Commentary The frustrating case of incident-reporting systems. Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL May 20, 2009 Shojania KG. Qual Saf Health Care. 2008;17(6):400-2. View more articles from the same authors. This commentary discusses the limitations of incident reporting systems and provides suggestions for how data gathered from incident reports may be used to improve safety. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Shojania KG. The frustrating case of incident-reporting systems. Qual Saf Health Care. 2008;17(6):400-2. doi:10.1136/qshc.2008.029496. Copy Citation Format: DOIGoogle ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. June 22, 2022 The top patient safety strategies that can be encouraged for adoption now. March 13, 2013 Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. July 15, 2015 Advancing the science of patient safety. May 25, 2011 Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. January 12, 2022 Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. 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Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme. June 22, 2022
Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. July 15, 2015
Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. January 12, 2022
Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021
Grand rounds in methodology: key considerations for implementing machine learning solutions in quality improvement initiatives. January 31, 2024
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. November 3, 2021
WebM&M Cases Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? December 1, 2007
A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. February 15, 2017
'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. March 12, 2014
Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. September 11, 2013
Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. March 20, 2013
Computerised provider order entry and residency education in an academic medical centre. August 1, 2012
Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. November 12, 2014
Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward. March 18, 2015
A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. September 24, 2014
Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? August 5, 2015
Identifying adverse events: reflections on an imperfect gold standard after 20 years of patient safety research. March 25, 2020
Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals. July 10, 2019
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Building the bridge to quality: an urgent call to integrate quality improvement and patient safety education with clinical care October 2, 2019
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Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. April 16, 2008
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Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. January 2, 2008
Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. July 18, 2007
Combining ratings from multiple physician reviewers helped to overcome the uncertainty associated with adverse event classification. August 29, 2007
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The effects of on-screen, point of care computer reminders on processes and outcomes of care. September 2, 2009
Changes in rates of autopsy-detected diagnostic errors over time: a systematic review. March 27, 2005
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Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013
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Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts. February 7, 2022
The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study. August 10, 2022
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How timely is diagnosis of lung cancer? Cohort study of individuals with lung cancer presenting in ambulatory care in the United States. January 11, 2023
Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission. December 21, 2022
Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. July 19, 2023
Perceived disability-based discrimination in health care for children with medical complexity. July 19, 2023
Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. February 17, 2021
Delayed or failure to follow-up abnormal breast cancer screening mammograms in primary care: a systematic review. May 12, 2021
Quantitative analysis of the content of EMS handoff of critically ill and injured patients to the emergency department. August 10, 2016
6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. June 22, 2016
SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors. December 17, 2014
The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues. November 12, 2014
Adopting high reliability organization principles to lead a large scale clinical transformation. April 26, 2023
Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach. April 19, 2023
A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. January 18, 2023
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. November 16, 2022
Adverse event and complication tracking in anaesthesiology: dependence on self-reporting despite implementation of electronic health records. March 16, 2022
Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. November 3, 2021
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home. February 17, 2021
Assessing adverse events after chiropractic care at a chiropractic teaching clinic: an active-surveillance pilot study. November 4, 2020
Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. October 28, 2020
COVID-19 pandemic preparation: using simulation for systems-based learning to prepare the largest healthcare workforce and system in Canada. September 30, 2020
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COVID-19 has united patients and providers against institutional betrayal in health care: a battle to be heard, believed, and protected. August 19, 2020
Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. October 16, 2019
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). May 15, 2019
Evidence-based medicine: a cornerstone for clinical care but not for quality improvement. May 15, 2019
Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study. January 23, 2019
Silent witnesses: faculty reluctance to report medical students' professionalism lapses. November 28, 2018
Implementing safety hotlines: Stamford Health's experience and future opportunities. September 19, 2018
Factors influencing the reporting of adverse medical device events: qualitative interviews with physicians about higher risk implantable devices. March 7, 2018
Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. June 7, 2017