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Cited by 4 publications
(6 citation statements)
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“…8,[13][14][15][16] The limitations of self-reporting are well described and include vulnerability to under-reporting and recall bias; also, such systems may be less effective at capturing near miss or low acuity events, even when that information could be highly relevant to improving system safety. 2,10,17 Under-reporting may also be due to fear of reprisal or punishment for acknowledging what may seem like personal failure. Nonetheless, as a component of an overall quality management program, voluntary reporting can offer valuable insight that is operationally sensitive (i.e., reflective of how work is actually done rather than how it might be intended to be done) and that may go beyond the scope of established quality measures.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…8,[13][14][15][16] The limitations of self-reporting are well described and include vulnerability to under-reporting and recall bias; also, such systems may be less effective at capturing near miss or low acuity events, even when that information could be highly relevant to improving system safety. 2,10,17 Under-reporting may also be due to fear of reprisal or punishment for acknowledging what may seem like personal failure. Nonetheless, as a component of an overall quality management program, voluntary reporting can offer valuable insight that is operationally sensitive (i.e., reflective of how work is actually done rather than how it might be intended to be done) and that may go beyond the scope of established quality measures.…”
Section: Discussionmentioning
confidence: 99%
“…Approaches demonstrated to be effective in motivating QI reporting include educational interventions, reward systems, provider-level performance feedback, and improved transparency and engagement with the system improvement efforts that result from voluntary reporting 8,13–16 . The limitations of self-reporting are well described and include vulnerability to under-reporting and recall bias; also, such systems may be less effective at capturing near miss or low acuity events, even when that information could be highly relevant to improving system safety 2,10,17 . Under-reporting may also be due to fear of reprisal or punishment for acknowledging what may seem like personal failure.…”
Section: Discussionmentioning
confidence: 99%
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“…4,16,20,22,26,27 Not unexpectedly, the methodology most often used for the identification of M&M cases was self-reporting, especially given past evidence that despite electronic health record documentation, adverse event report is still overwhelmingly reliant on self-reports. 28 Some of the largest variability occurred when assessing what formats are being used to present morbidity and mortality cases. Interestingly, more than a third, or 37%, of survey respondents stated that no standard format was used for presentations (Figure 3B).…”
Section: Discussionmentioning
confidence: 99%
“…Not all nonroutine events are the result of errors, and not all errors result in adverse patient impact. 28 Reporting relies on a healthy safety culture, especially psychological safety in a person's work environment, to mitigate fears of personal embarrassment, professional shame, or retribution for actions-even despite good faith intentions-that may have contributed to the adverse event. Organizations with a strong safety culture should make their improvement activities transparent, showing where this work directly follows from event reports, as this provides a sense of agency to staff that their voice matters and can lead to positive change.…”
Section: Event Reporting-a Critical Tool For Patient Safetymentioning
confidence: 99%