- Study
- Published January 2018
Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system.
Wanderer JP, Gratch DM, Jacques PS, Rodriquez LI, Epstein RH. Anesth Analg. 2018;126:134-140.
-
Topics
Resource Type
Approach to Improving Safety
Safety Target
Setting of Care
Clinical Area
Target Audience
Error Types
Origin/Sponsor
-
Cite
Copy Citation:
Download Citation File:
Adverse event reporting systems are central to many patient safety programs, but their effectiveness remains debated. Implementation of a mandatory reporting system for adverse events in anesthesia was associated with a decrease in the adverse event rate at two academic medical centers.
Related Resources
Journal Article › Study
Thomas AD, Pandit C, Krevat SA. J Patient Saf. 2018 Dec 21; [Epub ahead of print].
Journal Article › Study
Turner DA, Bae J, Cheely G, Milne J, Owens TA, Kuhn CM. J Grad Med Educ. 2018;10:671-675.
Journal Article › Review
Feinstein MM, Pannunzio AE, Castro P. Paediatr Anaesth. 2018;28:1071-1077.
Journal Article › Study
Sellers MM, Berger I, Myers JS, Shea JA, Morris JB, Kelz RR. J Surg Educ. 2018;75:e168-e177.
Journal Article › Study
How well do incident reporting systems work on inpatient psychiatric units?
Reilly CA, Cullen SW, Watts BV, Mills PD, Paull DE, Marcus SC. Jt Comm J Qual Patient Saf. 2019;45:63-69.
Journal Article › Study
Impact of high-reliability education on adverse event reporting by registered nurses.
McFarland DM, Doucette JN. J Nurs Care Qual. 2018;33:285-290.
Journal Article › Study
Kroll DS, Shellman AD, Gitlin DF. J Patient Saf. 2018;14:e51-e55.
Journal Article › Commentary
Organizational response to known medical errors: does peer review protection impede improvement?
Wenner WJ Jr, Choi SW. Am J Med Qual. 2018;33:552-553.
Journal Article › Study
Martinez W, Pichert JW, Hickson GB, et al. J Patient Saf. 2018 Mar 15; [Epub ahead of print].
Journal Article › Study
Kok J, Leistikow I, Bal R. J Health Serv Res Policy. 2018;23:252-261.
Journal Article › Study
Burke RE, Schnipper JL, Williams MV, et al. Med Care. 2017;55:285-290.
Journal Article › Study
Unit-based incident reporting and root cause analysis: variation at three hospital unit types.
Wagner C, Merten H, Zwaan L, Lubberding S, Timmermans D, Smits M. BMJ Open. 2016;6:e011277.
Journal Article › Commentary
Applied use of safety event occurrence control charts of harm and non-harm events: a case study.
Robinson SN, Neyens DM, Diller T. Am J Med Qual. 2017;32:285-291.
Journal Article › Commentary
Chemotherapy errors: a call for a standardized approach to measurement and reporting.
Lennes IT, Bohlen N, Park ER, Mort E, Burke D, Ryan DP. J Oncol Pract. 2016;12:e495-e501.
Journal Article › Study
The effects of power, leadership and psychological safety on resident event reporting.
Appelbaum NP, Dow A, Mazmanian PE, Jundt DK, Appelbaum EN. Med Educ. 2016;50:343-350.
Journal Article › Study
A factorial survey on safety behavior providing opportunities to improve safety.
Simons P, Houben R, Reijnders PJ. J Patient Saf. 2018;14:193-201.
Journal Article › Study
Zaheer S, Ginsburg L, Chuang YT, Grace SL. Health Care Manage Rev. 2015;40:13-23.
Journal Article › Study
Provenzano A, Rohan S, Trevejo E, Burdick E, Lipsitz S, Kachalia A. BMJ Qual Saf. 2015;24:31-37.
Journal Article › Study
Winsvold Prang I, Jelsness-Jørgensen LP. Geriatr Nurs. 2014;35:441-447.
Journal Article › Study
Hewitt T, Chreim S, Forster A. J Patient Saf. 2017;13:129-137.
Journal Article › Study
McKaig D, Collins C, Elsaid KA. Jt Comm J Qual Patient Saf. 2014;40;9:398-407.
Journal Article › Study
Patterson ME, Pace HA. J Patient Saf. 2016;12:114-117.
Journal Article › Commentary
Adverse events in healthcare: learning from mistakes.
Rafter N, Hickey A, Condell S, et al. QJM. 2015;108:273-277.
Journal Article › Study
Call RJ, Burlison JD, Robertson JJ, et al. 2014;165:447-452.
Web Resource › Multi-use Website
National Patient Safety Alerting System.
National Health Service England.