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psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem-quality-improvement
February 10, 2011 - Study
Classic
Incident reporting system does not detect … The incident reporting system does not detect adverse drug events: a problem for quality improvement. … The authors conclude that voluntary reporting mechanisms will capture only a small fraction of ADEs and … using incident reporting systems will likely lead to significant bias when assessing quality of care … The incident reporting system does not detect adverse drug events: a problem for quality improvement.
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psnet.ahrq.gov/issue/computer-based-medication-error-reporting-insights-and-implications
August 02, 2010 - Study
Computer based medication error reporting: insights and implications. … Computer based medication error reporting: insights and implications. … medication error reports collected from a large children's medical center and concluded that error reporting … Computer based medication error reporting: insights and implications.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/reporting-instructions-sw.pdf
March 31, 2017 - Instructions for Numerator/Denominator Data Reporting for Cohort 1
Page 1 of 4
Instructions … with DARTNet’s Practice Performance Registry
A note about reporting periods: Each reporting period … The figure below shows the
reporting measurement periods. … Quarter End (Reporting Period): Choose Calendar Quarter and reporting period
for the metric you are … **ENSW reporting periods are each rolling 12-months**
8.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nguyen.pdf
May 01, 2003 - Physician Event Reporting: Training the Next Generation of Physicians
353
Physician Event Reporting … Furthermore, reporting rates have increased overall. … event reporting remains extremely low. … The data reflect what previous research has shown—
Physician Event Reporting
355
physician reporting … Change how event reporting systems are used
Traditionally, event reporting was a way to warn institutional
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/4-unc-webcast-fenton-wilhelm-amos.pdf
August 15, 2019 - 2017
Low reporting Risk use only
Lack of standard process What do we report? … Lack of Feedback
Software not user friendly
Reporting form too long
Punishment for Reporting
Confusion … Platform
Goal: To develop optimized interface for our event reporting software for event reporting, … platform as reporting portal. … Patient Safety Reporting System
Safety Culture Recommendations
Improved Usability of Event Reporting
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System
26,000 … Close Call Reports: Lessons from the
University of Texas Close Call Reporting System
Debora Simmons … • Promoting a fair and just culture for error reporting. … Perceived barriers in reporting medication
administration errors. … Development and implementation of the University of
Texas close call reporting system.
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www.ahrq.gov/patient-safety/reports/liability/crane.html
August 01, 2017 - Barriers to reporting near-miss errors include the additional workload burden imposed by a reporting … Results
Near-Miss Event Reporting by Practices
The practices were all largely successful in reporting … In practices that have a well-established no-blame culture for error reporting, anonymous reporting is … But, beginning with anonymous reporting until a culture is well established could facilitate reporting … Event reporting to a primary care patient safety reporting system: a report from the ASIPS Collaborative
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/transparency-infertility_research-protocol.pdf
September 02, 2016 - Transparency of Reporting Requirements: Management of Infertility
Source: www.effectivehealthcare.ahrq.gov … Background
Selective reporting can bias estimates of effect, yet methods to detect such biases are … and/or reporting bias exists. … Importantly, if selective
reporting is detected, we will estimate its impact by revising the Strength … The EPC risk of bias tool explicitly
considers reporting bias.
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www.ahrq.gov/sites/default/files/publications/files/system-design_0.pdf
July 01, 2011 - Designing Consumer Reporting Systems for Patient Safety Events: Project Overview
Advancing Excellence … Care • www.ahrq.gov
Agency for Healthcare Research and Quality PATIENT
SAFETY
Designing Consumer Reporting … Current Reporting Systems
Current patient safety event reporting systems are
aimed at obtaining information … Consumer reporting systems may greatly improve
our understanding of the nature and causes of
medical … system
be housed, and how should the reporting system
be financed?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Phillips.pdf
January 01, 2004 - AAFP error-reporting research
The AAFP error-reporting system and the International Taxonomy of Medical … Refining the Web-based reporting system
These studies have produced a Web-based error-reporting tool … Reporting system characteristics, barriers, results, and potential future
Reporting system
characteristics … Legal status of reporting system information. … Issues in
the reporting of adverse healthcare events.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - NYPORTS is a
secure Web-based system that simplifies reporting, coordinates with other
reporting systems … culture (e.g., JCAHO; the
aviation safety reporting system; the Medication Errors Reporting Program … The first mandatory
adverse event reporting system, the Hospital Incident Reporting System (HIRS), … New York State reporting system evolution
Name
Hospital Incident
Reporting System
(HIRS)
( … Patient Safety Reporting System.
