AHRQ Innovations Exchange | Safety Mentors Create Culture to Reduce Adverse Events and Increase Error Reporting

Safety Mentors Create Culture to Reduce Adverse Events and Increase Error Reporting

Snapshot
Summary
Safety mentors at Christiana Care Health System help staff implement best-practice safety behaviors and reporting of errors and near misses. The program has demonstrated an 8-percent decrease in serious adverse events and improved the catching and/or reporting of near misses related to potential medication errors. In addition, feedback from employee surveys suggests improvements in the patient safety culture within the organization.

See the Results section for updated evaluation data regarding improvements in safety culture, fewer serious adverse events, and improving the catch rate for near misses and event reporting (updated November 2009).

Evidence Rating
Moderate: The evidence consists of before-and-after comparisons of key outcomes measures, including serious adverse events, identification and reporting of near misses related to medications, and employee surveys on safety culture.


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AHRQ Innovations Exchange | Safety Mentors Create Culture to Reduce Adverse Events and Increase Error Reporting