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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/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/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/issue/what-safety-events-are-reported-ambulatory-care-analysis-incident-reports-patient-safety
November 24, 2021 - Study
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.
Citation Text:
Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety org…
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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/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
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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
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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
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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/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/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/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/issue/ismp-medication-error-report-analysis-17
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-42
September 26, 2017 - Commentary
ISMP medication error report analysis.
Citation Text:
Cohen MR, Smetzer JL. Oral Syringes: A Crucial and Economical Risk-Reduction Strategy that has Not Been Fully Utilized; Caution regarding Once-Weekly Levothyroxine; When Drug Strengths Differ by 10-Fold; Lower Colchicine Do…
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-33
June 16, 2019 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-13
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-21
January 17, 2018 - Commentary
ISMP medication error report analysis.
Citation Text:
ISMP medication error report analysis. Cohen MR; Smetzer JL.
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