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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38489/psn-pdf
    November 25, 2009 - Evaluation of the contributions of an electronic web- based reporting system: enabling action. … Evaluation of the contributions of an electronic web-based reporting system: enabling action. … https://psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling- … action The limitations of standard incident reporting systems have been well documented.  … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44902/psn-pdf
    February 24, 2016 - Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned … Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned … https://psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences … https://psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36734/psn-pdf
    March 10, 2011 - Integrating incident reporting into an electronic patient record system. … Integrating incident reporting into an electronic patient record system. … study, conducted in an Australian hospital, reports on the implementation of an incident reporting … As prior research has shown that incident reporting systems suffer from low physician reporting rates … psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38934/psn-pdf
    June 28, 2011 - Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning … Medication errors: how reliable are the severity ratings reported to the national reporting and learning … - and-learning Assessment of the severity of medication errors reported to the National Reporting and … Learning System (the United Kingdom's voluntary incident reporting system) varied widely depending … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43744/psn-pdf
    December 03, 2014 - Mobile physician reporting of clinically significant events—a novel way to improve handoff communication … Mobile physician reporting of clinically significant events-a novel way to improve handoff communication … https://psnet.ahrq.gov/issue/mobile-physician-reporting-clinically-significant-events-novel-way-improve … - handoff Engaging physicians in voluntary safety reporting has generally been challenging. … ://psnet.ahrq.gov/primer/reporting-patient-safety-events
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45868/psn-pdf
    January 31, 2018 - Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events … Increasing Trainee Reporting of Adverse Events With Monthly Trainee- Directed Review of Adverse Events … https://psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review … The authors conclude that trainee-led adverse event review conferences can increase event reporting. … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44797/psn-pdf
    March 15, 2016 - Incident and error reporting systems in intensive care: a systematic review of the literature. … Incident and error reporting systems in intensive care: a systematic review of the literature. … https://psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review- … literature This systematic review found that incident reporting systems used in intensive care units … ://psnet.ahrq.gov/issue/problem-incident-reporting
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44737/psn-pdf
    December 16, 2015 - How effective are incident-reporting systems for improving patient safety? … https://psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety- … systematic-literature This systematic review found little evidence that incident reporting systems performed … Although incident reporting systems did help enhance processes of care, there was no evidence that even … The limitations of incident reporting were discussed in a previous PSNet perspective.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46560/psn-pdf
    January 24, 2019 - The hidden cost of regulation: the administrative cost of reporting serious reportable events. … The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. … Approximately 17% of the costs were attributed to the requirement for public reporting. … The authors contend that the costs of performing public reporting of serious adverse events should be … A past WebM&M commentary discussed unintended consequences of public reporting and interventions to
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38570/psn-pdf
    April 22, 2009 - Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care Incident reporting … This study surveyed nurses and physicians about their reporting practices and found that nurses were … https://psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care https://psnet.ahrq.gov
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43632/psn-pdf
    December 19, 2014 - A qualitative study of barriers to incident reporting among nurses working in nursing homes. … A qualitative study of barriers to incident reporting among nurses working in nursing homes. … https://psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45400/psn-pdf
    August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors- … Summarizing nearly 4 years of data submitted to the ISMP Vaccine Errors Reporting Program, this newsletter … -2000 https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program https://psnet.ahrq.gov … /issue/pediatric-vaccination-errors-application-5-rights-framework-national-error-reporting-database
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43769/psn-pdf
    December 17, 2014 - Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital … https://psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care … This method identified more errors than traditional incident reporting, as expected given the known … under-reporting in all voluntary safety reporting mechanisms studied.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41561/psn-pdf
    August 01, 2012 - Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. … https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting … It found that, even in states with required hospital reporting of adverse events, only about one in … Because few of the events were found in each hospital's incident reporting system, the investigators … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44532/psn-pdf
    December 21, 2018 - The problem with incident reporting. December 21, 2018 Macrae C. … The problem with incident reporting. … https://psnet.ahrq.gov/issue/problem-incident-reporting This commentary discusses weaknesses in health … https://psnet.ahrq.gov/issue/problem-incident-reporting https://psnet.ahrq.gov/primer/reporting-patient-safety-events … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45207/psn-pdf
    August 17, 2016 - Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … Unit-based incident reporting and root cause analysis: variation at three hospital unit types. … https://psnet.ahrq.gov/issue/unit-based-incident-reporting-and-root-cause-analysis-variation-three-hospital … - unit-types Incident reporting systems and root cause analyses remain the main mechanisms by which … These findings suggest that localized safety reporting systems might provide information that could
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43447/psn-pdf
    November 20, 2015 - Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives … Evaluating the effect of safety culture on error reporting: a comparison of managerial and staff perspectives … https://psnet.ahrq.gov/issue/evaluating-effect-safety-culture-error-reporting-comparison-managerial-and … - staff-perspectives Voluntary error reporting is a critical mechanism for identifying patient safety … Error feedback and organizational learning were most associated with perceptions of frequent error reporting
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44215/psn-pdf
    November 03, 2015 - Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000 … Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000 … https://psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers … - united-states-2000 Vaccination-related errors reported to the National Vaccine Adverse Event Reporting … /primer/reporting-patient-safety-events
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38434/psn-pdf
    June 15, 2011 - Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals … : results from the National Reporting and Learning System. … Trends in healthcare incident reporting and relationship to safety and quality data in acute hospitals … : results from the National Reporting and Learning System. … - acute-hospitals Incident reporting systems are an important method for capturing, analyzing, and
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39530/psn-pdf
    March 22, 2011 - Surgical adverse outcome reporting as part of routine clinical care. … Surgical adverse outcome reporting as part of routine clinical care. … https://psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care Voluntary … error reporting systems have traditionally been underutilized by physicians. … /primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ

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