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Showing results for "reporting".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45708/psn-pdf
     October 31, 2017 - Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective … Development and Preliminary Testing of the Coordination Process Error Reporting Tool (CPERT), a Prospective … https://psnet.ahrq.gov/issue/development-and-preliminary-testing-coordination-process-error-reporting-tool … - cpert Hospitals rely on incident reporting systems to detect safety issues, but these systems are … They found that this tool helped uncover safety issues not captured by the hospital's patient safety reporting

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47286/psn-pdf
     July 18, 2018 - ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-2017-analysis-part-1-and-part … https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program https://psnet.ahrq.gov/issue … /vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000 https://

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41364/psn-pdf
     May 09, 2012 - Reflections on incident reporting in a department of pediatric surgery. … Reflections on incident reporting in a department of pediatric surgery. … https://psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department … - pediatric Analysis of data from a voluntary incident reporting system found that very few near misses … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38766/psn-pdf
     November 14, 2011 - Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health … Incident reporting practices in the preanalytical phase: Low reported frequencies in the primary health … https://psnet.ahrq.gov/issue/incident-reporting-practices-preanalytical-phase-low-reported-frequencies … - primary-health-care Laboratory technicians reported very low usage of incident reporting systems, … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38454/psn-pdf
     January 02, 2017 - Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. … https://psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident- reporting-two-hospitals … Incident reporting (IR) systems serve as an important mechanism to understand, analyze, and potentially … https://psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41336/psn-pdf
     May 02, 2012 - Human factors–focused reporting system for improving care quality and safety in hospital wards. … Human Factors–Focused Reporting System for Improving Care Quality and Safety in Hospital Wards. … https://psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety … - hospital-wards This study reports on the development of an incident reporting system designed according … https://psnet.ahrq.gov/issue/human-factors-focused-reporting-system-improving-care-quality-and-safety-hospital-wards

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36224/psn-pdf
     October 19, 2010 - Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative … Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative … https://psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum … The investigators conducted a survey to inform the implementation of a nonpunitive medication error reporting … A comparison to post-initiative findings revealed that staff perception of reporting improved after

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42504/psn-pdf
     August 14, 2014 - The effect of an organizational network for patient safety on safety event reporting. … The effect of an organizational network for patient safety on safety event reporting. … https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting An … The largest uptick was seen in near miss reporting, which nearly doubled following the intervention. … https://psnet.ahrq.gov/issue/effect-organizational-network-patient-safety-safety-event-reporting https

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39658/psn-pdf
     December 08, 2010 - Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care … Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care … https://psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting- paediatric-intensive-care … This Australian study found that voluntary error reporting and systematic, contemporaneous error detection … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37722/psn-pdf
     February 18, 2011 - Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate … Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate … https://psnet.ahrq.gov/issue/leveraging-computerized-sign-out-increase-error-reporting-and-addressing … - patient-safety An error reporting system linked to the electronic patient sign-out system significantly … increased error reporting rates by internal medicine residents.

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44113/psn-pdf
     November 06, 2015 - Junior doctors' views on reporting concerns about patient safety: a qualitative study. … Junior doctors' views on reporting concerns about patient safety: a qualitative study. … https://psnet.ahrq.gov/issue/junior-doctors-views-reporting-concerns-about-patient-safety-qualitative-study … Junior doctors at a British hospital reported a willingness to help improve safety by reporting concerns … These included an overall lack of a culture of safety, a cumbersome reporting process, and insufficient

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43243/psn-pdf
     June 11, 2014 - Improved incident reporting following the implementation of a standardized emergency department peer … Improved incident reporting following the implementation of a standardized emergency department peer … https://psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized- emergency-department-peer … standardized feedback for incident reports in the emergency department resulted in increased voluntary reporting … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

453. PSO Printable Lists | PSO
     pso.ahrq.gov/pso/listed/printable-list
     December 22, 2010 - MacCready Point of Contact Phone: (617) 450-5565 Disclosures & Findings: None Subject to FDA-Regulated Reporting … DeDent Point of Contact Phone: (469) 868-2043 Disclosures & Findings: None Subject to FDA-Regulated Reporting … Mullan Point of Contact Phone: (541) 782-8332 Disclosures & Findings: None Subject to FDA-Regulated Reporting … Ferrell Physician Services Subject to FDA-Regulated Reporting Entity Guidance: Yes PSO Initial Listing … Subject to FDA-Regulated Reporting Entity Guidance: No PSO Initial Listing Date and Time: January 14

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45875/psn-pdf
     May 10, 2017 - An improvement approach to integrate teaching teams in the reporting of safety events. … An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. … https://psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events Despite … widespread implementation of incident reporting systems, events remain underreported by physicians. … https://psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events https

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47241/psn-pdf
     October 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. … Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. … https://psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses … A past PSNet perspective explored how to enhance incident reporting systems. … https://psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43014/psn-pdf
     March 12, 2014 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic … Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic … https://psnet.ahrq.gov/issue/understanding-barriers-physician-error-reporting-and-disclosure-systemic … organizational, and societal factors that influence physicians' participation in disclosing errors and reporting … https://psnet.ahrq.gov/primer/disclosure-errors https://psnet.ahrq.gov/primer/reporting-patient-safety-events

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44003/psn-pdf
     June 17, 2015 - Effects of patient safety culture interventions on incident reporting in general practice: a cluster … Effects of patient safety culture interventions on incident reporting in general practice: a cluster … https://psnet.ahrq.gov/issue/effects-patient-safety-culture-interventions-incident-reporting-general-practice … workshop and facilitated discussion around safety issues resulted in an increase in voluntary incident reporting … https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/primer/reporting-patient-safety-events

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41870/psn-pdf
     December 12, 2012 - The social dimensions of safety incident reporting in maternity care: the influence of working relationships … The social dimensions of safety incident reporting in maternity care: the influence of working relationships … https://psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working … relationships This study used an ethnographic approach to analyze the process of voluntary error reporting … https://psnet.ahrq.gov/primer/reporting-patient-safety-events

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36980/psn-pdf
     June 29, 2011 - Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals … Under-reporting of deaths to the coroner by doctors: a retrospective review of deaths in two hospitals … https://psnet.ahrq.gov/issue/under-reporting-deaths-coroner-doctors-retrospective-review-deaths-two- … mortality at two Australian hospitals and found that more than half of deaths that met the coroner's reporting … Such under-reporting limits the ability to detect preventable deaths.

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34804/psn-pdf
     January 05, 2017 - Incident reporting system does not detect adverse drug events: a problem for quality improvement. … The incident reporting system does not detect adverse drug events: a problem for quality improvement … https://psnet.ahrq.gov/issue/incident-reporting-system-does-not-detect-adverse-drug-events-problem- … 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