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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37996/psn-pdf
    August 20, 2008 - "Every error counts": a web-based incident reporting and learning system for general practice. … "Every error counts": a web-based incident reporting and learning system for general practice. … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general … This article reports on the development and dissemination of a web-based, German language incident reporting … https://psnet.ahrq.gov/issue/every-error-counts-web-based-incident-reporting-and-learning-system-general-practice
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43219/psn-pdf
    January 01, 2015 - Developing a reporting and tracking tool for nursing student errors and near misses. … Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. … https://psnet.ahrq.gov/issue/developing-reporting-and-tracking-tool-nursing-student-errors-and-near-misses … commentary describes the development and implementation of a tool to collect and provide information about reporting … https://psnet.ahrq.gov/issue/developing-reporting-and-tracking-tool-nursing-student-errors-and-near-misses
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41424/psn-pdf
    June 27, 2012 - Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality … Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality … https://psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting- … morbidity-and-mortality Analysis of morbidity and mortality conferences found that surgical residents' voluntary reporting … https://psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41862/psn-pdf
    January 18, 2013 - Increasing reporting of adverse events to improve the educational value of the morbidity and mortality … Increasing reporting of adverse events to improve the educational value of the morbidity and mortality … https://psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and … A prospective error detection system, modeled on the National Surgical Quality Improvement Program reporting … https://psnet.ahrq.gov/issue/increasing-reporting-adverse-events-improve-educational-value-morbidity-and-mortality
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839828/psn-pdf
    October 14, 2016 - STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. … STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. … https://psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and … This article describes updated Standards for Reporting Diagnostic Accuracy Studies (STARD), a checklist … https://psnet.ahrq.gov/issue/stard-2015-guidelines-reporting-diagnostic-accuracy-studies-explanation-and-elaboration
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35254/psn-pdf
    April 06, 2011 - Adverse events and near miss reporting in the NHS. April 6, 2011 Shaw R. … Adverse events and near miss reporting in the NHS. … https://psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs This study evaluated the utility … of a voluntary reporting system from several National Health Service trusts. … https://psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs
  7. 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
  8. 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
  9. 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
  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/42609/psn-pdf
    September 25, 2013 - Associations between communication climate and the frequency of medical error reporting among pharmacists … Associations between communication climate and the frequency of medical error reporting among pharmacists … https://psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error- reporting-among … https://psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among … https://psnet.ahrq.gov/issue/associations-between-communication-climate-and-frequency-medical-error-reporting-among
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37635/psn-pdf
    February 15, 2011 - The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve … https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting … 2005 Patient Safety and Quality Improvement Act calls for creation of a national, voluntary error reporting … essential components of such a system, as well as what other industries can teach health care about error reporting … https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-developing-error-reporting-system-improve
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37501/psn-pdf
    July 31, 2008 - Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. … Nurse burnout and patient safety outcomes: nurse safety perception versus reporting behavior. … https://psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus- reporting-behavior … Although burnout was not associated with event reporting, investigators did find lower perceptions of … https://psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-outcomes-nurse-safety-perception-versus-reporting-behavior
  14. 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
  15. 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
  16. 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
  17. 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. 
  18. 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
  19. 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
  20. 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

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