Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. July 10, 2024

https://psnet.ahrq.gov/issue/building-resilient-patient-safety-culture-large-healthcare-organizations-approach Building a resilient patient safety culture: a large healthcare organization's approach to systematically reviewing serious harm events. Harvey B, Dhalla IA, O'Neill C, et al. Healthc Q. 2024;27(1):19-25. Error reporting and analysis is a key element of a learning organization. This article describes one healthcare organization's approach to systematic review of serious harm events through use of a standardized classification system, frequent meetings, inclusion of the patient and family voice, and application of human factors strategies.