Patient safety

Reporting and learning systems

Introduction


Articles

Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals

Marieke Zegers, Martine C de Bruijne, Cordula Wagner, Peter P Groenewegen, Roelof Waaijman, and Gerrit van der Wal , BMC Health Serv Res. 2007; 7: 27.( Published online 2007 February 25. doi: 10.1186/1472-6963-7-27. ) PMCID: 1810530

Incident Reporting: Seeing the picture through “lean thinking”

David I Ben-Tovim, BMJ. 2007 January 27; 334(7586): 169. (doi: 10.1136/bmj.39101.389271.1F. PMCID: 1782016)

Incident reporting and patient safety

Charles Vincent, Department of Biosurgery and Surgical Technology, Imperial College London, St Mary's Hospital, London W2 1NY, UK BMJ. 2007 January 13; 334(7584): 51. ( doi: 10.1136/bmj.39071.441609.80. PMCID: 1767279 )

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review

Ali Baba-Akbari Sari, Trevor A Sheldon, Alison Cracknell, and Alastair Turnbull, Department of Health Sciences, University of York, York , UK
BMJ. 2007 January 13; 334(7584): 79. ( doi: 10.1136/bmj.39031.507153.AE. PMCID: 1767248 )

Using medical-error reporting to drive patient safety efforts

Stow J. AORN J. 2006 Sep;84(3):406-8, 411-4, 417-20; quiz 421-4

Clinical Governance: from clinical risk management to continuous quality improvement

Chiozza ML, Plebani M. Clin Chem Lab Med. 2006;44(6):694-8.

Integrating the intensive care unit safety reporting system with existing incident reporting systems

Thompson DA, Lubomski L, Holzmueller C, Wu A, Morlock L, Fahey M, Dickman F, Dorman T, Pronovost P. Jt Comm J Qual Patient Saf. 2005 Oct;31(10):585-93.

Results of a survey on medical error reporting systems in Korean hospitals

Kim J, Bates DW. Int J Med Inform. 2006 Feb;75(2):148-55. Epub 2005 Aug 10.

Adverse events and near miss reporting in the NHS

Shaw R, Drever F, Hughes H, Osborn S, Williams S. Qual Saf Health Care. 2005 Aug;14(4):279-83

About us

Sir Liam Donaldson, WHO Envoy for Patient Safety

Patient safety fact file