The Shift Coupon: an innovative method to monitor adverse events.

Victoria A. Kellogg; Donna S. Havens

Study

The Shift Coupon: an innovative method to monitor adverse events.

January 18, 2006

Kellogg VA, Havens DS. J Nurs Care Qual. 2006;21(1):49-55.

View more articles from the same authors.

This study describes an alternative method to track adverse events in the hospital setting and improve on existing collection methods, which pose many challenges.

PubMed citation

Available at

Related Resources From the Same Author(s)

Implementation of patient centeredness to enhance patient safety.

January 31, 2006

Taking aim at infusion confusion.

April 12, 2006

Am I safe here? Improving patients' perceptions of safety in hospitals.

January 25, 2006

The safety culture in a children's hospital.

July 12, 2006

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

Quality improvement for patient safety: project-level versus program-level learning.

February 22, 2012

Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link.

April 5, 2006

Patient safety: planting the seed.

July 20, 2005

A nurse-driven system for improving patient quality outcomes.

April 12, 2006

The cost of nurse-sensitive adverse events.

June 4, 2008

Best-practice protocols: preventing adverse drug events.

September 28, 2005

My brother's keeper: must a physician disclose another's medical error and potential negligence?

January 2, 2008

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.

June 29, 2022

Nurse-reported bullying and documented adverse patient events: an exploratory study in a US Hospital.

June 24, 2020

Best practices in medication administration: preventing adverse drug events in perinatal settings.

March 7, 2007

Ambulance stretcher adverse events.

June 17, 2009

Quest for the ideal: a redesign of the medication use system.

January 31, 2007

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

September 21, 2011

Examining medication errors in a tertiary hospital.

December 20, 2006

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives.

February 15, 2023

Registered nurses' judgments of the classification and risk level of patient care errors.

October 19, 2011

Patient safety in nursing practice.

July 20, 2005

Exploring nurses' attitudes, skills, and beliefs of medication safety practices.

August 24, 2022

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.

January 18, 2006

Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.

September 7, 2005

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units.

February 3, 2021

Nurses' perceptions of causes of medication errors and barriers to reporting.

December 20, 2006

Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams.

April 15, 2020

Medication reconciliation in the acute care setting: opportunity and challenge for nursing.

May 4, 2005

Workplace empowerment and magnet hospital characteristics as predictors of patient safety climate.

June 25, 2008

Effective strategies to increase reporting of medication errors in hospitals.

January 25, 2006

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.

August 25, 2021

Iatrogenesis in the context of residential dementia care: a concept analysis.

August 3, 2022

The incidence and nature of in-hospital adverse events: a systematic review.

June 18, 2008

Implementation, CPOE, and medication errors.

June 8, 2005

An overview of intravenous-related medication administration errors as reported to MEDMARX(R), a national medication error-reporting program.

February 8, 2006

Reducing near miss medication events using an evidence-based approach.

July 27, 2022

Injury and liability associated with monitored anesthesia care: a closed claims analysis.

February 15, 2006

Building nursing intellectual capital for safe use of information technology: a systematic review.

February 9, 2011

A meta-review of methods of measuring and monitoring safety in primary care.

September 15, 2021

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

A quality improvement initiative to improve patient safety event reporting by residents.

February 9, 2022

An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement.

October 19, 2022

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.

March 2, 2022

Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures.

June 8, 2022

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

February 2, 2011

Accountability: Patient Safety and Policy Reform.

March 6, 2005

Medication use leading to emergency department visits for adverse drug events in older adults.

December 19, 2007

Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.

August 3, 2022

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.

April 5, 2023

Work-arounds in health care settings: literature review and research agenda.

January 16, 2008

Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.

April 28, 2021

Effect of social influences on pharmacists' intention to report adverse drug events.

October 17, 2012

Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness.

March 27, 2005

Embracing multiple aims in healthcare improvement and innovation.

March 23, 2022

National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.

March 5, 2008

Causes of adverse events in home mechanical ventilation: a nursing perspective.

October 12, 2022

Patient monitoring alarms in the ICU and in the operating room.

April 17, 2013

Nurse burnout syndrome and work environment impact patient safety grade.

August 25, 2021

Organizational safety climate and job enjoyment in hospital surgical teams with and without crew resource management training,

January 26, 2022

Bringing change-of-shift report to the bedside: a patient- and family-centered approach.

December 1, 2010

Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy.

