Voici une sélection d'articles sur le thème des "Systèmes de signalement des EIG par les professionnels".
Il faut noter que le pic de littérature sur ce sujet des obstacles à signaler date des années 2001 à 2004 avec un très net ralentissement après, car presque tout a été dit et n'a pas significativement changé.
Hall N, Bullen K, Sherwood J, et al Exploration of prescribing error reporting across primary care: a qualitative study BMJ Open 2022 ;12:e050283 doi: 10.1136/bmjopen-2021-050283
Chassin MR, Hannan EL, DeBuono BA .Benefits and Hazards of Reporting Medical Outcomes Publicly, N Engl J Med.1996, Volume 334 (6):394-398
Cullen, D., Bates, D. Small,S. Cooper, J. Nemeskal, A Leape, L. The incident reporting system does not detect adverse drug events: a problem for quality improvement.Jt Comm J Qual Improv. 1995
Jha, A. , Hupeerman, G., Teich, J., et al, Identyfing adverse drug events, 1998, JAMIA, 5 (3) : 305-14
Stanhope, N. Crowley-Murphy, M., Vincent, C. O’Connor A, Taylor-Adams S.: An evaluation of adverse incident reporting, Journal of evaluation in clinical practice, 5, 1, 1999, p 5 – 12
Edmondson, A. Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. J Appl Behav Sci,1996, 32, 5-28.
Vincent, C., Stanhope, N., Crowley-Murphy, M. Reasons for not reporting adverse incidents: an empirical study, Journal of Evaluation in Clinical Practice, 5(1) : 13 - February 1999
Wanzel KR, Jamieson CG, Bohnen JMA. Complications on a General surgery service: incidence and reporting. Canadian Journal of Surgery, 2000, 43(2):113-117
Brennan TA The Institute of Medicine Report on Medical Errors — Could It Do Harm? N Engl J Med, 2000; 342:1123–1125
McDonald, C., Weiner, M., Hui, S. Deaths Due to Medical Errors Are Exaggerated in Institute of Medicine Report JAMA. 2000; 284:93-95
Walshe K (2000). Adverse events in health care: issues in measurement. Qual Saf Health Care 2000.9; 47-52
Boëlle, P.-Y., Garnerin, P., Sicard, J-F, Clergue, F. & Bonnet, F. Voluntary reporting system in anesthesia: is there a link between undesirable and critical events? Qual Saf Health Care, 2000, 9, 203-209.
Liang, B. The adverse event of unadressed medical error: identifying and filling the holes in the healthcare system. J law Med Ethics, 2001, 29, 346-348.
Rajendran, P. Ethical Issues Involved in Disclosing Medical Errors. Medical Student JAMA. 286(9) 1079-83. September 5, 2001
Schneider, E., Lieberman, Publicly disclosed information about the quality of health care: response of the US public, Qual. Saf. Health Care, 2001, 10:96-103
Rosenthal, J., Booth, M., Barry, A. (2001). Cost implications of state medical error reporting programs: a briefing paper. Portland, ME: National Academy for State Health Policy.
Weingart S., Callanan, L., Ship.A, Aronson, M.. A physician-based voluntary reporting system for adverse events and medical errors. Journal of General Internal Medicine, 2001, 16(12):809-814
Weinberg, J. Medical Error and Patient Safety: Understanding Cultures in Conflict, Law and Policy. 24(2): 93-113. April 2002
Lawton, R. Parker, D. Barriers to incident reporting in a healthcare system, Qual.Saf.Health Care, 2002: 11:15-18
Firth-Cozens J. Barriers to incident reporting. Qual Saf Health Care 2002;11:7.
Blendon RJ Views of practicing physicians and the public on medical errors. N Engl J Med, 2002, 347(24), 1933-40.
Hopkin Tanne, J. US doctors and public disagree over mandatory reporting of errors, BMJ, 2002, 325 1055
Vaas, A. Patient Safety agency admits problems with it pilot scheme, BMJ, 2002, 432:1473
Beckmann, U., Bohringer, C., Carless, R., et al. Evaluation of two methods for quality improvement in intensive care: facilitated incident monitoring and retrospective medical chart review. Crit Care Med. 2003; 31(4):1006-1011.
Johnson C. Why did that happen? A brief explanation for the proliferation of barely usable software in healthcare systems. 2nd US/UK patient safety research methodology workshop. AHRQ, Rockville, MD, September 23-24, 2003.
Johnson,C.W. How Will We Get the Data and What Will We Do With It? Issues in the Reporting of Adverse Healthcare Events Quality and Safety in Health Care, 2003, 12 (2), 64-67
Murff, H., Patel,VL, Hripcsak, G., Bates, DW. Detecting adverse events for patient safety research: a review of current methodologies. J Biomed Inform., 2003, 36, 131-143
Volp, K. Grande, D., Residents’ suggestions for reducing errors in teaching hospitals, N Engl J Med 2003; 348:851-855
Griffen, F. IOM reports err regarding peer view confidentiality, Bull Am Coll Surg. 2003, 88, 8-11
Marchev, M. Medical malpractice and medical errors, balancing facts and fears, December 2003, National Academy for State Affairs, Portland
Runciman, W., Merry, A. (2003). Blame and the law in healthcare : an antipodean perspective. Ann Intern Med. 2003; 138:974-9.
Michel, P. Strengths and weaknesses of available methods for assessing the nature and scale of farm caused by the health system : literature review, 2003, Report WHO/OMS
Waring J. A qualitative study of the intra-hospital variations in incident reporting International Journal for Quality in Health Care 2004 16(5):347-352
Aylin, P, Tanna, S, Bottle, A., Jarman, B. How often are adverse events reported in hospital statistics? BMJ, 2004, 329:369-70.
