The problem with incident reporting
C Macrae - BMJ quality & safety, 2016 - qualitysafety.bmj.com
Seminal reports that launched the modern field of patient safety highlighted the importance
of learning from critical incidents. 1 2 Since then, incident reporting systems have become …
of learning from critical incidents. 1 2 Since then, incident reporting systems have become …
Critical incident reporting and learning
RP Mahajan - British journal of anaesthesia, 2010 - academic.oup.com
The success of incident reporting in improving safety, although obvious in aviation and other
high-risk industries, is yet to be seen in health-care systems. An incident reporting system …
high-risk industries, is yet to be seen in health-care systems. An incident reporting system …
Failing to learn? The effects of failure and success on organizational learning in the global orbital launch vehicle industry
It is unclear whether the common finding of improved organizational performance with
increasing organizational experience is driven by learning from success, learning from …
increasing organizational experience is driven by learning from success, learning from …
[图书][B] Qualitative health research: Creating a new discipline
JM Morse - 2016 - taylorfrancis.com
The leading figure in qualitative health research (QHR), Janice M. Morse, asserts that QHR
is its own separate discipline—distinct from both traditional health research and other kinds …
is its own separate discipline—distinct from both traditional health research and other kinds …
Developing a systemic lessons learned knowledge model for organisational learning through projects
S Duffield, SJ Whitty - International journal of project management, 2015 - Elsevier
A significant challenge for government and business project organisations is to ensure that
lessons are learned and that mistakes of the past are not repeated. Both knowledge and …
lessons are learned and that mistakes of the past are not repeated. Both knowledge and …
Do house officers learn from their mistakes?
Mistakes are inevitable in medicine. To learn how medical mistakes relate to subsequent
changes in practice, we surveyed 254 internal medicine house officers. One hundred …
changes in practice, we surveyed 254 internal medicine house officers. One hundred …
Incidence of treated cardiac arrest in hospitalized patients in the United States
RM Merchant, L Yang, LB Becker, RA Berg… - Critical care …, 2011 - journals.lww.com
Objective: The incidence and incidence over time of cardiac arrest in hospitalized patients is
unknown. We sought to estimate the event rate and temporal trends of adult inhospital …
unknown. We sought to estimate the event rate and temporal trends of adult inhospital …
Attitudes and barriers to incident reporting: a collaborative hospital study
Objectives: To assess awareness and use of the current incident reporting system and to
identify factors inhibiting reporting of incidents in hospitals. Design, setting and participants …
identify factors inhibiting reporting of incidents in hospitals. Design, setting and participants …
The effect of electronic prescribing on medication errors and adverse drug events: a systematic review
E Ammenwerth, P Schnell-Inderst… - Journal of the …, 2008 - academic.oup.com
The objective of this systematic review is to analyse the relative risk reduction on medication
error and adverse drug events (ADE) by computerized physician order entry systems …
error and adverse drug events (ADE) by computerized physician order entry systems …
How effective are incident‐reporting systems for improving patient safety? A systematic literature review
C Stavropoulou, C Doherty, P Tosey - The Milbank Quarterly, 2015 - Wiley Online Library
Methods: Our systematic literature review identified 2 groups of studies:(1) those comparing
the effectiveness of IRSs with other methods of error reporting and (2) those examining the …
the effectiveness of IRSs with other methods of error reporting and (2) those examining the …