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Showing results for "reporting".

401. 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

402. 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

403. 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

404. 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

405. 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

406. 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.

407. 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

408. 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

409. 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

410. 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

411. 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

412. 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.

413. 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

414. 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

415. 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

416. 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

417. 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

418. 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

419. 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

420. 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