Closing the loop with ambulatory staff on safety reports

Williams S, Fiumara K, Kachalia A, Desai S. Closing the Loop with Ambulatory Staff on Safety Reports. The Joint Commission Journal on Quality and Patient Safety. Epub Nov 15, 2019

A lack of closed-loop feedback systems has been identified as one contributor to underreporting of patient safety events. This paper describes one large academic medical center’s implementation of a Feedback to Reporter program in ambulatory care, which aimed to ensure feedback on safety reports is provided to reporting staff by managers. At baseline, 50% of staff who requested feedback ultimately received it; after three years, the rate of feedback to reporters had increased to 90%.

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