Table 3 Comparison of the influences on the IRS process in GIM and OBS/NEO

Threat of litigation

Moderate; had an inhibiting effect on, especially, physician reporting

Very high; had encouraged the domain to be proactive, and embrace IRS use

Introduction of IRS

Top down, customization asked of GIM

Bottom up, customization asked by OBS

Instrumentally focussed training – how to report

Training focused on reasons to report

Interprofessional training

Minimal interprofessional training

MORE OB (in OBS division), which gave rise to several safety practices including the OBS specific predecessor of the current IRS