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psnet.ahrq.gov/node/48176/psn-pdf
July 31, 2019 - Duration of second victim symptoms in the aftermath of a
patient safety incident and association with the level of
patient harm: a cross-sectional study in the Netherlands.
July 31, 2019
Vanhaecht K, Seys D, Schouten L, et al. Duration of second victim symptoms in the aftermath of a patient
safety incident and ass…
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psnet.ahrq.gov/node/39662/psn-pdf
April 30, 2014 - Patient record review of the incidence, consequences,
and causes of diagnostic adverse events.
April 30, 2014
Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes
of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21.
doi:10.1001/archinternmed.2010.…
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psnet.ahrq.gov/node/44305/psn-pdf
January 22, 2016 - National incidence of medication error in surgical patients
before and after Accreditation Council for Graduate
Medical Education duty-hour reform.
January 22, 2016
Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients
Before and After Accreditation Council for Gra…
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psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - The harm susceptibility model: a method to prioritise
risks identified in patient safety reporting systems.
October 30, 2010
Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks
identified in patient safety reporting systems. Qual Saf Health Care. 2010;19(5):440-5.
…
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psnet.ahrq.gov/node/45976/psn-pdf
December 21, 2017 - Incidence of clinically relevant medication errors in the
era of electronically prepopulated medication
reconciliation forms: a retrospective chart review.
December 21, 2017
Stockton KR, Wickham ME, Lai S, et al. Incidence of clinically relevant medication errors in the era of
electronically prepopulated medicatio…
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psnet.ahrq.gov/node/45684/psn-pdf
January 01, 2020 - A multilevel analysis of U.S. hospital patient safety
culture relationships with perceptions of voluntary event
reporting.
June 29, 2017
Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture
Relationships With Perceptions of Voluntary Event Reporting. J Patient Sa…
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psnet.ahrq.gov/node/47921/psn-pdf
June 18, 2019 - Using incident reports to assess communication failures
and patient outcomes.
June 18, 2019
Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and
Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2019.02.006.
https://psnet.ahrq.gov…
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psnet.ahrq.gov/node/40675/psn-pdf
November 28, 2016 - Patients' and family members' views on how clinicians
enact and how they should enact incident disclosure: the
"100 patient stories" qualitative study.
November 28, 2016
Iedema R, Allen S, Britton K, et al. Patients' and family members' views on how clinicians enact and how
they should enact incident disclosure: t…
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digital.ahrq.gov/sites/default/files/docs/resource/Dataform_4_ADE_Incident_Identification_Form.pdf
June 16, 2021 - AmbulDATAFORM 4 ADE Incident Identification Formatory Pedi Med Study
DATAFORM 4
ADE Incident Identification Form
1. Study ID Number: ___ ___-___ ___ ___ ___ ___
2. Case Number: ___ ___ ___ ____
3. Reviewer ID Number: ___ ___
4. Brief description of ADE: ____________________________…
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psnet.ahrq.gov/node/47984/psn-pdf
May 01, 2019 - Incidence of multiple sclerosis misdiagnosis in referrals
to two academic centers.
May 1, 2019
Kaisey M, Solomon AJ, Luu M, et al. Incidence of multiple sclerosis misdiagnosis in referrals to two
academic centers. Mult Scler Relat Disord. 2019;30:51-56. doi:10.1016/j.msard.2019.01.048.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/35876/psn-pdf
June 18, 2013 - External Inquiry into the adverse incident that occurred at
Queen's Medical Centre, Nottingham, 4th January 2001.
June 18, 2013
Toft B. London, UK; Crown Copyright: 2001.
https://psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-
4th-january-2001
This UK Department o…
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psnet.ahrq.gov/node/43826/psn-pdf
June 01, 2015 - Radiation Oncology Incident Learning System.
June 1, 2015
American Society for Radiation Oncology and American Association of Physicists in Medicine.
https://psnet.ahrq.gov/issue/radiation-oncology-incident-learning-system
Reporting of near misses and adverse events can provide a foundation for learning from error.…
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psnet.ahrq.gov/node/39845/psn-pdf
November 02, 2010 - Incidence of medication errors and adverse drug events
in the ICU: a systematic review.
November 2, 2010
Wilmer A, Louie K, Dodek P, et al. Incidence of medication errors and adverse drug events in the ICU: a
systematic review. Qual Saf Health Care. 2010;19(5):e7. doi:10.1136/qshc.2008.030783.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/72608/psn-pdf
December 23, 2020 - Incidence of Adverse Events in Indian Health Service
Hospitals.
December 23, 2020
Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530.
https://psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
Challenges beset safe care delivery for indigenous …
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psnet.ahrq.gov/node/44838/psn-pdf
February 10, 2016 - ADVERSE drug events: incidence and risk reduction
across the care continuum.
February 10, 2016
Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum.
Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03.
https://psnet.ahrq.gov/issue/adverse-drug-eve…
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psnet.ahrq.gov/node/42893/psn-pdf
March 13, 2014 - Effect of patient safety strategies on the incidence of
adverse events.
March 13, 2014
Sierra AF, del Aguila del MR, Espigares JLN, et al. Effect of patient safety strategies on the incidence of
adverse events. J Eval Clin Pract. 2014;20(2):184-90. doi:10.1111/jep.12105.
https://psnet.ahrq.gov/issue/effect-patient…
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psnet.ahrq.gov/node/45560/psn-pdf
October 19, 2016 - Learning from excellence in healthcare: a new approach
to incident reporting.
October 19, 2016
Kelly N, Blake S, Plunkett A. Learning from excellence in healthcare: a new approach to incident reporting.
Arch Dis Child. 2016;101(9):788-791. doi:10.1136/archdischild-2015-310021.
https://psnet.ahrq.gov/issue/learning…
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psnet.ahrq.gov/node/47634/psn-pdf
January 09, 2019 - Adverse Events in Long-Term-Care Hospitals: National
Incidence Among Medicare Beneficiaries.
January 9, 2019
Levinson DR. Adverse Events In Long-Term-Care Hospitals: National Incidence Among Medicare
Beneficiaries. Washington, DC: US Department of Health and Human Services, Office of the Inspector
General; 2018. R…
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psnet.ahrq.gov/issue/web-based-incident-reporting-system-and-multidisciplinary-collaborative-projects-patient
October 27, 2010 - Study
A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a Japanese hospital.
Citation Text:
Nakajima K, Kurata Y, Takeda H. A web-based incident reporting system and multidisciplinary collaborative projects for patient safety in a …
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psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
November 03, 2015 - Study
Automated identification of extreme-risk events in clinical incident reports.
Citation Text:
Ong M-S, Magrabi F, Coiera E. Automated identification of extreme-risk events in clinical incident reports. J Am Med Inform Assoc. 2012;19(e1):e110-8.
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