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Table 2 Comparison of the incident reporting process in GIM and OBS/NEO

From: Incident reporting systems: a comparative study of two hospital divisions

Reporting Aspect GIM OBS/NEO
Incident detection Predominantly nurses Team approach
Predominantly outcome based (falls and medication errors) Outcome and near miss based
Analysis Individual nurse leader investigation Individual nurse leader investigation
Individual physician review to determine preventable harm Multidisciplinary pre-screen committee review
Larger multidisciplinary QA review for policy type issues
Learning through reporting Feedback to individual nurses through “teachable moments” System focus
Ambiguous linkage to incident reports (e.g. M&M rounds) Clear linkage to incident reports (e.g. Accidental extubation project in NICU)
Feedback Staff meetings (nursing) Staff meetings, bi-annual newsletter, occasional reporter participation in QA meeting