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cdsic.ahrq.gov/sites/default/files/2024-09/Final_MO%20PC%20CDS%20User%20Guide%20(1)_0_0.pdf
January 01, 2024 - https://cdsic.ahrq.gov/cdsic/planning-reporting-tool
https://cdsic.ahrq.gov/cdsic/planning-reporting-tool … PC CDS Implementation Sections
Reporting Considerations for Planning &
Reporting Tool Users … Reporting Framework. … Reporting Framework. … About the PC CDS Planning & Reporting Tool
Reporting Considerations for Planning & Reporting Tool Users
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www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/table3.html
August 01, 2022 - Designing Consumer Reporting Systems for Patient Safety Events
Table 3. … Overview of participant responses to draft recommendations for key design features of consumer reporting … Mixed opinions about reporting through a live system representative. … Public reporting
( Recommendation 5.2 )
Most support recommendation. … Maximizing reporting
( Recommendation 6.1 )
Support for recommendation.
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www.ahrq.gov/talkingquality/plan/environment.html
June 01, 2016 - What Is the Environment for Reporting on Health Care Quality? … Costs and Benefits of Public Reporting
Whether you are reporting on quality voluntarily (e.g., as a … Will you have sufficient funding to maintain this reporting effort over time? … Learn more about Managing a Reporting Project . … What Is the Local Environment for Consumer Reporting?
Who Are Potential Partners?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
March 01, 2004 - • Patient Safety Reporting System (PSRS). … Once the work team reached consensus about reporting system content,
UT Close Call Reporting System … The managers identified several
concerns about the reporting system: (1) fictitious reports, (2) reporting … Reporting and preventing
medical mishaps: lessons from nonmedical near miss
reporting systems. … An incident reporting system:
documented at the point of service.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Standardizing Medication Error Event Reporting in the U.S. … the standard tool for medication event
reporting. … The MEDMARX reporting
system and Multi-Facility Module implementations are expected to enhance
reporting … reporting form. … USP Medication Error Reporting (MER) program.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Ulep.pdf
January 01, 2004 - Web-based patient safety reporting system readiness assessment
Web-based Patient Safety Reporting System … Non-punitive culture of reporting. 1 2 3 4
3. … Consideration #5—Open Event Reporting
NR U R VR
1. … Departments own the reporting process. 1 2 3 4
2. … Anonymous error
reporting as an adjunct to traditional incident
reporting: improves error detection
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psnet.ahrq.gov/issue/chemotherapy-incident-reporting-and-improvement-system
November 16, 2022 - Study
A chemotherapy incident reporting and improvement system. … A chemotherapy incident reporting and improvement system. Jt Comm J Qual Saf. 2003;29(4):171-80. … A chemotherapy incident reporting and improvement system. … , 2019
Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting … Health Care Providers
Risk Managers
Safety Scientists
Chemotherapeutic Agents
Error Reporting
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digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support
January 01, 2023 - Clinical providers often underreport reportable diseases, or their reporting is incomplete, inaccurate … Under and incomplete reporting can lead to inaccurate community disease burden assessments, which can … Clinic staff received reporting forms pre-populated with patient demographic data and pertinent case … Reporting rates in the intervention clinics significantly improved when compared to baseline rates. … Clinical versus public health perceptions of notifiable disease reporting burden.
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www.ahrq.gov/npsd/data/index.html
October 01, 2021 - Data Reporting Tools
The Network of Patient Safety Databases (NPSD) uses non-identifiable data … interested in non-identifiable data from the NPSD that is not currently available from the above data reporting