugs.
August 9, 2017
Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the
Incidence of Documentation Errors for Controlled Drugs. Jt Comm J Qual Patie…
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psnet.ahrq.gov/node/43093/psn-pdf
August 12, 2014 - Identifying systems failures in the pathway to a
catastrophic event: an analysis of national incident report
data relating to vinca alkaloids.
August 12, 2014
Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic
event: an analysis of national incident report data…
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psnet.ahrq.gov/node/46176/psn-pdf
October 04, 2017 - Incidence and severity of prescribing errors in parenteral
nutrition for pediatric inpatients at a neonatal and
pediatric intensive care unit.
October 4, 2017
Hermanspann T, Schoberer M, Robel-Tillig E, et al. Incidence and Severity of Prescribing Errors in
Parenteral Nutrition for Pediatric Inpatients at a Neonat…
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psnet.ahrq.gov/node/44664/psn-pdf
May 30, 2016 - Ventilator-related adverse events: a taxonomy and
findings from 3 incident reporting systems.
May 30, 2016
Pham JC, Williams TL, Sparnon EM, et al. Ventilator-Related Adverse Events: A Taxonomy and Findings
From 3 Incident Reporting Systems. Respir Care. 2016;61(5):621-31. doi:10.4187/respcare.04151.
https://psnet…
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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.
April 22, 2020
Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety
incident. J Nurs Scholarsh. 2020;52(3):320-328. doi:10.1111/jnu.12551.
https://psnet.ahrq.gov/issue/…
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psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
June 16, 2021 - Study
Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'
Citation Text:
Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…
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psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
March 10, 2021 - Commentary
Enhancing safety culture through improved incident reporting: a case study in translational research.
Citation Text:
Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwoo…
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psnet.ahrq.gov/issue/hospital-reporting-deaths-related-restraint-and-seclusion
September 20, 2006 - Book/Report
Hospital Reporting of Deaths Related to Restraint and Seclusion.
Citation Text:
Hospital Reporting of Deaths Related to Restraint and Seclusion. Levinson DR. Washington DC: Office of the Inspector General; September 2006. OEI-09-04-00350
Copy Citation
…
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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
professionals' experiences and actions.
June 23, 2021
Holmqvist M, Thor J, Ros A, et al. Evaluation of older persons’ medications: a critical incident technique
study exploring healthcare professionals’ experiences a…
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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.
September 28, 2022
Rogers JE, Hilgers TR, Keebler JR, et al. How to mitigate the effects of cognitive biases during patient
safety incident investigations. Jt Comm J Qual Patient Saf. 2022;48(11):612-616.
doi:10.1016/j.j…
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psnet.ahrq.gov/node/44397/psn-pdf
September 30, 2015 - Incidence- versus prevalence-based measures of
inappropriate prescribing in the Veterans Health
Administration.
September 30, 2015
Lund BC, Carrel M, Gellad WF, et al. Incidence- Versus Prevalence-Based Measures of Inappropriate
Prescribing in the Veterans Health Administration. J Am Geriatr Soc. 2015;63(8):1601-7…
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psnet.ahrq.gov/node/74109/psn-pdf
November 24, 2021 - Patient and caregiver factors in ambulatory incident
reports: a mixed-methods analysis.
November 24, 2021
Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a
mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/bmjoq-2021-001421.
https://psne…
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psnet.ahrq.gov/node/34893/psn-pdf
February 26, 2009 - The incidence of adverse drug events in two large
academic long-term care facilities.
February 26, 2009
Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term
care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018.
https://psnet.ahrq.gov/issue/i…
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psnet.ahrq.gov/node/861763/psn-pdf
January 31, 2024 - The process and perspective of serious incident
investigations in adult community mental health services:
integrative review and synthesis.
January 31, 2024
Haylor H, Sparkes T, Armitage G, et al. The process and perspective of serious incident investigations in
adult community mental health services: integrative …
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psnet.ahrq.gov/node/855098/psn-pdf
November 08, 2023 - Innovative approaches to analysing aged care falls
incident data: International Classification for Patient
Safety and correspondence analysis.
November 8, 2023
Seaman K, Meulenbroeks I, Nguyen A, et al. Innovative approaches to analysing aged care falls incident
data: international classification for patient safet…
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psnet.ahrq.gov/node/34705/psn-pdf
June 23, 2015 - Incidence and types of adverse events and negligent care
in Utah and Colorado.
June 23, 2015
Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in
Utah and Colorado. Med Care. 2000;38(3):261-71.
https://psnet.ahrq.gov/issue/incidence-and-types-adverse-events-and-neg…
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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
surgeons.
March 2, 2022
Cook-Richardson S, Addo A, Kim P, et al. Show me the money, I'll show you my complications: impacts of
incentivized incident self-reporting among surgeons. J Surg Res. 2022;274:136-144.
…
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psnet.ahrq.gov/node/43632/psn-pdf
December 19, 2014 - Should I report? A qualitative study of barriers to incident
reporting among nurses working in nursing homes.
December 19, 2014
Prang IW, Jelsness-Jørgensen L-P. Should I report? A qualitative study of barriers to incident reporting
among nurses working in nursing homes. Geriatr Nurs. 2014;35(6):441-447.
doi:10.10…
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psnet.ahrq.gov/node/73216/psn-pdf
May 05, 2021 - Incidence and variables associated with inconsistencies
in opioid prescribing at hospital discharge and its
associated adverse drug outcomes.
May 5, 2021
Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid
prescribing at hospital discharge and its associated adver…