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 S Heitmiller, Jörgen Hensen, Edward Kelley, Jerod Loeb, William Runciman, Susan Sheridan, Albert W. Wu, Peter J Pronovost

Research output: Contribution to journalArticlepeer-review

37 Scopus citations

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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