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psnet.ahrq.gov/node/46197/psn-pdf
September 24, 2017 - Implementation and evaluation of a prototype consumer
reporting system for patient safety events. … Implementation and evaluation of a prototype consumer
reporting system for patient safety events. … https://psnet.ahrq.gov/issue/implementation-and-evaluation-prototype-consumer-reporting-system-patient … As with prior studies of patient safety reporting, not all reports were related to
a safety concern. … These results demonstrate the feasibility of implementing an incident reporting system for
patients
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psnet.ahrq.gov/node/43389/psn-pdf
July 30, 2014 - Simulation based adverse event reporting system:
development and feasibility. … Simulation Based Adverse Event Reporting System: Development and Feasibility. … https://psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility … This study introduced an online adverse event reporting system into simulation training for nursing … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/40065/psn-pdf
January 12, 2012 - Possible solutions for barriers in incident reporting by
residents. … Possible solutions for barriers in incident reporting by
residents. … focus groups of trainees to understand the perceived barriers to voluntary reporting,
which included … elements of a poor safety culture and onerous procedures for reporting. … /primer/reporting-patient-safety-events
https://psnet.ahrq.gov/primer/culture-safety
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psnet.ahrq.gov/node/42762/psn-pdf
November 27, 2013 - Motivational antecedents of incident reporting: evidence
from a survey of nurses and physicians. … Motivational antecedents of incident reporting: evidence from a survey
of nurses and physicians. … https://psnet.ahrq.gov/issue/motivational-antecedents-incident-reporting-evidence-survey-nurses-and- … physicians
This survey examined the barriers to incident reporting faced by nurses and physicians in … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/39863/psn-pdf
January 04, 2011 - Improving the quality of drug error reporting.
January 4, 2011
Armitage G, Newell R, Wright J. … Improving the quality of drug error reporting. … The authors make suggestions, based on error theory, to improve reporting systems to enhance the ease … of reporting and the quality of error reports. … https://psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
https://psnet.ahrq.gov/primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/36539/psn-pdf
March 03, 2011 - Sensitivity of routine system for reporting patient safety
incidents in an NHS hospital: retrospective … Sensitivity of routine system for reporting patient safety incidents
in an NHS hospital: retrospective … https://psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital … patient safety incidents and compared these results to data
from the hospital's voluntary incident reporting … This finding corroborates prior research in this area and suggests that incident reporting
systems are
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psnet.ahrq.gov/node/43878/psn-pdf
February 04, 2015 - Mandatory reporting of impaired medical practitioners:
protecting patients, supporting practitioners … Mandatory reporting of impaired medical practitioners: protecting
patients, supporting practitioners … https://psnet.ahrq.gov/issue/mandatory-reporting-impaired-medical-practitioners-protecting-patients- … Discussing the mandated reporting of impaired clinicians in the Australian
health care system, this … commentary suggests that efforts to improve reporting focus on identifying the root
causes of impairment
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psnet.ahrq.gov/node/36068/psn-pdf
September 28, 2010 - getting-doctors-report-medical-errors-project-disclose
This study describes the implementation of a reporting … paper-based tool that generated a 2.6-fold increase in
reports compared with traditional incident reporting … While barriers to physician reporting have been described previously, the authors advocate for
use of … A recent study described the use of a similar tool to improve physician
reporting in the surgical intensive … 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/38334/psn-pdf
January 14, 2009 - Adverse Events in Hospitals: State Reporting Systems.
January 14, 2009
Levinson DR. … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
The Tax Relief and Health … This related and simultaneously released report identifies and describes state reporting
systems and … https://psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
https://psnet.ahrq.gov/ … https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
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psnet.ahrq.gov/node/41066/psn-pdf
October 16, 2012 - Hospital Incident Reporting Systems Do Not Capture Most
Patient Harm. … https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
Incident … reporting systems are ubiquitous, but their effectiveness as a means of monitoring for patient
safety … The reasons for this lack of
reporting likely include confusion about which types of errors needed to … https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
https
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psnet.ahrq.gov/node/39625/psn-pdf
June 23, 2010 - Cultural and associated enablers of, and barriers to,
adverse incident reporting. … Cultural and associated enablers of, and barriers to,
adverse incident reporting. … https://psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting … Barriers to reporting were more culturally
embedded, such as poor workplace safety culture. … https://psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
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psnet.ahrq.gov/node/39963/psn-pdf
December 06, 2010 - Critical incident monitoring in paediatric and adult critical
care: from reporting to improved patient … Critical incident monitoring in paediatric and adult critical care: from reporting to
improved patient … https://psnet.ahrq.gov/issue/critical-incident-monitoring-paediatric-and-adult-critical-care-reporting … -
improved-patient
This review discusses critical incident reporting mechanisms and how system changes … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/40121/psn-pdf
August 01, 2011 - Increasing patient safety event reporting in 2 intensive
care units: A prospective interventional study … Increasing patient safety event reporting in 2 intensive care units: a
prospective interventional study … https://psnet.ahrq.gov/issue/increasing-patient-safety-event-reporting-2-intensive-care-units-prospective … -
interventional
A multifaceted intervention resulted in increased voluntary reporting of safety incidents … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/40519/psn-pdf
June 08, 2011 - A public health approach to patient safety reporting
systems is urgently needed. … A public health approach to patient safety reporting systems is urgently
needed. … https://psnet.ahrq.gov/issue/public-health-approach-patient-safety-reporting-systems-urgently-needed … Analyzing online patient safety reporting systems, this review suggests that applying a public health … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/39790/psn-pdf
March 21, 2017 - Integrating incident data from five reporting systems to
assess patient safety: making sense of the … Integrating incident data from five reporting systems to
assess patient safety: making sense of the … https://psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making … The investigators compared safety issues identified through traditional event
reporting, patient complaints … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/41964/psn-pdf
April 17, 2013 - Use of HIT for adverse event reporting in nursing homes:
barriers and facilitators. … Use of HIT for adverse event reporting in nursing homes: barriers and
facilitators. … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators … One such system for voluntarily reporting
medication errors has been successfully implemented in nursing … https://psnet.ahrq.gov/issue/use-hit-adverse-event-reporting-nursing-homes-barriers-and-facilitators
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psnet.ahrq.gov/node/39501/psn-pdf
January 03, 2017 - medication errors involving unfractionated and
low-molecular-weight heparin in three patient safety
reporting … This study reviewed reported heparin errors from three large patient safety reporting systems—MEDMARX … As this was the first study to combine three large sources of reporting data for a single
process, the … https://psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
https:/
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psnet.ahrq.gov/node/47286/psn-pdf
July 18, 2018 - ISMP National Vaccine Errors Reporting Program 2017
analysis—part 1 and part 2. … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program
https://psnet.ahrq.gov/issue … /vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000
https://
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psnet.ahrq.gov/node/45708/psn-pdf
October 31, 2017 - Development and preliminary testing of the Coordination
Process Error Reporting Tool (CPERT), a prospective … Development and Preliminary Testing of the Coordination Process Error
Reporting Tool (CPERT), a Prospective … https://psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool … -
cpert
Hospitals rely on incident reporting systems to detect safety issues, but these systems are … They found that this tool
helped uncover safety issues not captured by the hospital's patient safety reporting
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psnet.ahrq.gov/node/41364/psn-pdf
May 09, 2012 - Reflections on
incident reporting in a department of pediatric surgery. … Reflections on incident
reporting in a department of pediatric surgery. … https://psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department … -
pediatric
Analysis of data from a voluntary incident reporting system found that very few near misses … https://psnet.ahrq.gov/primer/reporting-patient-safety-events