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psnet.ahrq.gov/node/72473/psn-pdf
January 01, 2021 - Resilience vs. vulnerability: psychological safety and
reporting of near misses with varying proximity … Resilience vs. vulnerability: psychological safety and reporting of
near misses with varying proximity … https://psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses … The odds
of reporting near misses and events resulting in harm improved with increased psychological … educating health care workers to identify near misses and fostering psychological
safety can increase reporting
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psnet.ahrq.gov/node/838304/psn-pdf
October 12, 2022 - The effect of a system-level tiered huddle system on
reporting patient safety events: an interrupted … The effect of a system-level tiered huddle system on reporting patient
safety events: an interrupted … https://psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events … health system implemented a three-level THS in hospital and ambulatory
settings to increase event reporting … Based on an interrupted time series analysis, reporting increased for
total safety events, including
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psnet.ahrq.gov/node/865876/psn-pdf
May 15, 2024 - Systematic review on the frequency and quality of
reporting patient and public involvement in patient … Systematic review on the frequency and quality of reporting
patient and public involvement in patient … https://psnet.ahrq.gov/issue/systematic-review-frequency-and-quality-reporting-patient-and-public-
involvement-patient … The goal of this review was to examine the frequency and quality of PPI reporting
in patient safety … research using the Guidance for Reporting Involvement of Patients and the Public
(GRIPP2) checklist.
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psnet.ahrq.gov/node/860716/psn-pdf
January 17, 2024 - Nurses' perception of medication administration errors
and factors associated with their reporting in … Nurses’ perception of medication administration errors
and factors associated with their reporting in … psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated-
their-reporting … This study
of NICU nurses sought to ascertain reasons for MAE and reasons for not reporting MAE. … The most common reason
for not reporting MAE was leadership placing blame on the individual instead
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psnet.ahrq.gov/node/841148/psn-pdf
December 07, 2022 - How does workplace violence-reporting culture affect
workplace violence, nurse burnout, and patient … How does workplace violence-reporting culture affect Workplace
violence, nurse burnout, and patient … https://psnet.ahrq.gov/issue/how-does-workplace-violence-reporting-culture-affect-workplace-violence- … This study evaluated the effect of one of those recommendations, a WPV-reporting
culture, on nurses’ … As anticipated, WPV increased nurse burnout, but
unexpectedly, a strong WPV-reporting culture also increased
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psnet.ahrq.gov/node/60924/psn-pdf
September 16, 2020 - Avoid punitive approach to your safety event reporting,
September 16, 2020
Cheney C. … https://psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
A blameless approach … to error and near miss reporting is foundational to the success of the effort. … This
article discusses one organization’s persistent challenge with shifting reporting to align with … The author describes the importance of staff education and leadership to support the focus of
reporting
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psnet.ahrq.gov/node/73691/psn-pdf
September 08, 2021 - Pump up the volume: tips for increasing error reporting
and decreasing patient harm. … Error reporting is an essential contributor to system safety improvement. … This article examines weaknesses
in error reporting behaviors, characteristics of organizations and … The piece shares recommendations to enhance adverse event reporting to
support learning. … https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
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psnet.ahrq.gov/node/36013/psn-pdf
September 22, 2010 - A new safety event reporting system improves physician
reporting in the surgical intensive care unit … A new safety event reporting system improves physician reporting
in the surgical intensive care unit … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical- … the event reporting process. … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit
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psnet.ahrq.gov/node/856640/psn-pdf
November 29, 2023 - Research from webAIRS incident reporting system. … https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
Centralized de-identified reports … https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system
https://psnet.ahrq.gov/primer … /reporting-patient-safety-events
https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system … https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
https://psnet.ahrq.gov/web-mm
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psnet.ahrq.gov/node/74083/psn-pdf
November 17, 2021 - Novel telephone-based interactive voice response system
for incident reporting. … Novel telephone-based interactive voice response system for incident reporting. … https://psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting … Errors and near misses reported via incident reporting systems can highlight emerging patient safety … concerns; however, rates of reporting remain low.
