GESTIÓN EN SALUD PÚBLICA: AHRQ Patient Safety Network ► Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'

jueves, 13 de agosto de 2015

AHRQ Patient Safety Network ► Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'

AHRQ Patient Safety Network

Qualitative study of patient safety experts finds ongoing challenges in use of incident reporting systems as safety tool.
BMJ Qual Saf. 2015 Jul 27; [Epub ahead of print].

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Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'

Mitchell I, Schuster A, Smith K, Pronovost P, Wu A. BMJ Qual Saf. 2015 Jul 27; [Epub ahead of print].

Incident reporting remains a cornerstone of patient safety efforts, despite its documented shortcomings. This qualitative study of patient safety experts delineates multiple challenges of current reporting systems, including weaknesses related to triage and analysis of reports, clinician engagement, visible and timely follow-up action, funding and institutional support, and functionality of current health information technology platforms used for reporting. Based on these results, the authors suggest that health systems must invest additional resources in order to attain more benefit from incident reporting systems. A recent AHRQ WebM&M perspective discusses voluntary reporting and other methods for measuring patient safety.

PubMed citation