| Developing a departmental culture for reporting adverse incidents. | |
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MedLine Citation:
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PMID: 12870255 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A simple, reproducible model for reporting adverse events was developed in order to promote cultural awareness and acceptance of risk management within the authors' department. A departmental proforma was created and prospective reporting of adverse events was encouraged. In the six months prior to commencing this study only four adverse incidents were reported. Following the introduction of the proforma 64 critical incidents and near-misses were reported in the one-year period. In conclusion a simple model for reporting critical incidents and near-misses has been established. This has fostered a cultural change within the department and all members of staff feel more comfortable with reporting such incidents. The process is seen as educational and an important part of continuing professional and departmental development. Protocols and changes in organisational practice have been developed to reduce and prevent the occurrence of adverse events and offer patients continuous improvement in care. |
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Authors:
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R Bhatia; G Blackshaw; A Rogers; A Grant; R Kulkarni |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of health care quality assurance incorporating Leadership in health services Volume: 16 ISSN: 1366-0756 ISO Abbreviation: Int J Health Care Qual Assur Inc Leadersh Health Serv Publication Date: 2003 |
Date Detail:
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Created Date: 2003-07-21 Completed Date: 2003-08-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9711269 Medline TA: Int J Health Care Qual Assur Inc Leadersh Health Serv Country: England |
Other Details:
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Languages: eng Pagination: 154-6 Citation Subset: H |
Affiliation:
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Department of Trauma and Orthopaedics, Royal Gwent Hospital, Newport, Gwent, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Forms and Records Control* Great Britain Health Services Research Hospital Departments / organization & administration*, statistics & numerical data Hospitals, Public / organization & administration, standards Humans Medical Errors / statistics & numerical data* Medical Staff, Hospital Models, Organizational Nursing Staff, Hospital Organizational Culture* Program Development Risk Management / organization & administration*, statistics & numerical data |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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