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  1. 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.
  2. 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
  3. 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
  4. 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
  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/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
  7. 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.
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41692/psn-pdf
    September 19, 2012 - Quality-related event learning in community pharmacies: manual versus computerized reporting processes … Quality-related event learning in community pharmacies: Manual versus computerized reporting processes … psnet.ahrq.gov/issue/quality-related-event-learning-community-pharmacies-manual-versus- computerized-reporting … Pharmacists in Canadian community pharmacies had a more positive opinion of a computerized error reporting … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41966/psn-pdf
    January 30, 2013 - Reasons for not reporting patient safety incidents in general practice: a qualitative study. … Reasons for not reporting patient safety incidents in general practice: a qualitative study. … https://psnet.ahrq.gov/issue/reasons-not-reporting-patient-safety-incidents-general-practice-qualitative … - study This study investigates underlying reasons for low rates of reporting patient safety incidents … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38026/psn-pdf
    March 21, 2017 - Does error and adverse event reporting by physicians and nurses differ? … Does error and adverse event reporting by physicians and nurses differ? … https://psnet.ahrq.gov/issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ Hospital … incident reporting systems are ubiquitous but limited, as their voluntary nature results in many events … A successful intervention to improve physician incident reporting was described in a prior study.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39459/psn-pdf
    March 23, 2011 - Impact of system-level activities and reporting design on the number of incident reports for patient … Impact of system-level activities and reporting design on the number of incident reports for patient … https://psnet.ahrq.gov/issue/impact-system-level-activities-and-reporting-design-number-incident-reports … associated with increased usage of incident reporting systems in this Japanese study. … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37399/psn-pdf
    March 28, 2012 - Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment … for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report … Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment … for reporting errors, knowledge of the nursing practice act, and demographics on intent to report errors … - environment This survey examined factors influencing nurses' willingness to use incident reporting

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