Patient safety management within healthcare systems globally can feel like a relentlessly negative treadmill. Mortality reviews, incident reporting systems and audits all focus attention …
R Lawton, D Parker - BMJ Quality & Safety, 2002 - qualitysafety.bmj.com
Background: Learning from mistakes is key to maintaining and improving the quality of care in the NHS. This study investigates the willingness of healthcare professionals to report the …
M Walton - BMJ Quality & Safety, 2004 - qualitysafety.bmj.com
Medical errors make headline news. The headlines will always emphasise the human suffering associated with medical error, but the prevention of such errors comes as the result …
Incident reporting should ideally communicate all information relevant to patient safety. Local incident reporting systems in hospitals typically use an incident form that comprises …
CA Vincent - BMJ Quality & Safety, 2004 - qualitysafety.bmj.com
Incident reporting lies at the heart of many initiatives to improve patient safety. The UK National Patient Safety Agency (NPSA) 1 has recently launched a national reporting and …
Resistance of physicians to clinical governance will continue until they can see how a real programme works operationally and a measurable leap in quality is achieved. In the …
I Mitchell, A Schuster, K Smith… - BMJ quality & …, 2016 - qualitysafety.bmj.com
One of the key recommendations of the Institute of Medicine's (IOM) report, To Err is Human, 15 years ago was for greater attention to incident reporting in healthcare, analogous to the …
C Macrae - BMJ quality & safety, 2016 - qualitysafety.bmj.com
Seminal reports that launched the modern field of patient safety highlighted the importance of learning from critical incidents. 1 2 Since then, incident reporting systems have become …
K Walshe - BMJ Quality & Safety, 2000 - qualitysafety.bmj.com
Adverse events—“instances which indicate or may indicate that a patient has received poor quality care” 1—are used widely in healthcare quality measurement and improvement …