Establishing a global learning community for incident-reporting systems

Julius Cuong Pham, Sebastiana Gianci, James Battles, Paula Beard, John R. Clarke, Hilary Coates, Liam Donaldson, Noel Eldridge, Martin Fletcher, Christine A. Goeschel, Eugenie Heitmiller, Jörgen Hensen, Edward Kelley, Jerod Loeb, William Runciman, Susan Sheridan, Albert W. Wu, Peter J. Pronovost

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)446-451
Number of pages6
JournalQuality and Safety in Health Care
Volume19
Issue number5
DOIs
StatePublished - Oct 2010

ASJC Scopus subject areas

  • Health Policy

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