-
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
-
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
-
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.
-
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
-
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:/
-
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
-
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
-
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
-
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
-
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.
-
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
-
psnet.ahrq.gov/node/41041/psn-pdf
April 06, 2012 - A spotlight on strategies for increasing safety reporting in
nursing education. … A spotlight on strategies for increasing safety reporting in nursing education. … https://psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education
This … promote reporting and improve safety. … https://psnet.ahrq.gov/issue/spotlight-strategies-increasing-safety-reporting-nursing-education
-
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.
-
psnet.ahrq.gov/node/35722/psn-pdf
March 28, 2011 - Attitudes and barriers to incident reporting: a
collaborative hospital study. … Attitudes and barriers to incident reporting: a collaborative hospital
study. … https://psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study … systems and barriers to reporting. … https://psnet.ahrq.gov/issue/attitudes-and-barriers-incident-reporting-collaborative-hospital-study
-
psnet.ahrq.gov/node/39151/psn-pdf
October 02, 2017 - The challenges to transparency in reporting medical
errors. … The Challenges to Transparency in Reporting Medical
Errors. … https://psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
This commentary discusses … policies and perceived barriers that influence health care providers' reporting
of medical errors. … https://psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
-
psnet.ahrq.gov/node/38585/psn-pdf
April 30, 2014 - Development of an online morbidity, mortality, and near-
miss reporting system to identify patterns … Development of an online morbidity, mortality, and near-miss
reporting system to identify patterns of … https://psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system- … Incident reporting systems are a different mechanism to learn about
adverse events (AEs) and potentially … https://psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
-
psnet.ahrq.gov/node/37910/psn-pdf
February 28, 2011 - Public reporting of antibiotic timing in patients with
pneumonia: lessons from a flawed performance … Public reporting of antibiotic timing in patients with pneumonia:
lessons from a flawed performance … https://psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-
performance-measure … Efforts to improve the quality and safety of care are being driven in part by a growing focus on public
reporting … This commentary shares the potential for the unintended consequences of reporting on flawed
performance
-
psnet.ahrq.gov/node/41212/psn-pdf
March 14, 2012 - A comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complaints … A comprehensive overview of medical error in hospitals
using incident-reporting systems, patient complaints … https://psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting- … Comparing adverse events detected by the
hospital's voluntary incident reporting system, retrospective … https://psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
-
psnet.ahrq.gov/node/36644/psn-pdf
July 10, 2008 - Reporting and disclosing medical errors: pediatricians'
attitudes and behaviors. … Reporting and disclosing medical errors: pediatricians' attitudes
and behaviors. … https://psnet.ahrq.gov/issue/reporting-and-disclosing-medical-errors-pediatricians-attitudes-and-behaviors … Respondents expressed dissatisfaction with current means of reporting errors (eg, incident
reporting … https://psnet.ahrq.gov/issue/reporting-and-disclosing-medical-errors-pediatricians-attitudes-and-behaviors
-
psnet.ahrq.gov/node/36939/psn-pdf
September 09, 2011 - Internal reporting system to improve a pharmacy's
medication distribution process. … Internal reporting system to improve a pharmacy's
medication distribution process. … https://psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process … The authors found that a departmental reporting system implemented in the pharmacy of a rural hospital … increased reporting of pharmacy errors and improved analysis of the medication distribution process