Incident reporting must be coupled with visible, sustainable action and linkage of incident reports to the electronic health record. If the healthcare industry wants to learn from its mistakes, miss or near miss events, it will need to take incident reporting as seriously as the health budget. ...
A number of studies have found high incidences of adverse events in health care. These includeTo Err is Human[1], the United Kingdom’s (UK’s)An Organization with a Memory[2] and theCanadian Adverse Events Study(CAES) [3]. Incident reporting has been recommended as one of several tool...
A working group from the Austrian Society for Quality and Safety in Healthcare (ASQS) developed a survey on the topic of CIRS to collect information on penetration of CIRS in general and on how CIRS reports are used to increase patient safety. Three hundred seventy-one health care ...
When patient safety programs were mandated for Japanese health care institutions, a safety culture, a tool for collecting incident reports, an organization... Nakajima,K - 《Quality & Safety in Health Care》 被引量: 148发表: 2005年 Physician Perception of Hospital Safety and Barriers to Incident...
Learning from safety incidents in high-reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare Crew resource management is a set of training procedures that focus on communication, leadership and decision-making. Sophisticated incident-reporting systems...
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Purpose: The aim of this study was to elucidate the development and current status of the critical incident technique (CIT), with focus on its fundamental definitions, guidelines, and pros and cons when applied in nursing and healthcare sciences. Method: A theoretical reasoning based on the orig...
To understand the current status of voluntary reporting systems in terms of completeness, accuracy and degrees of expressiveness, and to identify the social-technical barriers toward a human-centered design, we studied a set of voluntary reports acquired from the University of Missouri Health Care Sys...
This can be seen both regarding the healthcare providers and the regulatory authority. The reports from the qualitative interviews data indicated that "auditing at the office" was considered the main occupation in incident investigations conducted by the regulatory authority. 展开 ...
To explore the combined use of a critical incident database and work domain analysis to understand patient safety issues in a health-care setting.A retrosp... L Denham,Phipps,W Vanessa,... - 《Journal of Patient Safety》 被引量: 2发表: 2017年 Analysis of the nature and contributory factor...