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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
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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
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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
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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
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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
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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
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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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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
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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
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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.
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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.
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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.
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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
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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
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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
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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
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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
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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
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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
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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