OFFICE ENDNOTE X7 AN ERROR OCCURRED PROFESSIONAL

OFFICE ENDNOTE X7 AN ERROR OCCURRED PROFESSIONAL

Reporting within a professional group or discipline-specific focus Identifies trends and patterns of serious incidents reported in a patient safety learning systemĭetails of a national guideline or national policy or national reporting systems Deals with “no harm” or “near miss” incident reportingģ. Set in a context outside of a national public healthcare systemĢ. Describes the collection, collation and reporting of incidents (medication error, etc.) or reporting within one speciality or condition or error type, provided the reporting is at a national levelġ. safety incident learning system(s) or critical incident reporting system(s)ģ. Describes the processes underpinning the collection, collation and reporting of data pertaining to serious patient safety incidents i.e.

Takes a national or state or regional level approachĢ. “medical error” OR “clinical error” OR “never event” OR “adverse event” OR “serious patient safety incident” OR “patient safety learning system” OR “critical incident reporting system”ġ. Report OR national OR system OR database OR (mandatory adj2/N2/W2 disclosure) OR (open adj2/N2/W2 disclosure) OR “duty of candor”ĪND (critical OR sentinel OR serious) adj2/N2/W2 (incident OR event OR harm OR error) OR Patients/members of the public outside of the healthcare system Patients/members of the public interacting with the healthcare system, regardless of speciality Patient OR client OR user OR family OR public 3 The aim of this review is to describe international approaches in relation to the reporting of serious patient safety incidents with a particular focus on exploring definitions and terminology used to represent serious patient safety incidents. 6 Therefore, it is important to understand the approaches that are used internationally to identify common elements, which may contribute to a more consistent means of incident reporting and a greater shared learning. 1 Consequently, there is a need for standardized and consistent approaches to defining serious incidents and associated reporting protocols.Īlthough previous attempts at standardization have been made, there is a continual need to review and refine relevant terminology as reporting approaches evolve to enable translation of learning across healthcare systems. 5 The World Health Organization (WHO) outlined a number of priority areas to improve patient safety and support learning healthcare systems, and a shared understanding may be critical to their achievement. 6 This lack of clarity may lead to inconsistent or unnecessary patterns of incident reporting, which fails to allow identification of the most serious patient safety incidents to enable relevant learning and systems improvement. This may cause confusion as to what is considered a reportable patient safety incident. There is, however, variability in the approaches taken in relation to incident reporting.

2, 3 One of the fundamental means of preventing avoidable harm is by learning from failures of the healthcare system via incident reporting systems and implementing appropriate changes. 1 Patient safety is a global priority given the increasing evidence that patients are unintentionally, but frequently, harmed in situations often deemed to have been preventable. Patient harm is one of the major causes of global disease burden and represents the leading cause of injury and potentially avoidable harm in healthcare systems internationally.

Office endnote x7 an error occurred