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Showing results for "reporting".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45875/psn-pdf
     May 10, 2017 - An improvement approach to integrate teaching teams in the reporting of safety events. … An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. … https://psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events Despite … widespread implementation of incident reporting systems, events remain underreported by physicians. … https://psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events https

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47241/psn-pdf
     October 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. … Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. … https://psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses … A past PSNet perspective explored how to enhance incident reporting systems. … https://psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43014/psn-pdf
     March 12, 2014 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic … Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic … https://psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic … organizational, and societal factors that influence physicians' participation in disclosing errors and reporting … https://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/primer/reporting-patient-safety-events

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44003/psn-pdf
     June 17, 2015 - Effects of patient safety culture interventions on incident reporting in general practice: a cluster … Effects of patient safety culture interventions on incident reporting in general practice: a cluster … https://psnet.ahrq.gov/issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice … workshop and facilitated discussion around safety issues resulted in an increase in voluntary incident reporting … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/primer/reporting-patient-safety-events

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41870/psn-pdf
     December 12, 2012 - The social dimensions of safety incident reporting in maternity care: the influence of working relationships … The social dimensions of safety incident reporting in maternity care: the influence of working relationships … https://psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working … relationships This study used an ethnographic approach to analyze the process of voluntary error reporting … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36980/psn-pdf
     June 29, 2011 - Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals … Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals … https://psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two- … mortality at two Australian hospitals and found that more than half of deaths that met the coroner's reporting … Such under-reporting limits the ability to detect preventable deaths.

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34804/psn-pdf
     January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. … The incident reporting system does not detect adverse drug events: a problem for quality improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem- … The authors conclude that voluntary reporting mechanisms will capture only a small fraction of ADEs … and using incident reporting systems will likely lead to significant bias when assessing quality of

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44858/psn-pdf
     February 10, 2016 - Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … Situation awareness errors in anesthesia and critical care in 200 cases of a critical incident reporting … psnet.ahrq.gov/issue/situation-awareness-errors-anesthesia-and-critical-care-200-cases-critical- incident-reporting … This retrospective review of anesthesia and critical care cases in the German incident reporting system … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36952/psn-pdf
     September 09, 2011 - Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and … Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention … psnet.ahrq.gov/issue/reliability-evaluation-adapted-national-coordinating-council-medication-error- reporting-and … The investigators used the National Coordinating Council Medication Error Reporting and Prevention … https://psnet.ahrq.gov/issue/national-coordinating-council-medication-error-reporting-and-prevention

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46350/psn-pdf
     September 24, 2017 - Time for transparent standards in quality reporting by health care organizations. … Time for Transparent Standards in Quality Reporting by Health Care Organizations. … https://psnet.ahrq.gov/issue/time-transparent-standards-quality-reporting-health-care-organizations … This commentary suggests potential standards for hospitals to adopt for public reporting of their quality … data and advocates for an external entity that reports how hospitals adhere to public reporting of

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44062/psn-pdf
     September 09, 2015 - How to make medication error reporting systems work—factors associated with their successful development … How to make medication error reporting systems work-- Factors associated with their successful development … https://psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their … The recommendations focused on the operating environment of error reporting systems—for example, taking … https://psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful

412. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
     March 01, 2007 - Checking for biases in incident reporting. In: Phimister JR, Bier VM, Kunreuther HC. … To Improve Reporting, Pleading is Not Enough “It’s your professional duty.” … Allow for anonymous error reporting Strategies to Improve Incident Reporting Maintain a confidential … Successful Reporting Systems Neonatal intensive care incident reporting project sponsored by the Vermont … Voluntary anonymous reporting of medical errors for neonatal intensive care.

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44498/psn-pdf
     December 04, 2016 - State-mandated hospital infection reporting is not associated with decreased pediatric health care–associated … State-Mandated Hospital Infection Reporting Is Not Associated With Decreased Pediatric Health Care-Associated … https://psnet.ahrq.gov/issue/state-mandated-hospital-infection-reporting-not-associated-decreased- pediatric-health-care … Some states require public reporting of rates of central line–associated bloodstream infections (CLABSI … Investigators did not find differences in CLABSI rates between states with and without public reporting

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47397/psn-pdf
     January 09, 2019 - Using patient safety reporting systems to understand the clinical learning environment: a content analysis … Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning- environment-content … The results suggest that encouraging trainee reporting may shed light on surgical safety. … https://psnet.ahrq.gov/issue/using-patient-safety-reporting-systems-understand-clinical-learning-environment-content

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45142/psn-pdf
     November 18, 2016 - Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines … Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines … https://psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting … - excellence The SQUIRE guidelines were developed to improve reporting on research and initiatives … https://psnet.ahrq.gov/issue/explanation-and-elaboration-squire-standards-quality-improvement-reporting-excellence

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39298/psn-pdf
     June 11, 2010 - Medication error reporting in nursing homes: identifying targets for patient safety improvement. … Medication error reporting in nursing homes: identifying targets for patient safety improvement. … https://psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety … Analysis of medication error reports submitted to this Web-based error reporting system revealed that … https://psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40691/psn-pdf
     November 07, 2011 - Do we know what foundation year doctors think about patient safety incident reporting? … Do we know what foundation year doctors think about patient safety incident reporting? … /psnet.ahrq.gov/issue/do-we-know-what-foundation-year-doctors-think-about-patient-safety-incident- reporting … This survey found that while residents generally supported voluntary error reporting, a large proportion … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38172/psn-pdf
     October 29, 2008 - Levels of agreement on the grading, analysis and reporting of significant events by general practitioners … Levels of agreement on the grading, analysis and reporting of significant events by general practitioners … https://psnet.ahrq.gov/issue/levels-agreement-grading-analysis-and-reporting-significant-events-general … The authors point out the continuing challenges of engaging providers to use reporting systems, and … https://psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders https://psnet.ahrq.gov

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44555/psn-pdf
     October 07, 2015 - Learning without borders: a review of the implementation of medical error reporting in Médecins Sans … Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans … https://psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting- … medecins-sans An error reporting system was successfully implemented at 38 clinical sites in 18 countries … https://psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44628/psn-pdf
     September 12, 2016 - Rates of safety incident reporting in MRI in a large academic medical center. … Rates of safety incident reporting in MRI in a large academic medical center. … https://psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center This … Given known under-reporting in voluntary reporting systems, future work should incorporate other safety … https://psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center https: