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psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
October 13, 2018 - Commentary
Creating the web-based intensive care unit safety reporting system. … Creating the Web-based Intensive Care Unit Safety Reporting System. … This commentary discusses the development of an Intensive Care Unit Safety Reporting System (ICUSRS), … Creating the Web-based Intensive Care Unit Safety Reporting System. … incident reporting systems.
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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. … The authors conclude that voluntary reporting mechanisms will capture only a small fraction of ADEs and … using incident reporting systems will likely lead to significant bias when assessing quality of care … The incident reporting system does not detect adverse drug events: a problem for quality improvement.
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psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
August 02, 2010 - Study
Computer based medication error reporting: insights and implications. … Computer based medication error reporting: insights and implications. … medication error reports collected from a large children's medical center and concluded that error reporting … Computer based medication error reporting: insights and implications.
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psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ
February 24, 2011 - Study
Does error and adverse event reporting by physicians and nurses differ? … Does error and adverse event reporting by physicians and nurses differ? … Hospital incident reporting systems are ubiquitous but limited, as their voluntary nature results in … A successful intervention to improve physician incident reporting was described in a prior study . … Does error and adverse event reporting by physicians and nurses differ?
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psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role
March 28, 2012 - climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting … climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting … A frequent criticism of many voluntary error reporting systems is that they are cumbersome and not … May 11, 2016
How event reporting by US hospitals has changed from 2005 to 2009. … nurse reporting of medical errors.
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psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
March 21, 2017 - Study
Evaluation of the contributions of an electronic web-based reporting system … Evaluation of the contributions of an electronic web-based reporting system: enabling action. … The limitations of standard incident reporting systems have been well documented. … A prior article presented a framework for using incident reporting data to improve patient safety. … Evaluation of the contributions of an electronic web-based reporting system: enabling action.
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psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
April 21, 2010 - Study
How event reporting by US hospitals has changed from 2005 to 2009. … How event reporting by US hospitals has changed from 2005 to 2009. … All hospitals are required to maintain a voluntary error reporting system , and such systems serve an … Proposals for improving the utility of error reporting systems are advanced in a recent AHRQ WebM&M … How event reporting by US hospitals has changed from 2005 to 2009.
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psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
December 05, 2012 - Study
How to make medication error reporting systems work—factors associated with … How to make medication error reporting systems work--Factors associated with their successful development … The recommendations focused on the operating environment of error reporting systems—for example, taking … How to make medication error reporting systems work--Factors associated with their successful development … June 18, 2013
National and local medication error reporting systems—a survey of practices
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psnet.ahrq.gov/issue/harm-susceptibility-model-method-prioritise-risks-identified-patient-safety-reporting-systems
December 29, 2014 - The harm susceptibility model: a method to prioritise risks identified in patient safety reporting … The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems … Voluntary error reporting systems are ubiquitous in health care, but such incident reports often fail … The model was validated using data from the National Reporting and Learning System . … This model, once further validated, could greatly aid large organizations in using incident reporting
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psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
October 31, 2017 - Study
Internal reporting system to improve a pharmacy's medication distribution process … Internal reporting system to improve a pharmacy's medication distribution process. … The authors found that a departmental reporting system implemented in the pharmacy of a rural hospital … increased reporting of pharmacy errors and improved analysis of the medication distribution process. … Internal reporting system to improve a pharmacy's medication distribution process.
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psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part-2
December 27, 2018 - Newspaper/Magazine Article
ISMP National Vaccine Errors Reporting Program 2017 analysis—part … Citation Text:
ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. … December 14, 2016
Healthcare Practitioner’s Vaccine Error Reporting Form. … August 2, 2016
Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and … November 16, 2015
Vaccination errors reported to the Vaccine Adverse Event Reporting
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psnet.ahrq.gov/issue/developing-reporting-and-tracking-tool-nursing-student-errors-and-near-misses
September 21, 2009 - Commentary
Developing a reporting and tracking tool for nursing student errors and … Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. … Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. … May 1, 2013
Reporting of hazards and near-misses in the ambulatory care setting. … October 19, 2011
Strategies to increase reporting of near misses and adverse events.
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psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
August 02, 2011 - Study
Reporting and classification of patient safety events in a cardiothoracic intensive … The authors describe the successful implementation of an AHRQ-supported voluntary reporting system. … August 2, 2011
A new safety event reporting system improves physician reporting in the … April 30, 2014
Reporting and disclosing medical errors: pediatricians' attitudes and … October 28, 2010
Development of the ICU safety reporting system.
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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/cross-sectional-analysis-investigating-organizational-factors-influence-near-miss-error
September 25, 2013 - A cross-sectional analysis investigating organizational factors that influence near-miss error reporting … A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting … work environment, poor feedback about errors, and inadequate preventive processes affect near-miss reporting … A work culture in which individuals are blamed for errors was also tied to less near-miss reporting … A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting
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psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
September 20, 2011 - Book/Report
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. … Citation Text:
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. … The reasons for this lack of reporting likely include confusion about which types of errors needed to … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems. … January 14, 2009
Adverse Events in Hospitals: State Reporting Systems.
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psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders
June 16, 2010 - Study
Classic
Error reporting and disclosure systems: views … Error reporting and disclosure systems: views from hospital leaders. JAMA. 2005;293(11):1359-66. … Results demonstrated substantial concern about the impact of these systems on internal reporting systems … Error reporting and disclosure systems: views from hospital leaders. … Institutional Reporting
Patient Disclosure
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psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve-handoff
September 14, 2011 - Study
Mobile physician reporting of clinically significant events—a novel way to … Mobile physician reporting of clinically significant events-a novel way to improve handoff communication … Engaging physicians in voluntary safety reporting has generally been challenging. … significant events following the introduction of an easy-to-use mobile platform that combined event reporting … Mobile physician reporting of clinically significant events-a novel way to improve handoff communication
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psnet.ahrq.gov/issue/identifying-factors-influencing-clinicians-reporting-medication-errors-systematic-review-and
December 11, 2013 - Review
Identifying factors influencing clinicians' reporting of medication errors … Identifying factors influencing clinicians’ reporting of medication errors: a systematic review and qualitative … Error reporting plays an important role in preventing future errors and harm, but research has shown … Beliefs about consequences emerged as both a facilitator and barrier to reporting. … May 22, 2024
Perceptions of U.S. and U.K. incident reporting systems: a scoping review
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psnet.ahrq.gov/issue/understanding-attitudes-hospital-pharmacists-reporting-medication-incidents-qualitative-study
September 04, 2016 - Study
Understanding the attitudes of hospital pharmacists to reporting medication … Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative … identified a culture of low expectations among hospital pharmacists with regard to voluntary error reporting … Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative … September 9, 2011
Medication-error reporting and pharmacy resident experience during