Establishing a global learning community for incident-reporting systems
Date
2010
Authors
Pham, J.
Gianci, S.
Battles, J.
Beard, P.
Clarke, J.R.
Coates, H.
Donaldson, L.
Elderidge, N.
Fletcher, M.
Goeschel, C.A.
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Journal article
Citation
BMJ Quality and Safety, 2010; 19(5):446-451
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Abstract
Background: Incident-reporting systems (IRS) collect snapshots of hazards, mistakes and system failures occurring in healthcare. These data repositories are a cornerstone of patient safety improvement. Compared with systems in other high-risk industries. healthcare IRS are fragmented and isolated. and have not established best practices for implementation and utilisation. Discussion: Patient safety experts from eight countries convened in 2008 to establish a global community to advance the science of learning from mistakes. This convenience sample of experts all had experience managing large incident-reporting systems. This article offers guidance through a presentation of expert discussions about methods to identify, analyse and prioritise incidents, mitigate hazards and evaluate risk reduction.
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Copyright 2010 BMJ Group