Incident Reporting Systems – The Hidden Story
نویسنده
چکیده
Incident reporting systems are often seen by the general public and governments as an absolute necessity to ensure safety. However, there is more to incident reporting systems than what one would surmise from the name. While these systems are designed to record incidents, aiming to ultimately inform the system to not make the same or similar mistake again, there is a lot behind the scenes. A very high level depiction of an incident reporting system can be described as being comprised of three phases: data collection, data analysis, and subsequent learning. These three phases are discussed, including some of their many complexities in typical incident reporting systems. Other issues are raised, including some misleading assumptions of icebergs and triangles, and storytelling or informality as an alternate to traditional incident reporting systems. Overall, while the goal of making a system safer is indeed a worthy one, there is much to consider in establishing an incident reporting system as one of the tools in achieving safety.
منابع مشابه
Investigation of Incident Reporting System in Iranian Hospitals: A National Survey
Background and Aims: Incident reporting is a possible alternative for learning from errors. One of the barriers in this way is a deficit in, common standards for collecting, interpreting, and presenting data. In this research accordance with Iranchr('39')s incident reporting system with minimal information Model for Patient Safety Incident Reporting Systems (MIMPS)of WHO were compared. Methods:...
متن کاملIncident reporting schemes and the need for a good story
Incident reporting is a central strategy for improving safety in the NHS (UK National Health Service). In this paper we discuss incident reporting in anaesthesia. We discuss four schemes for reporting: longstanding, departmental based schemes; newer, hospital wide schemes; a national scheme; and an inter-departmental scheme (developed by the authors). We also discuss an example report. We argue...
متن کاملCharacterizing Incidents Reporting Systems across Applications Domains
Incident reporting is a very well-known technique in application domains such as air traffic management and health, where specialized users are trained to provide detailed information about problems. Incident reporting systems are indeed complex systems that include many actors including the users reporting incidents, user’s colleagues and neighbors, stakeholders, policymakers, systems integrat...
متن کاملBarriers to the Operation of Patient Safety Incident Reporting Systems in Korean General Hospitals
OBJECTIVES This study aimed to explore the barriers to and factors facilitating the operation of patient safety incident reporting systems. METHODS A qualitative study that used a methodological triangulation method was conducted. Participants were those who were involved in or responsible for managing incident reporting at hospitals, and they were recruited via a snowballing sampling method....
متن کاملA Study of the Culture of Registration, Reporting, and Investigating Occupational Incidents in Industries of West Azarbaijan Province
Introduction: Maintaining and improving organizational safety requires a strong safety culture. Following the occurrence of occupational incidents, proper registration, reporting, and investigation is a key requirement for safety culture to provide an appropriate learning culture. As a result, this study was carried out to assess the culture of occupational incident registration, reporting, and...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره شماره
صفحات -
تاریخ انتشار 2011