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Crandall KM, Almuhanna A, Cady R, et al. Pediatr Qual Saf. 2018;3:e072.
Crandall KM ; Almuhanna A ; Cady R; et al. 10,000 good catches: increasing safety event reporting in a pediatric health care system. Pediatr Qual Saf. 2018; 3: e072
Incident reporting is widely utilized to detect adverse events and near misses, but underreporting remains a problem. This study describes a quality improvement initiative to increase event reporting across a pediatric health care system.
Reporting Patient Safety Events
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
George D, Hassali MA, Hss AS. JMIR Hum Factors. 2018;5:e12232.
Enhancing safety culture through improved incident reporting: a case study in translational research.
Flott K, Nelson D, Moorcroft T, et al. Health Aff (Millwood). 2018;37:1797-1804.
Nurses' and patients' appraisals show patient safety in hospitals remains a concern.
Aiken LH, Sloane DM, Barnes H, Cimiotti JP, Jarrín OF, McHugh MD. Health Aff (Millwood). 2018;37:1744-1751.
Multi-level analysis of national nursing students' disclosure of patient safety concerns.
Palese A, Gonella S, Grassetti L, et al; SVIAT TEAM. Med Educ. 2018;52:1156-1166.
Silent witnesses: faculty reluctance to report medical students' professionalism lapses.
Ziring D, Frankel RM, Danoff D, Isaacson JH, Lochnan H. Acad Med. 2018;93:1700-1706.
A surgeon so bad it was criminal.
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Center for Leadership, Innovation and Research in EMS.
PO Box 2286, St. Cloud, MN, 56302.
Identifying health information technology related safety event reports from patient safety event report databases.
Fong A, Adams KT, Gaunt MJ, Howe JL, Kellogg KM, Ratwani RM. J Biomed Inform. 2018;86:135-142.
Implementing safety hotlines: Stamford Health's experience and future opportunities.
Cardiello R, Johnston S, Kiely S. J Healthc Risk Manag. 2019;38:24-31.
Young A, Kelly J, Schnaars C, Ungar L. USA Today.
Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews.
Mannion R, Blenkinsopp J, Powell M, et al. Health Services and Delivery Research. Southampton, UK: NIHR Journals Library; 2018.
Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data.
de Vos MS, Hamming JF, Chua-Hendriks JJC, Marang-van de Mheen PJ. BMJ Qual Saf. 2019;28:180-189.
Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors.
Tawfik DS, Profit J, Morgenthaler TI, et al. Mayo Clin Proc. 2018;93:1571-1580.
The dilemma of patient safety work: perceptions of hospital middle managers.
Sanner M, Halford C, Vengberg S, Röing M. J Healthc Risk Manag. 2018 Jul 2; [Eub ahead of print].
AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting.
AORN J. 2018;108:64-65.
Gross Negligence Manslaughter in Healthcare: The Report of a Rapid Policy Review.
Williams N. Department of Health and Social Care. London, England: Crown Copyright; 2018.
Reporting adverse events in a war zone.
Arie S. BMJ. 2018;361:k2286.
Introduction of a mobile adverse event reporting system is associated with participation in adverse event reporting.
Rubin DS, Pesyna C, Jakubczyk S, Liao C, Tung A. Am J Med Qual. 2019;34:30-35.
Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study.
Sinclair JE, Austin MA, Bourque C, et al. Prehosp Emerg Care. 2018;22:762-772.
Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies.
Jones CEL, Phipps DL, Ashcroft DM. Safety Sci. 2018;105:114-120.
Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.
Collins S, Couture B, Dykes P, et al. JAMIA Open. 2018;1:20–25.
Preventing newborn falls and drops.
Quick Safety. March 27, 2018;(40):1-2.
ISMP Follow-up Survey on Smart Pump Data Usage.
Institute for Safe Medication Practices.
Incident reporting to improve patient safety: the effects of process variance on pediatric patient safety in the emergency department.
O'Connell KJ, Shaw KN, Ruddy RM, et al; Pediatric Emergency Care Applied Research Network. Pediatr Emerg Care. 2018;34:237-242.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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