February 16, 2022

Associations between healthcare environment design and adverse events in intensive care unit.

May 26, 2021

Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation.

July 13, 2022

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Medication safety: look-alike/sound-alike drugs in home care.

April 27, 2005

Reporting of hazards and near-misses in the ambulatory care setting.

October 19, 2011

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.

April 28, 2021

Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare.

December 20, 2006

Adverse events during dental care for children: implications for practitioner health and wellness.

December 19, 2018

The nurse's role in the causation of compensable injury.

October 12, 2011

State policies for prescription drug monitoring programs and adverse opioid-related hospital events.

September 9, 2020

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Improving infusion pump safety through usability testing.

May 31, 2017

Perspectives on patient and family engagement with reduction in harm: the forgotten voice.

August 15, 2018

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

Special Issue: Patient Safety.

June 7, 2006

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

The pharmacist-physician relationship in the detection of ambulatory medication errors.

January 31, 2006

Error reporting as a preventive force.

July 13, 2005

Triggers contributing to health care clinicians' disruptive behaviors.

September 16, 2020

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

February 29, 2012

Medication adverse events in the ambulatory setting: a mixed-methods analysis.

October 26, 2022

Racial disparities in preventable adverse events attributed to poor care coordination reported in a national study of older US adults.

September 1, 2021

Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.

November 11, 2020

Preventing falls and fall-related injuries in health care facilities.

October 7, 2015

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.

June 8, 2022

Postdischarge adverse events among neonates admitted to the neonatal intensive care unit.

September 7, 2022

Prioritising recommendations following analyses of adverse events in healthcare: a systematic review.

November 4, 2020

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

Implementing a rapid response team.

November 8, 2006

Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia.

August 10, 2022

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Diagnostic errors in the intensive care unit: a systematic review of autopsy studies.

August 8, 2012

Root cause analysis of ICU adverse events in the Veterans Health Administration.

August 30, 2017

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.

December 8, 2021

Nursing surveillance: a concept analysis

May 18, 2022

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.

September 21, 2011

Related Resources

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system.

February 3, 2021

Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry.

March 7, 2018

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.

February 8, 2017

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012.

November 16, 2016

Hospital prescribing of opioids to Medicare beneficiaries.

November 16, 2016

The impact of major intraoperative adverse events on hospital readmissions.

August 17, 2016

Fighting MRSA infections in hospital care: how organizational factors matter.

August 17, 2016

Association between hospital performance on patient safety and 30-day mortality and unplanned readmission for Medicare fee-for-service patients with acute myocardial infarction.

August 3, 2016

Investigating adverse event free admissions in Medicare inpatients as a patient safety indicator.

June 22, 2016

Increased risk of burnout for physicians and nurses involved in a patient safety incident.

June 15, 2016

Impact of hospital-acquired conditions on financial liabilities for Medicare patients.

June 8, 2016

Patient safety in genomic medicine: an exploratory study.

April 13, 2016

What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.

March 23, 2016

Does time pressure have a negative effect on diagnostic accuracy?

March 2, 2016

Electronic health record adoption and rates of in-hospital adverse events.

February 24, 2016

The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning.

February 24, 2016

Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls.

February 17, 2016

Is bias in the eye of the beholder? A vignette study to assess recognition of cognitive biases in clinical case workups.

February 17, 2016

Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone.

February 10, 2016

Opioid prescribing after nonfatal overdose and association with repeated overdose: a cohort study.

January 20, 2016

Longitudinal trends in U.S. drug shortages for medications used in emergency departments (2001–2014).

January 20, 2016

The effect of emergency department boarding on order completion.

January 13, 2016

Interhospital transfer patients discharged by academic hospitalists and general internists: characteristics and outcomes.

January 6, 2016

Lost information during the handover of critically injured trauma patients: a mixed-methods study.

December 16, 2015

Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports.

December 16, 2015

What is the role of individual accountability in patient safety? A multi-site ethnographic study.

November 25, 2015

Do clinician disruptive behaviors make an unsafe environment for patients?

October 7, 2015

Diagnostic experiences of children with attention-deficit/hyperactivity disorder.

September 30, 2015

Impact of laws aimed at healthcare-associated infection reduction: a qualitative study.

September 30, 2015

See More About The Topic

Hospitals

Health Care Executives and Administrators

Error Reporting and Analysis

The Shift Coupon: an innovative method to monitor adverse events.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The Shift Coupon: an innovative method to monitor adverse events.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site