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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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:/
  3. Psn-Pdf (pdf file)

    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
  4. psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
    September 01, 2011 - But the biggest limitation for incident reporting is not the incident reporting itself; it's the actual … 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.
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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://
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38766/psn-pdf
    November 14, 2011 - Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health … Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health … https://psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies … - primary-health-care Laboratory technicians reported very low usage of incident reporting systems, … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38454/psn-pdf
    January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … https://psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident- reporting-two-hospitals … Incident reporting (IR) systems serve as an important mechanism to understand, analyze, and potentially … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41336/psn-pdf
    May 02, 2012 - Human factors–focused reporting system for improving care quality and safety in hospital wards. … Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. … https://psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety … - hospital-wards This study reports on the development of an incident reporting system designed according … https://psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36224/psn-pdf
    October 19, 2010 - Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative … Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative … https://psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum … The investigators conducted a survey to inform the implementation of a nonpunitive medication error reporting … A comparison to post-initiative findings revealed that staff perception of reporting improved after
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42504/psn-pdf
    August 14, 2014 - The effect of an organizational network for patient safety on safety event reporting. … The effect of an organizational network for patient safety on safety event reporting. … https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting An … The largest uptick was seen in near miss reporting, which nearly doubled following the intervention. … https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting https
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39658/psn-pdf
    December 08, 2010 - Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care … Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care … https://psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting- paediatric-intensive-care … This Australian study found that voluntary error reporting and systematic, contemporaneous error detection … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37722/psn-pdf
    February 18, 2011 - Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate … Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate … https://psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing … - patient-safety An error reporting system linked to the electronic patient sign-out system significantly … increased error reporting rates by internal medicine residents.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44113/psn-pdf
    November 06, 2015 - Junior doctors' views on reporting concerns about patient safety: a qualitative study. … Junior doctors' views on reporting concerns about patient safety: a qualitative study. … https://psnet.ahrq.gov/issue/junior-doctors-views-reporting-concerns-about-patient-safety-qualitative-study … Junior doctors at a British hospital reported a willingness to help improve safety by reporting concerns … These included an overall lack of a culture of safety, a cumbersome reporting process, and insufficient
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43243/psn-pdf
    June 11, 2014 - Improved incident reporting following the implementation of a standardized emergency department peer … Improved incident reporting following the implementation of a standardized emergency department peer … https://psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized- emergency-department-peer … standardized feedback for incident reports in the emergency department resulted in increased voluntary reporting … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

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