Ricci, M Goldman, A P de Leval, M R Cohen, G A Devaney F and J Carthey Pitfalls of adverse event reporting in paediatric cardiac intensive care, Archives of Disease in Childhood 2004;89:856-85
White, C. Doctors mistrust systems for reporting medical mistakes. BMJ 2004, 329; 12-3
Dovey S., Philipps R. What should we report to medical error reporting system? Qual. Saf. Health Care, 2004 13:322-3.
Tamuz, M. Thomas, E; Franchois, K. Defining and classifying medical errors, lessons from patient safety reporting system, Qual.Saf.Health Care, 2004: 13:13-20
Lisby M., Nielsen L., Brock B. Mainz J. How are medication errors defined? A systematic literature review of definitions and characteristics, Int J. Qual Health Care, 2010, 22, 507-18
Wild D., Bradley E. The gap between nurses and residents in a community hospital's error-reporting system. Jt Comm J Qual Patient Saf
Capuzzo, M., Nawfal, I., Campi. M., Valpondi, V., Verri, M., Alvisi, R., Reporting of unintended events in an intensive care unit: comparison between staff and observer, BMC emergency medicine, 2005 5(1), 1-7
Barach P. The unintended consequences of Florida Medical liability Legislation. The law and patient safety. December 2005.
National Patient safety Agency. Chapter M: Human factors of reporting systems, 2005, Fact Sheet: Patient Safety Reporting Systems and Research in Health and Human Services NPSA Web site.
Schmidek, J M, Weeks W BRelationship between tort claims and patient incident reports in the Veterans Health Administration Qual Saf Health Care 2005;14:117-122
Evans SM, Berry JG, Smith BJ, Esterman A, Selim P, O'Shaughnessy J, DeWit M. Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Health Care. 2006 Feb;15(1):39-43.
Kane-Gill S., Delvin J. Adverse Drug Event Reporting in Intensive Care Units: A Survey of Current Practices, The Annals of Pharmacotherapy: 2006, Vol. 40, No. 7, pp. 1267-1273
Guthrie P. US creates blame-free adverse event reporting. CMAJ 2006, 174(1):19 (news).
Kesselheim, A. , Ferris, T, Studdert, D. Will Physician-Level Measures of Clinical Performance Be Used in Medical Malpractice Litigation? JAMA, April 19, 2006 295(15):1831–34
Wetzels R, Wolters R, van Weel C, Wensing M (2008) Mix of methods is needed to identify adverse events in general practice: A prospective observational study. BMC Fam Practice.15:9, 35.
Wagner L, Capezuti E., Clark P., Parmelee P., Ouslander, J. Use of a falls incident reporting system to improve care process documentation in nursing homes
Wesell M., Litvin C., Jenkins R., Nietert P., Nemeth L. Ornstein S. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner, Research Network, Qual Saf Health Care doi:10.1136/qshc.2009.034678, published on line
Greene S., Williams C., Pierson S., Hansen R., Carey T. Medication error reporting in nursing homes: identifying targets for patient safety improvement, Qual Saf Health Care 2010;19:218-222
Pfeiffer Y, Manser T, Wehner T., Conceptualizing barriers to incident reporting : a psychological framework, QSHC, 2010, 19
Jayaram G., Doyle D., Steinwachs D., Samuels J., Electronic Systems Reduce Drug Errors in Psychiatry, Journal of Psychiatric Practice: March 2011 - Volume 17 - Issue 2 - p 81–88
Zwart D., Steernernan A., ven Rensen E., Kalkman C; Verheij T., Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study, BMJ Qual Saf 2011;20:121-127,
Hewitt, Tanya Anne, et Samia Chreim. Fix and Forget or Fix and Report: A Qualitative Study of Tensions at the Front Line of Incident Reporting BMJ Quality & Safety, 6 mars 2015, bmjqs ‑ 2014‑003279.
Macrae C. The problem with incident reporting BMJ Qual Saf Published Online First: doi:10.1136/bmjqs- 2015-004732
Crane, S., Sloane P., Elder N., Cohen L., Laughtenschlaeger N., Walsh K., Zimmerman S. Reporting and Using Near-Miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborative Approach to Learning from Our Mistakes. The Journal of the American Board of Family Medicine 28, no 4 (7 janvier 2015): 452 60.
Baxter R., Taylor N., Kellar I., Lawton R.. What Methods Are Used to Apply Positive Deviance within Healthcare Organisations? A Systematic Review . BMJ Quality & Safety 25, no 3 (3 janvier 2016): 190 201.
Leistikow I.,Mulder S., Vesseur J., Robben P. Learning from incident in healthcare: the journey, not the arrival, matters, BMJ Qual Saf Published Online First: doi:10.1136/bmjqs-2015- 004853
Manaseki-Holland S., Lilford R., Bishop J., Girling A., Chen Y., Chilton P., Hofer T. Reviewing Deaths in British and US Hospitals: A Study of Two Scales for Assessing Preventability . BMJ Quality & Safety, 22 juin 2016, bmjqs-2015-004849.
Kellogg K. M., Hettinger Z., Shah M., Wears R., Sellers C., Squires M., Fairbanks R.. Our Current Approach to Root Cause Analysis: Is It Contributing to Our Failure to Improve Patient Safety? BMJ Qual Saf, February 2, 2017, bmjqs-2016-005991.