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 …

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 …

Failing to learn? The effects of failure and success on organizational learning in the global orbital launch vehicle industry

PM Madsen, V Desai - Academy of management journal, 2010 - journals.aom.org
It is unclear whether the common finding of improved organizational performance with
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 …

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 …

Do house officers learn from their mistakes?

AW Wu, S Folkman, SJ McPhee, B Lo - Jama, 1991 - jamanetwork.com
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 …

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 …

Attitudes and barriers to incident reporting: a collaborative hospital study

SM Evans, JG Berry, BJ Smith, A Esterman… - BMJ Quality & …, 2006 - qualitysafety.bmj.com
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 …

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 …

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 …