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Institutional Reporting
PATIENT SAFETY PRIMERS
Voluntary Patient Safety Event Reporting (Incident Reporting)
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STUDY
Lessons learned: use of event reporting by nurses to improve patient safety and quality.
Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.
STUDY
Evaluation of an anonymous system to report medical errors in pediatric inpatients.
Taylor JA, Brownstein D, Klein EJ, Strandjord TP. J Hosp Med. 2007;2:226-33.
STUDY
Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.
Snijders C, van Lingen RA, Klip H, Fetter WP, van der Schaaf TW, Molendijk HA, NEOSAFE study group. Arch Dis Child Fetal Neonatal Ed. 2009;94:F210-F215.
STUDY
A novel approach to increase residents' involvement in reporting adverse events.
Scott DR, Weimer M, English C, et al. Acad Med. 2011;86:742-746.
STUDY
The interrelationship of isolation precautions and adverse events in an acute care facility.
Spence MR, McQuaid M. Am J Infect Control. 2011;39:154-155.
STUDY
Retrospective analysis of medication incidents reported using an on-line reporting system.
Ashcroft DM, Cooke J. Pharm World Sci. 2006;28:359-65.
STUDY
'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.
Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.
STUDY
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.
STUDY
Improving medication error reporting in hospice care.
Boyer R, McPherson ML, Deshpande G, Smith SW. Am J Hosp Palliat Care. 2009;26:361-367.
STUDY
Adverse events are common on the intensive care unit: results from a structured record review.
Nilsson L, Pihl A, Tågsjö M, Ericsson E. Acta Anaesthesiol Scand. 2012;56:959-965.
STUDY
Patient safety event reporting in critical care: a study of three intensive care units.
Harris CB, Krauss MJ, Coopersmith CM, et al. Crit Care Med. 2007;35:1068-1076.
NEWSPAPER/MAGAZINE ARTICLE
U.S. to delete data on life-threatening mistakes from website.
Babcock CR. Bloomberg News. May 1, 2013.
STUDY
Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.
Hartnell N, MacKinnon N, Sketris I, Fleming M. BMJ Qual Saf. 2012;21:361-368.
STUDY
Reported medication errors after introducing an electronic medication management system.
Redley B, Botti M. J Clin Nurs. 2013;22:579-589.
STUDY
Description and evaluation of adaptations to the Global Trigger Tool to enhance value to adverse event reduction efforts.
Kennerly DA, Saldaña M, Kudyakov R, da Graca B, Nicewander D, Compton J. J Patient Saf. 2013;9:87-95.
STUDY
Voluntary electronic reporting of medical errors and adverse events.
Milch CE, Salem DN, Pauker SG, Lundquist TG, Kumar S, Chen J. J Gen Intern Med. 2006;21:165-170.
STUDY
Evaluation of the contributions of an electronic web-based reporting system: enabling action.
Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.
NEWSPAPER/MAGAZINE ARTICLE
Coming clean on medical mistakes.
Talaga T, Cribb R. Toronto Star. March 19, 2007.
STUDY
Errors in administration of parenteral drugs in intensive care units: multinational prospective study.
Valentin A, Capuzzo M, Guidet B, et al; Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators. BMJ. 2009;338:b814.
STUDY
Paramedic self-reported medication errors.
Vilke GM, Tornabene SV, Stepanski B, et al. Prehosp Emerg Care. 2006;10:457-462.
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