Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | AHRQ Patient Safety Network

Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | AHRQ Patient Safety Network

• Commentary
 
• Published May 2016

Applied use of safety event occurrence control charts of harm and non-harm events: a case study.

Robinson SN, Neyens DM, Diller T. Am J Med Qual. 2016 May 9; [Epub ahead of print].

There is a recognized challenge in developing true opportunities for improvement with incident reporting. Using a case study method, this commentary describes a tested incident assessment framework that employs charting mechanisms to monitor both harm and nonharm events that result in process or workflow changes to indicate reliability of care in real time.

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