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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34646/psn-pdf
    July 01, 2015 - The attributes of medical event reporting systems. … The attributes of medical event-reporting systems: experience with a prototype medical event-reporting … to design, develop, and implement a medical event reporting system for transfusion medicine-related … The authors conclude that developing event-reporting systems can help organizations address systems … /reporting-patient-safety-events
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41288/psn-pdf
    April 22, 2012 - Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus … Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus … https://psnet.ahrq.gov/issue/identifying-understanding-and-overcoming-barriers-medication-error-reporting … - hospitals-focus Underutilization of voluntary error reporting systems can result in a skewed picture … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43750/psn-pdf
    June 21, 2015 - Using a quantitative risk register to promote learning from a patient safety reporting system. … Using a quantitative risk register to promote learning from a patient safety reporting system. … https://psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting … - system Incident reporting systems are a popular method for hospitals to detect patient safety hazards … https://psnet.ahrq.gov/issue/using-quantitative-risk-register-promote-learning-patient-safety-reporting-system
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42913/psn-pdf
    January 29, 2014 - What to do with healthcare incident reporting systems. … What to do with healthcare Incident Reporting Systems. … https://psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems Incident reporting systems … This review highlights limitations and strengths of incident reporting in safety improvement programs … /reporting-patient-safety-events https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41899/psn-pdf
    December 05, 2012 - National and local medication error reporting systems—a survey of practices in 16 countries. … National and local medication error reporting systems: a survey of practices in 16 countries. … https://psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16 … - countries This survey of 11 countries with either local or national medication error reporting systems … https://psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44445/psn-pdf
    September 16, 2015 - Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics … Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics … https://psnet.ahrq.gov/issue/understanding-nurses-and-physicians-fear-repercussions-reporting-errors- … clinician This survey examined predictors for fear of repercussions related to reporting adverse events … , suggesting that leaders should be the target of interventions to enhance reporting.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44584/psn-pdf
    March 15, 2016 - Barriers to implementing a reporting and learning patient safety system: pediatric chiropractic perspective … Barriers to Implementing a Reporting and Learning Patient Safety System: Pediatric Chiropractic Perspective … https://psnet.ahrq.gov/issue/barriers-implementing-reporting-and-learning-patient-safety-system-pediatric … and concerns about patients' responses were the most common barriers to participating in voluntary reporting … It is likely that this practitioner type must improve its safety culture in order for incident reporting
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44348/psn-pdf
    September 04, 2016 - Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory … Examining the attitudes of hospital pharmacists to reporting medication safety incidents using the theory … https://psnet.ahrq.gov/issue/examining-attitudes-hospital-pharmacists-reporting-medication-safety- incidents-using-theory … This study found that hospital pharmacist reporting of medication errors was influenced by behavioral … These results emphasize the need to bolster safety culture to enhance reporting of adverse events.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37981/psn-pdf
    June 16, 2011 - Nurses' perceptions of error communication and reporting in the intensive care unit. … Nurses' Perceptions of Error Communication and Reporting in the Intensive Care Unit. … https://psnet.ahrq.gov/issue/nurses-perceptions-error-communication-and-reporting-intensive-care-unit … Developing and promoting incident reporting systems is essential to ensuring a culture of safety.  … However, many barriers—real and perceived—prevent frontline clinicians from reporting errors. 
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40049/psn-pdf
    April 12, 2011 - Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS … Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System … psnet.ahrq.gov/issue/field-test-results-new-ambulatory-care-medication-error-and-adverse-drug- event-reporting … This study reports on the initial experience with an Internet-based voluntary reporting system for … The system was relatively easy to use, but some participants raised concerns about error reporting leading
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44647/psn-pdf
    November 18, 2015 - An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and … An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and … https://psnet.ahrq.gov/issue/organisation-without-memory-qualitative-study-hospital-staff-perceptions- reporting-and … public outcry over care standards at Mid Staffordshire NHS Foundation trust, barriers to incident reporting … This suggests that novel approaches to enhancing safety and reporting culture are needed.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43970/psn-pdf
    May 19, 2015 - Organisational reporting and learning systems: innovating inside and outside of the box. … Organisational reporting and learning systems: Innovating inside and outside of the box. … https://psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside … - box Incident reporting systems are a popular method for hospitals to detect patient safety hazards … https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44744/psn-pdf
    June 21, 2016 - Results from a quantitative analysis of the English National Reporting and Learning System data. … Results from a Quantitative Analysis of the English National Reporting and Learning System Data. … Incident reports provide one lens into patient safety, despite concerns about under-reporting. … In this study, investigators analyzed all incident reports from the national reporting system in the … A past PSNet perspective discussed incident reporting systems as tools for improving patient safety.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40795/psn-pdf
    March 04, 2015 - Patient safety event reporting in a large radiology department. … Patient Safety Event Reporting in a Large Radiology Department. … https://psnet.ahrq.gov/issue/patient-safety-event-reporting-large-radiology-department This commentary … describes how one hospital radiology department implemented a Web-based reporting system for adverse … /primer/reporting-patient-safety-events https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42812/psn-pdf
    August 02, 2016 - Healthcare Practitioner’s Vaccine Error Reporting Form. … https://psnet.ahrq.gov/issue/healthcare-practitioners-vaccine-error-reporting-form This form collects … data on errors and concerns associated with vaccines as part of a national reporting program tracking … /issue/first-annual-review-data-submitted-ismp-national-vaccine-errors-reporting-program-verp https:/ … https://psnet.ahrq.gov/issue/ismp-medication-errors-reporting-program
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38943/psn-pdf
    November 25, 2009 - Medical error reporting, patient safety, and the physician. … Medical Error Reporting, Patient Safety, and the Physician. … https://psnet.ahrq.gov/issue/medical-error-reporting-patient-safety-and-physician https://psnet.ahrq.gov … /issue/does-error-and-adverse-event-reporting-physicians-and-nurses-differ https://psnet.ahrq.gov/primer … /reporting-patient-safety-events https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36552/psn-pdf
    January 12, 2011 - Logo Toward learning from patient safety reporting systems. … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. … https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems This study reports the … initial findings from a voluntary, Web-based patient safety incident reporting system for intensive … that future research should study how to use incident reporting data to improve patient safety.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38693/psn-pdf
    June 15, 2011 - Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident … Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident … https://psnet.ahrq.gov/issue/specialty-based-voluntary-incident-reporting-neonatal-intensive-care- description … -4846 Incident reporting systems are one mechanism for hospitals to both identify and potentially prevent … -4846 https://psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45480/psn-pdf
    November 16, 2016 - Improving patient safety reporting with the common formats: common data representation for Patient Safety … Improving patient safety reporting with the common formats: Common data representation for Patient Safety … Centralized reporting of adverse events data is seen as a cornerstone to learning and safety improvement … https://psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system https://psnet.ahrq.gov … /primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/patient-safety-organization-pso-program
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44081/psn-pdf
    April 22, 2015 - Accuracy of harm scores entered into an event reporting system. … Accuracy of harm scores entered into an event reporting system. … https://psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system Voluntary event reporting … https://psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system https://psnet.ahrq.gov … /primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version

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