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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42889/psn-pdf
    January 22, 2014 - Public reporting of health care–associated surveillance data: recommendations from the Healthcare Infection … Public Reporting of Health Care–Associated Surveillance Data: Recommendations From the Healthcare Infection … https://psnet.ahrq.gov/issue/public-reporting-health-care-associated-surveillance-data-recommendations … - healthcare Public reporting of health care–associated infection rates serves as a key measure for … https://psnet.ahrq.gov/issue/public-reporting-health-care-associated-surveillance-data-recommendations-healthcare
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42233/psn-pdf
    May 01, 2013 - From the school of nursing quality and safety officer: nursing students' use of safety reporting tools … From the school of nursing quality and safety officer: nursing students' use of safety reporting tools … https://psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety- reporting-tools-and … https://psnet.ahrq.gov/issue/school-nursing-quality-and-safety-officer-nursing-students-use-safety-reporting-tools-and … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35344/psn-pdf
    March 11, 2011 - Creating the web-based intensive care unit safety reporting system.  … Creating the Web-based Intensive Care Unit Safety Reporting System. … https://psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system This commentary … discusses the development of an Intensive Care Unit Safety Reporting System (ICUSRS), an endeavor funded … The authors outline the context for improved reporting systems in intensive care units (ICUs), current
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43969/psn-pdf
    November 17, 2017 - Transparency when things go wrong: physician attitudes about reporting medical errors to patients, peers … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting- … Reporting errors to the institution and discussing incidents with peers are also recommended safety … Younger physicians were also more likely to support disclosure, suggesting that attitudes towards error reporting … https://psnet.ahrq.gov/issue/transparency-when-things-go-wrong-physician-attitudes-about-reporting-medical-errors-patients
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45562/psn-pdf
    October 12, 2016 - Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting … Characterising The Nature Of Primary Care Patient Safety Incident Reports In The England And Wales National Reporting … characterising-nature-primary-care-patient-safety-incident-reports-england- and-wales-national Management and analysis of incident reporting … data must be enhanced in order to realize the potential for learning and improvement from reporting … to categorize the types of incidents and prioritize system improvements needed to optimize incident reporting
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47727/psn-pdf
    January 23, 2019 - improving-resident-and-fellow-engagement-patient-safety-through-graduate- medical-education Voluntary reporting … This uncontrolled intervention study aimed to increase error reporting by residents and fellows by providing … incentives instead of the individual payments, and another commentary questions whether increased safety reporting … translates to safer care and urges caution in incentivizing event reporting. … https://psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm https
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44664/psn-pdf
    May 30, 2016 - Ventilator-related adverse events: a taxonomy and findings from 3 incident reporting systems. … Ventilator-Related Adverse Events: A Taxonomy and Findings From 3 Incident Reporting Systems. … https://psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting … group successfully developed a common taxonomy for evaluating adverse events from three different reporting … https://psnet.ahrq.gov/issue/ventilator-related-adverse-events-taxonomy-and-findings-3-incident-reporting-systems
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34982/psn-pdf
    July 14, 2010 - Development of the ICU safety reporting system. … https://psnet.ahrq.gov/issue/development-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 … https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system https://psnet.ahrq.gov//#nearmiss
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46691/psn-pdf
    December 06, 2017 - Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety … https://psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers … This report highlights weaknesses in the peer reporting processes of Veterans Affairs medical centers … and offers recommendations to improve the quality and timeliness of reporting to ensure safety of patients … https://psnet.ahrq.gov/issue/improved-policies-and-oversight-needed-reviewing-and-reporting-providers-quality-and-safety
  10. psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
    July 20, 2012 - National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP. … Copy URL April 15, 2015 National Coordinating Council for Medication Error Reporting … National Coordinating Council for Medication Error Reporting and Prevention; NCCMERP. … Resources From the Same Author(s) National Coordinating Council for Medication Error Reporting … Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - Advancing Patient Safety Through State Reporting Systems June 1, 2007 Rosenthal J. … Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007. … https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems Perspective … Patient safety reporting represents just one tool to promote patient safety. … Lessons learned from the evolution of mandatory adverse event reporting systems.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36699/psn-pdf
    March 28, 2011 - staff should use more than one method to detect adverse events and potential adverse events: incident reporting … staff should use more than one method to detect adverse events and potential adverse events: incident reporting … This prospective cohort study compared the rate of errors detected by incident reporting, pharmacy surveillance … Most adverse events were detected by record review, not by incident reporting; pharmacy surveillance … The failure of incident reporting systems to detect ADEs has been previously reported. 
