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psnet.ahrq.gov/issue/improved-patient-safety-reporting-system-increases-reports-disruptive-behavior-perioperative
October 15, 2014 - Study
An improved patient safety reporting system increases reports of disruptive … An improved patient safety reporting system increases reports of disruptive behavior in the perioperative … for positive reporting (e.g., teamwork, positive behavior) at a single academic medical center. … The upgraded system resulted in a significant increase in the quantity and length of event reporting. … , which may have led to an increase in event reporting overall.
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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/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/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/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/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/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/strategies-increase-reporting-near-misses-and-adverse-events
September 30, 2012 - Commentary
Strategies to increase reporting of near misses and adverse events. … Strategies to increase reporting of near misses and adverse events. … by acknowledging staff for reporting such events. … Strategies to increase reporting of near misses and adverse events. … January 20, 2021
Targeting the fear of safety reporting on a unit level.
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psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems
January 20, 2010 - Book/Report
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting … Citation Text:
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems … Because few of the events were found in each hospital's incident reporting system, the investigators … concluded that the low rate of reporting was likely due to hospital failure to identify events rather … February 18, 2009
Adverse Events in Hospitals: State Reporting Systems.
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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/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/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/data-consistency-voluntary-medical-incident-reporting-system
August 21, 2024 - Study
Data consistency in a voluntary medical incident reporting system. … Data consistency in a voluntary medical incident reporting system. … Data consistency in a voluntary medical incident reporting system. … quality data in acute hospitals: results from the National Reporting and Learning System. … June 23, 2010
Utility of an online medication-error-reporting system.
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psnet.ahrq.gov/issue/clear-liquids-may-place-patients-risk
May 19, 2021 - Pennsylvania Patient Safety Reporting System. … Pennsylvania Patient Safety Reporting System. … : an analysis of serious events and incidents from the nation’s largest event reporting database. … October 6, 2021
The effect of a system-level tiered huddle system on reporting patient … October 12, 2022
Comparison of a voluntary safety reporting system to a global trigger
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psnet.ahrq.gov/issue/implementing-standardized-reporting-and-safety-checklists
September 29, 2017 - Study
Implementing standardized reporting and safety checklists. … Cultivating quality: implementing standardized reporting and safety checklists. … Cultivating quality: implementing standardized reporting and safety checklists. … Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting
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psnet.ahrq.gov/issue/learning-excellence-healthcare-new-approach-incident-reporting
August 31, 2022 - Commentary
Learning from excellence in healthcare: a new approach to incident reporting … Learning from excellence in healthcare: a new approach to incident reporting. … Learning from excellence in healthcare: a new approach to incident reporting. … September 30, 2015
Exploration of prescribing error reporting across primary care: a … May 27, 2011
Creating the web-based intensive care unit safety reporting system.
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psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and
October 19, 2022 - From the school of nursing quality and safety officer: nursing students' use of safety reporting … From the school of nursing quality and safety officer: nursing students' use of safety reporting tools … From the school of nursing quality and safety officer: nursing students' use of safety reporting tools … July 2, 2014
Developing a reporting and tracking tool for nursing student errors and … January 19, 2014
Reporting of hazards and near-misses in the ambulatory care setting.
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psnet.ahrq.gov/node/33571/psn-pdf
March 15, 2025 - Reporting Patient Safety Events
March 15, 2025
Reporting Patient Safety Events. … Incident reporting is frequently used as a general term for all
voluntary patient safety event reporting … Characteristics of Incident Reporting Systems
An effective event reporting system should have four key … , a
nationwide voluntary event reporting system, and the MEDMARX voluntary medication error reporting … Failure to receive feedback after
reporting an event is a commonly cited barrier to event reporting
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psnet.ahrq.gov/node/867229/psn-pdf
January 01, 2025 - Feasibility of prospective error reporting in home
palliative care: a mixed methods study. … Feasibility of prospective error reporting in home palliative care: a
mixed methods study. … -
study
Error reporting and analysis is a mainstay of patient safety improvement, but voluntary reporting … High
levels of cognitive burden decreased the likelihood of reporting. … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill