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 |