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35165/psn-pdf
    June 23, 2009 - Error reporting as a preventive force. June 23, 2009 Simpson RL. … Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56. … https://psnet.ahrq.gov/issue/error-reporting-preventive-force This author highlights how error reporting … https://psnet.ahrq.gov/issue/error-reporting-preventive-force
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35884/psn-pdf
    April 26, 2006 - Patient Safety Reporting System. … https://psnet.ahrq.gov/issue/patient-safety-reporting-initiative This Web site supports the data collection … and educational initiatives associated with New Jersey's incident reporting program. … The site includes reporting forms, instructions, and a patient safety newsletter. … https://psnet.ahrq.gov/issue/patient-safety-reporting-initiative https://psnet.ahrq.gov//#incidentreporting
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40244/psn-pdf
    March 16, 2011 - Hospitals leery of reporting serious errors. March 16, 2011 Bernhard B; Kohler J. … https://psnet.ahrq.gov/issue/hospitals-leery-reporting-serious-errors This article describes problems … with public reporting of hospital errors in Missouri and reveals which states have successful reporting … https://psnet.ahrq.gov/issue/hospitals-leery-reporting-serious-errors https://psnet.ahrq.gov/issue/girl-dies-during-restraint-hospital-already-criticized-problems
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46941/psn-pdf
    August 01, 2018 - Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety … Incident Reporting to Improve Patient Safety: The Effects of Process Variance on Pediatric Patient Safety … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety … https://psnet.ahrq.gov/issue/incident-reporting-improve-patient-safety-effects-process-variance-pediatric-patient-safety
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43722/psn-pdf
    November 26, 2014 - Reporting medication errors: residents with diabetes. … Reporting medication errors: residents with diabetes. … https://psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes Patients in nursing homes … this review emphasizes the contrasting need to establish a safety culture while promoting incident reporting … https://psnet.ahrq.gov/issue/reporting-medication-errors-residents-diabetes https://psnet.ahrq.gov/issue
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45871/psn-pdf
    January 01, 2019 - The relationship between safety culture and voluntary event reporting in a large regional ambulatory … The Relationship Between Safety Culture and Voluntary Event Reporting in a Large Regional Ambulatory … https://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large- … These results suggest that safety culture promotes reporting of adverse events. … https://psnet.ahrq.gov/issue/relationship-between-safety-culture-and-voluntary-event-reporting-large-regional-ambulatory
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43990/psn-pdf
    April 22, 2015 - Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting … Fix and forget or fix and report: a qualitative study of tensions at the front line of incident reporting … psnet.ahrq.gov/issue/fix-and-forget-or-fix-and-report-qualitative-study-tensions-front-line-incident- reporting … psnet.ahrq.gov/issue/fix-and-forget-or-fix-and-report-qualitative-study-tensions-front-line-incident-reporting … https://psnet.ahrq.gov/primer/reporting-patient-safety-events
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46171/psn-pdf
    April 18, 2018 - Relationship between psychological safety and reporting nonadherence to a safety checklist. … Relationship Between Psychological Safety and Reporting Nonadherence to a Safety Checklist. … https://psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety … - checklist In a robust safety culture, nurses and other health care workers feel comfortable reporting … https://psnet.ahrq.gov/issue/relationship-between-psychological-safety-and-reporting-nonadherence-safety-checklist

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