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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73632/psn-pdf
    January 01, 2022 - I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting … I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting … a combination of branding, education and outreach, and feedback – to increase patient safety event reporting … The intervention led to increased event reporting in the short- and long-term. … https://psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850163/psn-pdf
    June 07, 2023 - Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report … Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report … https://psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members- … Reporting near-misses can help organizations learn and enact changes if necessary, but near-misses are … This study presents enablers and barriers to reporting near-misses.
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837768/psn-pdf
    August 03, 2022 - Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events … Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events … https://psnet.ahrq.gov/issue/comparison-voluntary-safety-reporting-system-global-trigger-tool-identifying … adverse-events Adverse events can be identified through multiple methods, including trigger tools and voluntary reporting … the Global Trigger Tool identified 79 AE in 88 oncology patients, compared to 21 in the voluntary reporting
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855431/psn-pdf
    January 01, 2024 - The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents … The benefits and opportunities: engaging patients in identifying and reporting patient safety incidents … https://psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient … This article highlights the advantages of including patients in patient safety event reporting, including … https://psnet.ahrq.gov/issue/benefits-and-opportunities-engaging-patients-identifying-and-reporting-patient-safety
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46294/psn-pdf
    October 29, 2017 - Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital … : targeted interventions to increase the rate of reporting. … : Targeted Interventions to Increase the Rate of Reporting. … The study team concluded that mandated reporting addresses underuse of incident reporting systems. … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73188/psn-pdf
    April 28, 2021 - Enhancing patient safety by integrating ethical dimensions to critical incident reporting systems. … Enhancing patient safety by integrating ethical dimensions to Critical Incident Reporting Systems. … ://psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident- reporting-systems … The authors suggest that integrating these dimensions into existing incident reporting system processes … https://psnet.ahrq.gov/issue/enhancing-patient-safety-integrating-ethical-dimensions-critical-incident-reporting-systems
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50553/psn-pdf
    October 16, 2019 - Impact of an electronic health record transition on chemotherapy error reporting October 16, 2019 … Impact of an electronic health record transition on chemotherapy error reporting. … https://psnet.ahrq.gov/issue/impact-electronic-health-record-transition-chemotherapy-error-reporting … This study evaluated trends in chemotherapy error reporting before and after EHR implementation. … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72546/psn-pdf
    December 09, 2020 - Learning from incident reporting? … Learning from incident reporting? … https://psnet.ahrq.gov/issue/learning-incident-reporting-analysis-incidents-resulting-patient-injuries-web … - based-system Incident reporting systems and root cause analyses are the primary mechanisms by which … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/primer/root-cause-analysis
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837414/psn-pdf
    January 01, 2023 - Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously … Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously … https://psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse … AEs) are currently defined and reported, the associated challenges, and proposes a new approach to reporting … A decision-tree to determine SAE/AE reporting based on the new proposed approach is presented.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852444/psn-pdf
    August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic … https://psnet.ahrq.gov/issue/comparing-rates-adverse-events-detected-incident-reporting-and-global- … difference in adverse events detected using the Global Trigger Tool compared to those detected via incident reporting … of adverse events detected using the Global Trigger Tool were also found in corresponding incident reporting
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39985/psn-pdf
    November 10, 2010 - Establishing a global learning community for incident- reporting systems. … Establishing a global learning community for incident-reporting systems. … experts in order to develop a learning community for incident reporting. … for maximizing incident reporting utility (based on a previously published framework). … //psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33717/psn-pdf
    September 01, 2011 - To do so, tremendous increases in reporting would be https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please … What types of events are priorities for reporting? … Reporting preventable events will advance safety more than reporting non-preventable ones. … Clinical incident reporting. In: Vincent C, ed. … Improving the reporting and analysis of incidents.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72601/psn-pdf
    January 01, 2021 - Increasing physician reporting of diagnostic learning opportunities. … Increasing physician reporting of diagnostic learning opportunities. … https://psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities Missed … This article describes a quality improvement intervention intended to improve physician reporting of … https://psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities https:/
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60323/psn-pdf
    May 13, 2020 - Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims … Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims … https://psnet.ahrq.gov/issue/artificial-intelligence-versus-clinicians-systematic-review-design-reporting … studies conducted in real- world settings; additionally, overall risk of bias was high and adherence to reporting … medicine must decrease risk of bias, increase relevance to real world clinical settings, and improve reporting
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73885/psn-pdf
    September 29, 2021 - Reporting of unsafe conditions at an academic women and children's hospital. … Reporting of unsafe conditions at an academic women and children's hospital. … https://psnet.ahrq.gov/issue/reporting-unsafe-conditions-academic-women-and-childrens-hospital Incident … reporting and analysis can lead to improvements in patient safety. … https://psnet.ahrq.gov/issue/reporting-unsafe-conditions-academic-women-and-childrens-hospital https:
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46146/psn-pdf
    June 07, 2017 - Increasing patient safety event reporting in an emergency medicine residency. … Increasing Patient Safety Event Reporting in an Emergency Medicine Residency. … Technical and psychological factors can affect adverse event reporting. … ://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35375/psn-pdf
    January 02, 2017 - Integrating the intensive care unit safety reporting system with existing incident reporting systems … Integrating the intensive care unit safety reporting system with existing incident reporting systems … - reporting-systems The authors describe the implementation of an AHRQ-funded external reporting system … https://psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems … https://psnet.ahrq.gov/issue/integrating-intensive-care-unit-safety-reporting-system-existing-incident-reporting-systems
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60669/psn-pdf
    July 08, 2020 - Participation in a system-thinking simulation experience changes adverse event reporting. … Participation in a system-thinking simulation experience changes adverse event reporting. … ://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event- reporting … This study found that improvements in systems thinking increase adverse event (AE) reporting patterns … https://psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42507/psn-pdf
    December 18, 2013 - Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors … Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors … https://psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42326/psn-pdf
    June 05, 2013 - Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors … Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors … https://psnet.ahrq.gov/issue/patient-safety-event-reporting-expectation-does-it-influence-residents- … ://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events

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