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Showing results for "reporting".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849325/psn-pdf
     January 01, 2024 - Medication safety event reporting: factors that contribute to safety events during times of organizational … Medication safety event reporting: factors that contribute to safety events during times of organizational … https://psnet.ahrq.gov/issue/medication-safety-event-reporting-factors-contribute-safety-events-during … - times Institutional error and near-miss reporting helps identify systemic weaknesses and areas for … COVID-19 presented a unique environment to study error reporting during organizationally stressful times

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841476/psn-pdf
     December 14, 2022 - Barriers and facilitators to reporting medical device- related pressure ulcers: a qualitative exploration … Barriers and facilitators to reporting medical device-related pressure ulcers: a qualitative exploration … https://psnet.ahrq.gov/issue/barriers-and-facilitators-reporting-medical-device-related-pressure-ulcers … Interviews with experts in hospital-acquired pressure ulcers revealed four domains related to reporting … Teamwork, openness, and feedback were seen as the main facilitators to reporting, and financial consequences

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837031/psn-pdf
     May 04, 2022 - Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an … Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an … https://psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning- systems-hospitals … Comprehensive implementation of reporting and learning systems (RLS, also known as incident reporting … https://psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72473/psn-pdf
     January 01, 2021 - Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity … Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity … https://psnet.ahrq.gov/issue/resilience-vs-vulnerability-psychological-safety-and-reporting-near-misses … The odds of reporting near misses and events resulting in harm improved with increased psychological … educating health care workers to identify near misses and fostering psychological safety can increase reporting

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838304/psn-pdf
     October 12, 2022 - The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted … The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted … https://psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events … health system implemented a three-level THS in hospital and ambulatory settings to increase event reporting … Based on an interrupted time series analysis, reporting increased for total safety events, including

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860716/psn-pdf
     January 17, 2024 - Nurses' perception of medication administration errors and factors associated with their reporting in … Nurses’ perception of medication administration errors and factors associated with their reporting in … psnet.ahrq.gov/issue/nurses-perception-medication-administration-errors-and-factors-associated- their-reporting … This study of NICU nurses sought to ascertain reasons for MAE and reasons for not reporting MAE. … The most common reason for not reporting MAE was leadership placing blame on the individual instead

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841148/psn-pdf
     December 07, 2022 - How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient … How does workplace violence-reporting culture affect Workplace violence, nurse burnout, and patient … https://psnet.ahrq.gov/issue/how-does-workplace-violence-reporting-culture-affect-workplace-violence- … This study evaluated the effect of one of those recommendations, a WPV-reporting culture, on nurses’ … As anticipated, WPV increased nurse burnout, but unexpectedly, a strong WPV-reporting culture also increased

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60924/psn-pdf
     September 16, 2020 - Avoid punitive approach to your safety event reporting, September 16, 2020 Cheney C. … https://psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting 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

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73691/psn-pdf
     September 08, 2021 - Pump up the volume: tips for increasing error reporting and decreasing patient harm. … Error reporting is an essential contributor to system safety improvement. … This article examines weaknesses in error reporting behaviors, characteristics of organizations and … The piece shares recommendations to enhance adverse event reporting to support learning. … https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36013/psn-pdf
     September 22, 2010 - A new safety event reporting system improves physician reporting in the surgical intensive care unit … A new safety event reporting system improves physician reporting in the surgical intensive care unit … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical- … the event reporting process. … https://psnet.ahrq.gov/issue/new-safety-event-reporting-system-improves-physician-reporting-surgical-intensive-care-unit

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74083/psn-pdf
     November 17, 2021 - Novel telephone-based interactive voice response system for incident reporting. … Novel telephone-based interactive voice response system for incident reporting. … https://psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting … Errors and near misses reported via incident reporting systems can highlight emerging patient safety … concerns; however, rates of reporting remain low.

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838082/psn-pdf
     September 14, 2022 - Organizational factors that promote error reporting in healthcare: a scoping review. … Organizational factors that promote error reporting in healthcare: a scoping review. … https://psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review … and continuous improvement processes) as well as organizational factors that serve as barriers to reporting … https://psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72501/psn-pdf
     November 25, 2020 - Use of an audit with feedback implementation strategy to promote medication error reporting by nurses … Use of an audit with feedback implementation strategy to promote medication error reporting by nurses … https://psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error- reporting-nurses … Audit and feedback are key patient safety strategies intended to improve error reporting behavior. … this study found that audit with feedback did not effectively influence voluntary medication error reporting

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43983/psn-pdf
     February 05, 2016 - Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism … and a current formal reporting system. … Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism … and a current formal reporting system. … As with prior studies of incident reporting systems, the formal reporting mechanism identified fewer

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43419/psn-pdf
     October 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process … Impact of a reengineered electronic error-reporting system on medication event reporting and care process … reporting-and-care Hospital incident reporting systems are ubiquitous, but many events remain unreported … This finding suggests that under-reporting of medication errors via standard incident reporting mechanisms … https://psnet.ahrq.gov/issue/impact-reengineered-electronic-error-reporting-system-medication-event-reporting-and-care

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47670/psn-pdf
     March 20, 2019 - Targeting the fear of safety reporting on a unit level. March 20, 2019 Copeland D. … Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. … https://psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level Blame culture in health care … settings hinders incident reporting and safety improvement. … https://psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level https://psnet.ahrq.gov/issue/

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44861/psn-pdf
     February 17, 2016 - Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors … https://psnet.ahrq.gov/issue/voluntary-medical-incident-reporting-tool-improve-physician-reporting-medical-errors

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73917/psn-pdf
     October 06, 2021 - Reporting of health information technology system- related patient safety incidents: the effects of … Reporting of health information technology system-related patient safety incidents: the effects of organizational … https://psnet.ahrq.gov/issue/reporting-health-information-technology-system-related-patient-safety- … Nurses were surveyed about their experiences with non-reporting of health information technology (HIT … The authors suggest strengthening organizational culture may increase reporting.

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837764/psn-pdf
     August 03, 2022 - Disparities in adverse event reporting for hospitalized children. … Disparities in adverse event reporting for hospitalized children. … https://psnet.ahrq.gov/issue/disparities-adverse-event-reporting-hospitalized-children Voluntary event … reporting (VER) systems are required in most hospitals, but their effectiveness is limited if adverse … /primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/few-adverse-events-hospitals-were-reported-state-adverse-event-reporting-systems

320. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836713/psn-pdf
     March 09, 2022 - Benefits of reporting and analyzing nursing students' near-miss medication incidents. … Benefits of reporting and analyzing nursing students' near-miss medication incidents. … https://psnet.ahrq.gov/issue/benefits-reporting-and-analyzing-nursing-students-near-miss-medication- … incidents Reporting medication errors and near misses should be taught to prelicensure nursing students … This quality improvement project focused on the near-miss medication error reporting by student nurses