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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.
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psnet.ahrq.gov/node/46522/psn-pdf
October 29, 2017 - Public reporting of surgical outcomes: surgeons,
hospitals, or both?
October 29, 2017
Jha AK. … Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? … https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
Public reporting … This commentary argues that reporting outcomes at the individual, rather than organizational,
level … https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both
https://psnet.ahrq.gov
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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
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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
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psnet.ahrq.gov/node/34866/psn-pdf
February 03, 2011 - Error reporting and disclosure systems: views from
hospital leaders. … Error reporting and disclosure systems: views from hospital
leaders. JAMA. 2005;293(11):1359-66. … https://psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders
In order … to better understand the opinions and experiences of hospital leaders with mandatory state
reporting … https://psnet.ahrq.gov/issue/error-reporting-and-disclosure-systems-views-hospital-leaders
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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
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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
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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
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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:
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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
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psnet.ahrq.gov/node/35866/psn-pdf
July 22, 2010 - Reporting near-miss events in nursing homes.
July 22, 2010
Wagner LM, Capezuti E, Ouslander JG. … Reporting near-miss events in nursing homes. … https://psnet.ahrq.gov/issue/reporting-near-miss-events-nursing-homes
The authors discuss the value … of near-miss reporting within the long-term care environment and
recommend strategies for implementing … reporting systems.
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psnet.ahrq.gov/node/35967/psn-pdf
January 02, 2017 - Physician perception of hospital safety and barriers to
incident reporting. … Physician perception of hospital safety and barriers to incident reporting. … https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
The … events and ways to increase reporting. … https://psnet.ahrq.gov/issue/physician-perception-hospital-safety-and-barriers-incident-reporting
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psnet.ahrq.gov/node/37985/psn-pdf
July 14, 2010 - Incident reporting in surgical trainees-revisited. … Incident Reporting in Surgical Trainees-Revisited. … https://psnet.ahrq.gov/issue/incident-reporting-surgical-trainees-revisited
The majority of physicians … in this UK study felt that incident reporting was of limited utility, primarily
because they did not … receive feedback after reporting an incident.
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psnet.ahrq.gov/node/40981/psn-pdf
December 18, 2014 - Improving reporting of outpatient pediatric medical
errors. … Improving Reporting of Outpatient Pediatric Medical Errors. … https://psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
This study describes … the implementation of a voluntary reporting system that allowed a multidisciplinary
team to evaluate … /primer/reporting-patient-safety-events
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psnet.ahrq.gov/node/35513/psn-pdf
February 22, 2010 - Utility of an online medication-error-reporting system. … Utility of an online medication-error-reporting system. … https://psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
The investigators surveyed … error reporting after implementation of the program. … https://psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
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psnet.ahrq.gov/node/43894/psn-pdf
February 25, 2015 - The impact of a standardized incident reporting system in
the perioperative setting: a single center … The impact of a standardized incident reporting
system in the perioperative setting: a single center … https://psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single … https://psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
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psnet.ahrq.gov/node/35645/psn-pdf
February 24, 2011 - Voluntary electronic reporting of medical errors and
adverse events. … Voluntary electronic reporting of medical errors and adverse events. … https://psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
This descriptive … The
authors report that nurses were the most frequent users of the electronic reporting systems, whereas … https://psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
https:/
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psnet.ahrq.gov/node/45069/psn-pdf
June 01, 2016 - The effects of power, leadership and psychological safety
on resident event reporting. … The effects of power, leadership and psychological safety on
resident event reporting. … https://psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting … to report events, highlighting the importance of an overall culture of safety in encouraging error
reporting … https://psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting
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psnet.ahrq.gov/node/45195/psn-pdf
September 14, 2016 - Adverse drug event reporting systems: a systematic
review. … Adverse drug event reporting systems: a systematic review. … https://psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
Adverse drug events … Reporting ADEs is a crucial aspect of drug safety monitoring programs and
international reporting standards … This study analyzed 108 ADE reporting systems and found
significant variability in the data fields used
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psnet.ahrq.gov/node/36761/psn-pdf
August 09, 2011 - Strategies to increase reporting of near misses and
adverse events.
August 9, 2011
Conerly C. … Strategies to increase reporting of near misses and adverse events. … https://psnet.ahrq.gov/issue/strategies-increase-reporting-near-misses-and-adverse-events
The author … describes one hospital's campaign to encourage reporting of near misses and adverse events
by acknowledging … staff for reporting such events.