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psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
March 14, 2022 - Study
Improving reporting of outpatient pediatric medical errors. … Improving Reporting of Outpatient Pediatric Medical Errors. … This study describes the implementation of a voluntary reporting system that allowed a multidisciplinary … Improving Reporting of Outpatient Pediatric Medical Errors. … October 19, 2012
Physicians' perceptions, preparedness for reporting, and experiences
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psnet.ahrq.gov/issue/frustrating-case-incident-reporting-systems
June 22, 2022 - Commentary
The frustrating case of incident-reporting systems. … The frustrating case of incident-reporting systems. … This commentary discusses the limitations of incident reporting systems and provides suggestions for … The frustrating case of incident-reporting systems. … November 2, 2022
Reporting of unsafe conditions at an academic women and children's hospital
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psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care
June 22, 2022 - Study
Improving medication error reporting in hospice care. … Improving medication error reporting in hospice care. … The intervention resulted in improved understanding of medication errors and increased error reporting … , incident reporting itself may not improve safety unless reported incidents are rigorously analyzed … Improving medication error reporting in hospice care.
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psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
March 23, 2022 - Study
Increasing physician reporting of diagnostic learning opportunities. … Increasing physician reporting of diagnostic learning opportunities. … This article describes a quality improvement intervention intended to improve physician reporting of … Increasing physician reporting of diagnostic learning opportunities. … March 5, 2010
Factors influencing incident reporting in surgical care.
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psnet.ahrq.gov/issue/critical-incident-reporting-system-emergency-medicine
August 07, 2019 - Review
Critical incident reporting system in emergency medicine. … Critical incident reporting system in emergency medicine. … This article explains how critical incident reporting systems and safety culture can help ensure … Critical incident reporting system in emergency medicine. … May 22, 2019
Barriers to self-reporting patient safety incidents by paramedics: a mixed
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psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
March 10, 2021 - Review
Adverse event reporting priorities: an integrative review. … Adverse event reporting priorities: an integrative review. … Adverse event reporting is foundational to improving patient safety, but many events go unreported. … Adverse event reporting priorities: an integrative review. … : exploring the challenges to reporting poor quality of care among trainee medical staff.
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psnet.ahrq.gov/issue/sociocultural-factors-influencing-incident-reporting-among-physicians-and-nurses
May 18, 2016 - Study
Sociocultural factors influencing incident reporting among physicians and nurses … : understanding frames underlying self- and peer-reporting practices. … Sociocultural Factors Influencing Incident Reporting Among Physicians and Nurses: Understanding Frames … Underlying Self- and Peer-Reporting Practices. … Underlying Self- and Peer-Reporting Practices.
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psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
May 05, 2021 - Study
Implementing the clinical occurrence reporting and learning system: a double-loop … learning incident reporting system in long-term care. … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … A qualitative study of barriers to incident reporting among nurses working in nursing homes.
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - Study
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and … incidents from the nation’s largest event reporting database. … Citation Text:
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious … events and incidents from the nation’s largest event reporting database. … : an analysis of serious events and incidents from the nation’s largest event reporting database.
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psnet.ahrq.gov/issue/comments-common-formats-event-reporting-hospital-version-03-beta
September 06, 2011 - Measurement Tool/Indicator
Common Formats for Event Reporting. … Citation Text:
Common Formats for Event Reporting. National Quality Forum. … Cite
Citation
Citation Text:
Common Formats for Event Reporting … February 21, 2024
Focus on HARM (Harmonizing Accountability in Reporting and Monitoring … Care Executives and Administrators
Medicine
Epidemiology of Errors and Adverse Events
Error Reporting
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psnet.ahrq.gov/issue/development-icu-safety-reporting-system
May 27, 2011 - Study
Development of the ICU safety reporting system. … Citation Text:
Development of the ICU safety reporting system. … This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting system … The authors suggest that wide adoption of this type of reporting system, coordinated by a professional … August 4, 2010
Medical error identification, disclosure, and reporting: do emergency
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psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
June 23, 2010 - Study
Factors influencing perioperative nurses' error reporting preferences. … Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43. … The investigators found that perceived scope of practice greatly influenced reporting preference. … Factors influencing perioperative nurses' error reporting preferences. … June 5, 2019
Targeting the fear of safety reporting on a unit level.
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. … Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. … Patient safety reporting represents just one tool to promote patient safety. … Lessons learned from the evolution of mandatory adverse event reporting systems. … Advancing Patient Safety Through State Reporting Systems. PSNet [internet].
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psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
January 14, 2009 - Book/Report
Adverse Events in Hospitals: State Reporting Systems. … Citation Text:
Adverse Events in Hospitals: State Reporting Systems. Levinson DR. … This related and simultaneously released report identifies and describes state reporting systems and … The report concludes that as of January 2008, 26 states had reporting systems in place, 23 states used … September 20, 2011
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm
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psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
January 02, 2017 - Study
Toward learning from patient safety reporting systems. … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. … This study reports the initial findings from a voluntary, Web-based patient safety incident reporting … Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. … system with existing incident reporting systems.
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psnet.ahrq.gov/issue/improving-quality-drug-error-reporting
December 21, 2016 - Study
Improving the quality of drug error reporting. … 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. … Improving the quality of drug error reporting.
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psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
March 03, 2011 - Study
Factors influencing incident reporting in surgical care. … Factors influencing incident reporting in surgical care. … Incident reporting (IR) systems continue to consume tremendous energy for providers who submit incidents … This study surveyed nurses and physicians about their reporting practices and found that nurses were … Factors influencing incident reporting in surgical care.
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psnet.ahrq.gov/issue/reporting-near-miss-events-nursing-homes
January 24, 2018 - Commentary
Reporting near-miss events in nursing homes. … Reporting near-miss events in nursing homes. … The authors discuss the value of near-miss reporting within the long-term care environment and recommend … strategies for implementing reporting systems. … Reporting near-miss events in nursing homes.
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psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
July 19, 2023 - Commentary
The challenges to transparency in reporting medical errors. … The Challenges to Transparency in Reporting Medical Errors. … This commentary discusses policies and perceived barriers that influence health care providers' reporting … The authors suggest that a no-fault system would enable more transparency in reporting and disclosure … The Challenges to Transparency in Reporting Medical Errors.
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psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow
March 17, 2021 - in daily workflow increases adverse event reporting by physicians. … Adverse Event Reporting by Physicians. … , which resulted in a significant increase in AE reporting, likely due to decreased reporting burden. … Adverse Event Reporting by Physicians. … participation in adverse event reporting.