Improving error reporting at the ICU

Introduction A significant number of dangerous incidents occur at the ICU on a daily basis []. These incidents or (near) errors are suitable to identify weaknesses in care systems. Therefore, it is important that all incidents are reported and analysed []. At the ICU at VU University medical center (VUmc), in 2009 less then 100 incidents were reported and throughput and analysis were long. Also little improvement measures were formulated and feedback to the team was minimal. To increase the number of reportings, improvement measures were formulated as regard to culture and structure.