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psnet.ahrq.gov/node/838082/psn-pdf
September 14, 2022 - Organizational factors that promote error reporting in
healthcare: a scoping review. … Organizational factors that promote error reporting in healthcare: a scoping
review. … https://psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review … and continuous
improvement processes) as well as organizational factors that serve as barriers to reporting … https://psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
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psnet.ahrq.gov/node/72501/psn-pdf
November 25, 2020 - Use of an audit with feedback implementation strategy to
promote medication error reporting by nurses … Use of an audit with feedback implementation strategy to
promote medication error reporting by nurses … https://psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-
reporting-nurses … Audit and feedback are key patient safety strategies intended to improve error reporting behavior. … this study found that audit with feedback did not
effectively influence voluntary medication error reporting
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psnet.ahrq.gov/node/43983/psn-pdf
February 05, 2016 - Near-miss transcription errors: a comparison of reporting
rates between a novel error-reporting mechanism … and a
current formal reporting system. … Near-miss transcription errors: a comparison of reporting rates
between a novel error-reporting mechanism … and a current formal reporting system. … As with prior studies of incident reporting systems, the formal reporting mechanism identified
fewer
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psnet.ahrq.gov/node/43419/psn-pdf
October 20, 2014 - Impact of a reengineered electronic error-reporting
system on medication event reporting and care process … Impact of a reengineered electronic error-reporting system on medication
event reporting and care process … reporting-and-care
Hospital incident reporting systems are ubiquitous, but many events remain unreported … This finding suggests that under-reporting of
medication errors via standard incident reporting mechanisms … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care
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psnet.ahrq.gov/node/47670/psn-pdf
March 20, 2019 - Targeting the fear of safety reporting on a unit level.
March 20, 2019
Copeland D. … Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. … https://psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
Blame culture in health care … settings hinders incident reporting and safety improvement. … https://psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
https://psnet.ahrq.gov/issue/
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psnet.ahrq.gov/node/44861/psn-pdf
February 17, 2016 - Voluntary medical incident reporting tool to improve
physician reporting of medical errors in an emergency … Voluntary medical incident reporting tool to improve physician
reporting of medical errors in an emergency … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors
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psnet.ahrq.gov/node/73917/psn-pdf
October 06, 2021 - Reporting of health information technology system-
related patient safety incidents: the effects of … Reporting of health information technology system-related
patient safety incidents: the effects of organizational … https://psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety- … Nurses were
surveyed about their experiences with non-reporting of health information technology (HIT … The authors suggest strengthening organizational culture may increase reporting.
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psnet.ahrq.gov/node/837764/psn-pdf
August 03, 2022 - Disparities in adverse event reporting for hospitalized
children. … Disparities in adverse event reporting for hospitalized children. … https://psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children
Voluntary event … reporting (VER) systems are required in most hospitals, but their effectiveness is limited if
adverse … /primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems
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psnet.ahrq.gov/node/836713/psn-pdf
March 09, 2022 - Benefits of reporting and analyzing nursing students'
near-miss medication incidents. … Benefits of reporting and analyzing nursing students' near-miss
medication incidents. … https://psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication- … incidents
Reporting medication errors and near misses should be taught to prelicensure nursing students … This quality improvement project focused on the near-miss
medication error reporting by student nurses
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psnet.ahrq.gov/node/45960/psn-pdf
January 01, 2021 - Informing the design of a new pragmatic registry to
stimulate near miss reporting in ambulatory care … Informing the Design of a New Pragmatic Registry to Stimulate Near
Miss Reporting in Ambulatory Care … https://psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting- … https://psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care … https://psnet.ahrq.gov/issue/informing-design-new-pragmatic-registry-stimulate-near-miss-reporting-ambulatory-care