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Thrall TH. Hosp Health Netw. 2008 December;82:42-4, 1.
This article provides context on a recent study and Joint Commission alert regarding how disruptive behavior may affect patient safety and describes steps hospitals can take to facilitate improvement.
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.
Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership.
Zaheer S, Ginsburg L, Chuang YT, Grace SL. Health Care Manage Rev. 2015;40:13-23.
Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers.
Provenzano A, Rohan S, Trevejo E, Burdick E, Lipsitz S, Kachalia A. BMJ Qual Saf. 2015;24:31-37.
Sociocultural factors influencing incident reporting among physicians and nurses: understanding frames underlying self- and peer-reporting practices.
Hewitt T, Chreim S, Forster A. J Patient Saf. 2017;13:129-137.
Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center.
McKaig D, Collins C, Elsaid KA. Jt Comm J Qual Patient Saf. 2014;40;9:398-407.
National Patient Safety Alerting System.
National Health Service England.
Talking with patients about other clinicians' errors.
Gallagher TH, Mello MM, Levinson W, et al. N Engl J Med. 2013;369:1752-1757.
The effect of an organizational network for patient safety on safety event reporting.
Jeffs L, Hayes C, Smith O, et al. Eval Health Prof. 2014;37:366-378.
A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths.
de Feijter JM, de Grave WS, Muijtjens AM, Scherpbier AJ, Koopmans RP. PLoS One. 2012;7:e31125.
How event reporting by US hospitals has changed from 2005 to 2009.
Farley DO, Haviland A, Haas A, Pham C, Munier WB, Battles JB. BMJ Qual Saf. 2012;21:70-77.
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.
'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.
Physician perception of hospital safety and barriers to incident reporting.
Schectman JM, Plews-Ogan ML. Jt Comm J Qual Patient Saf. 2006;32:337-343.
Building an ambulatory safety program at an academic health system.
Desai S, Fiumara K, Kachalia A. J Patient Saf. 2019 Apr 18; [Epub ahead of print].
Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department.
Lee WH, Zhang E, Chiang CY, et al. J Patient Saf. 2019;15:61-68.
Targeting the fear of safety reporting on a unit level.
Copeland D. J Nurs Adm. 2019;49:121-124.
Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.
Graham AJ, Ocampo W, Southern DA, et al. BMJ Qual Saf. 2019;28:310-316
Overcoming human barriers to safety event reporting in radiology.
Siewert B, Brook OR, Swedeen S, Eisenberg RL, Hochman M. Radiographics. 2019;39:251-263.
Race differences in reported harmful patient safety events in healthcare system high reliability organizations.
Thomas AD, Pandit C, Krevat SA. J Patient Saf. 2018 Dec 21; [Epub ahead of print].
Improving resident and fellow engagement in patient safety through a graduate medical education incentive program.
Turner DA, Bae J, Cheely G, Milne J, Owens TA, Kuhn CM. J Grad Med Educ. 2018;10:671-675.
Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.
Feinstein MM, Pannunzio AE, Castro P. Paediatr Anaesth. 2018;28:1071-1077.
Using patient safety reporting systems to understand the clinical learning environment: a content analysis.
Sellers MM, Berger I, Myers JS, Shea JA, Morris JB, Kelz RR. J Surg Educ. 2018;75:e168-e177.
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.
Impact of high-reliability education on adverse event reporting by registered nurses.
McFarland DM, Doucette JN. J Nurs Care Qual. 2018;33:285-290.
The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.
Kroll DS, Shellman AD, Gitlin DF. J Patient Saf. 2018;14:e51-e55.
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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