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psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
October 19, 2022 - Study
Accuracy of harm scores entered into an event reporting system. … Accuracy of harm scores entered into an event reporting system. … Voluntary event reporting systems are a mainstay of efforts to identify system failures that expose … In order to improve the utility of event reporting systems, AHRQ developed the Common Formats for defining … Accuracy of harm scores entered into an event reporting system.
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psnet.ahrq.gov/issue/accuracy-infection-reporting-us-nursing-home-ratings
August 24, 2022 - Study
Accuracy of infection reporting in US nursing home ratings. … Accuracy of infection reporting in US nursing home ratings. … Reporting rates for Black residents or nursing homes with a higher percentage of Black residents were … Accuracy of infection reporting in US nursing home ratings. … February 10, 2015
Assessment of nursing home reporting of major injury falls for quality
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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/what-effectiveness-reporting-systems-promoting-learning-healthcare
September 23, 2020 - Review
What is the effectiveness of reporting systems in promoting learning in healthcare … What is the effectiveness of reporting systems in promoting learning in healthcare? … Organizational incident reporting systems are an important tool to identify, and learn from, adverse … from near-miss events), limitations (e.g., under- or over-reporting), and factors influencing use … What is the effectiveness of reporting systems in promoting learning in healthcare?
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psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
February 09, 2022 - Commentary
Overcoming human barriers to safety event reporting in radiology. … Overcoming Human Barriers to Safety Event Reporting in Radiology. … Barriers to reporting included organizational culture , accountability, communication weaknesses , … Overcoming Human Barriers to Safety Event Reporting in Radiology.
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psnet.ahrq.gov/issue/introduction-mobile-adverse-event-reporting-system-associated-participation-adverse-event
July 03, 2016 - participation in adverse event reporting. … Reporting. … Physicians historically are low utilizers of voluntary error reporting systems . … Reporting. … used in daily workflow increases adverse event reporting by physicians.
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psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication-incidents
March 16, 2022 - Study
Benefits of reporting and analyzing nursing students' near-miss medication … Benefits of reporting and analyzing nursing students' near-miss medication incidents. … Reporting medication errors and near misses should be taught to prelicensure nursing students but is … Benefits of reporting and analyzing nursing students' near-miss medication incidents. … double-loop learning incident reporting system in long-term care.
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psnet.ahrq.gov/issue/coproduced-family-reporting-intervention-improve-safety-surveillance-and-reduce-disparities
September 06, 2023 - Study
A coproduced family reporting intervention to improve safety surveillance and … A coproduced family reporting intervention to improve safety surveillance and reduce disparities. … Overall reporting rates did not change with the mobile app, but reporting did increase among parents … A coproduced family reporting intervention to improve safety surveillance and reduce disparities. … July 20, 2022
Family safety reporting in medically complex children: parent, staff, and
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psnet.ahrq.gov/issue/comprehensive-quality-assurance-program-personnel-and-procedures-radiation-oncology-value
November 18, 2020 - quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting … quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting … Implementation of a safety system that included a voluntary error reporting system and structured … March 21, 2017
Patient safety reporting systems: sustained quality improvement using … June 17, 2014
What to do with healthcare incident reporting systems.
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psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
January 18, 2023 - Review
How effective are incident-reporting systems for improving patient safety? … Citation Text:
How effective are incident-reporting systems for improving patient safety? … Although incident reporting systems did help enhance processes of care, there was no evidence that even … The limitations of incident reporting were discussed in a previous PSNet perspective . … April 8, 2019
The problem with incident 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/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units
January 18, 2023 - Study
Multifaceted intervention to improve patient safety incident reporting in intensive … Multifaceted intervention to improve patient safety incident reporting in intensive care units. … reach the patient but barriers to reporting result in low reporting rates. … After identifying barriers to reporting (e.g., user difficulty with online reporting system), a multi-faceted … Multifaceted intervention to improve patient safety incident reporting in intensive care units.
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psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team
February 12, 2020 - Study
Patient safety reporting systems: sustained quality improvement using a multidisciplinary … Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good … A major limitation of voluntary error reporting systems is that many hospitals do not reliably feed … back the results of error investigations to the reporting providers and do not have formal mechanisms … This article describes a successful attempt to encourage voluntary error reporting by rewarding those
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psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations
July 06, 2022 - Study
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and … incidents from the nation’s largest event reporting database. … Citation Text:
Kepner S, Jones RM. 2020 Pennsylvania Patient Safety Reporting: an analysis of serious … events and incidents from the nation’s largest event reporting database. … : an analysis of serious events and incidents from the nation’s largest event reporting database.
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psnet.ahrq.gov/issue/implementing-clinical-occurrence-reporting-and-learning-system-double-loop-learning-incident
May 05, 2021 - Study
Implementing the clinical occurrence reporting and learning system: a double-loop … learning incident reporting system in long-term care. … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting … A qualitative study of barriers to incident reporting among nurses working in nursing homes.
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psnet.ahrq.gov/issue/individual-characteristics-promote-or-prevent-psychological-safety-and-error-reporting
September 14, 2022 - Individual characteristics that promote or prevent psychological safety and error reporting … Individual characteristics that promote or prevent psychological safety and error reporting in healthcare … Psychological safety promotes speaking up and error reporting in the workplace, and many system and … individual characteristics interact to promote or hinder reporting behavior. … June 27, 2012
Understanding the barriers to physician error reporting and disclosure:
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psnet.ahrq.gov/issue/narrative-review-strategies-increase-patient-safety-event-reporting-residents
December 02, 2020 - Review
A narrative review of strategies to increase patient safety event reporting … A narrative review of strategies to increase patient safety event reporting by residents. … , the authors examined current literature on effective strategies to increase patient safety event reporting … strategies that successfully minimized physician involvement time, incorporated accessible event reporting … A narrative review of strategies to increase patient safety event reporting by residents.
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psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
March 30, 2022 - The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting … The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting … This study reports on how trust and psychological safety interact to increase error reporting. … Results indicate that trust in leaders encouraged error reporting and psychological safety encouraged … December 2, 2020
Barriers and facilitators to incident reporting in mental healthcare
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psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
March 10, 2021 - Commentary
Enhancing safety culture through improved incident reporting: a case study … Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. … Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. … July 23, 2019
The problem with incident reporting. … February 8, 2018
Junior doctors' views on reporting concerns about patient safety: a