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The incident reporting system does not detect adverse drug events: A problem for quality improvement
Cullen DJ, Bates DW, Small SD, Cooper JB, Nemeskal AR, Leape LL. The incident reporting system does not detect adverse drug events: A problem for quality improvement. Joint Commission Journal on Quality Improvement. 1995 Oct;21(10):541-548.

The objectives of this study were 1) to determine the frequency with which adverse drug events result in an incident report (IR) in hospitalized patients; and 2) to determine if there were differences between quality assurance administrators, nurse leaders in quality assurance, and staff nurses as to whether an incident report should or would be filed for each adverse drug event.

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