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psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
June 23, 2021 - Commentary
Challenges and opportunities of patient safety event reporting. … Challenges and opportunities of patient safety event reporting. … remain, including low quality of reports and low rates of reporting. … to improve usability in future reporting systems. … Challenges and opportunities of patient safety event reporting.
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psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children
July 27, 2022 - Study
Disparities in adverse event reporting for hospitalized children. … Disparities in adverse event reporting for hospitalized children. … Voluntary event reporting (VER) systems are required in most hospitals, but their effectiveness is … Disparities in adverse event reporting for hospitalized children. … May 18, 2022
Adverse event reporting priorities: an integrative review.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting … ,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. … A blameless approach to error and near miss reporting is foundational to the success of the effort … This article discusses one organization’s persistent challenge with shifting reporting to align with … The author describes the importance of staff education and leadership to support the focus of reporting
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psnet.ahrq.gov/issue/improving-adverse-drug-event-reporting-healthcare-professionals
April 12, 2019 - Review
Improving adverse drug event reporting by healthcare professionals. … Improving adverse drug event reporting by healthcare professionals. … studies with over 62,000 participants, evaluated the effectiveness of interventions to improve ADE reporting … Improving adverse drug event reporting by healthcare professionals. … April 1, 2020
An evolution of reporting: identifying the missing link.
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psnet.ahrq.gov/issue/utility-online-medication-error-reporting-system
September 30, 2020 - Study
Utility of an online medication-error-reporting system. … Utility of an online medication-error-reporting system. … The investigators surveyed hospitals using the Medmarx voluntary reporting program and found an average … twofold increase in internal error reporting after implementation of the program. … Utility of an online medication-error-reporting system.
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psnet.ahrq.gov/issue/patient-safety-trends-2022-analysis-256679-serious-events-and-incidents-nations-largest-event
July 24, 2024 - trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting … Trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting … and incidents from the nation’s largest event reporting database. … October 12, 2022
A new safety event reporting system improves physician reporting in … and incidents from the nation’s largest event reporting database.
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psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
September 08, 2021 - Novel telephone-based interactive voice response system for incident reporting. … concerns; however, rates of reporting remain low . … Novel telephone-based interactive voice response system for incident reporting. … used in daily workflow increases adverse event reporting by physicians. … with participation in adverse event reporting.
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psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
June 16, 2021 - Study
Patient safety reporting: a qualitative study of thoughts and perceptions of … Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years … Incident reporting remains a cornerstone of patient safety efforts, despite its documented shortcomings … This qualitative study of patient safety experts delineates multiple challenges of current reporting … Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years
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psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-conditions
February 26, 2025 - Sentinel Event Alerts
Developing a reporting culture: learning from close calls and … Citation Text:
Developing a reporting culture: Learning from close calls and hazardous conditions. … Barriers to reporting include health care provider fear of repercussions , insufficient integration … of reporting systems into the electronic health record, and cultural factors . … This new sentinel event alert explores how organizations can change their culture to promote reporting
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psnet.ahrq.gov/issue/medical-error-reporting-system-could-boost-patient-safety
December 14, 2022 - Newspaper/Magazine Article
Medical Error Reporting System Could Boost Patient Safety … Citation Text:
Medical Error Reporting System Could Boost Patient Safety. Ebright PR; Rapala K. … February 26, 2020
Adverse Health Care Events Reporting System: What Have We Learned? … October 3, 2017
Legislative Report to the General Assembly: Adverse Event Reporting. … June 27, 2007
Patient Safety Reporting System.
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psnet.ahrq.gov/issue/quality-improvement-initiative-improve-patient-safety-event-reporting-residents
March 08, 2023 - Study
A quality improvement initiative to improve patient safety event reporting … A quality improvement initiative to improve patient safety event reporting by residents. … Prior research has shown low rates of voluntary safety event reporting by resident physicians. … The QI team identified barriers to reporting (e.g., lack of awareness of the organization’s event reporting … A quality improvement initiative to improve patient safety event reporting by residents.
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psnet.ahrq.gov/issue/i-psi-short-and-long-term-efficacy-comprehensive-initiative-promote-patient-safety-event
November 18, 2020 - I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting … I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting … The intervention led to increased event reporting in the short- and long-term. … : exploring the challenges to reporting poor quality of care among trainee medical staff. … attitudes and reporting behaviors?
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psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
July 02, 2019 - Study
Adverse event reporting: harnessing residents to improve patient safety. … Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. … Physicians are known to underuse voluntary incident reporting systems in hospitals. … Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. … February 15, 2017
Improving incident reporting among physician trainees.
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psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
December 16, 2020 - Study
Evaluation of an intervention aimed at improving voluntary incident reporting … Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. … incidents, changes in the process to reduce the fear of reporting, a shorter reporting form, and newsletters … They found that this intervention significantly improved reporting. … October 26, 2010
Development of the ICU safety reporting system.
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psnet.ahrq.gov/issue/hidden-cost-regulation-administrative-cost-reporting-serious-reportable-events
December 02, 2020 - Study
The hidden cost of regulation: the administrative cost of reporting serious … The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events. … Approximately 17% of the costs were attributed to the requirement for public reporting . … The authors contend that the costs of performing public reporting of serious adverse events should be … The Hidden Cost of Regulation: The Administrative Cost of Reporting Serious Reportable Events.
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psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events
September 23, 2020 - Study
A novel approach to increase residents' involvement in reporting adverse events … A novel approach to increase residents' involvement in reporting adverse events. … ability to engage trainees in reporting is particularly challenging. … A novel approach to increase residents' involvement in reporting adverse events. … ' attitudes and reporting behaviors?
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psnet.ahrq.gov/issue/health-care-provider-use-private-sector-internal-error-reporting-systems
May 29, 2019 - Study
Health care provider use of private sector internal error-reporting systems … Health care provider use of private sector internal error-reporting systems. … The authors compared nine commercial reporting products and identified key elements purchasers should … Health care provider use of private sector internal error-reporting systems. … October 28, 2010
Development of the ICU safety reporting system.
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psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
July 24, 2024 - trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting … trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting … This article describes patient safety events collected from the Pennsylvania Patient Safety Reporting … and incidents from the nation’s largest event reporting database. … October 12, 2022
A new safety event reporting system improves physician reporting in
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psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
April 20, 2016 - Commentary
Adverse event reporting tool to standardize the reporting and tracking … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural … February 5, 2014
Barriers to adverse event and error reporting in anesthesia. … March 23, 2011
Integrating incident reporting into an electronic patient record system
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psnet.ahrq.gov/issue/incident-reporting-behaviours-following-francis-report-cross-sectional-survey
October 12, 2016 - Study
Incident reporting behaviours following the Francis report: a cross-sectional … Incident reporting behaviours following the Francis report: A cross-sectional survey. … and found that incident reporting still requires improvement. … as barriers to reporting. … Incident reporting behaviours following the Francis report: A cross-sectional survey.