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- Hospitals can improve how they learn from patient safety incidents. The Green Cross method, a proactive reporting and learning method, is one strategy to meet this challenge. In it, nurses play a key role. However, describing its impact on learning from the users' perspective is important.
onlinelibrary.wiley.com/doi/10.1111/nicc.13114Learning from patient safety incidents: The Green Cross method
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Does learning from near misses improve patient safety?
More learnings should be taken from HROs, and so this systematic review explores what tools or initiatives have been used in HROs and whether they can be adapted for use in the healthcare sector to learn from safety incidents.
Oct 13, 2023 · In this article, we describe the benefits that can be harnessed from engaging patients in reporting patient safety incidents; identify opportunities to support patient engagement in reporting and learning from patient safety incidents; and describe the potential role of health leaders in connecting patient experience and patient safety using pat...
Aug 4, 2021 · This 10-year national analysis of incident reports provides recommendations to improve patient safety including: introduction of electronic prescribing and monitoring systems; forcing checklists to reduce diagnostic errors; and increased senior presence overnight and at weekends.
- 10.1177/01410768211032589
- 2021/12
- J R Soc Med. 2021 Dec; 114(12): 563-574.
Feb 1, 2020 · Our aim was to systematically review the international literature on patient safety incidents in emergency departments and determine what can be learned from reported incidents to inform and improve practice.
- Sara Amaniyan, Bjørn Ove Faldaas, Patricia A. Logan, Mojtaba Vaismoradi
- 2020
Ensuring organisations learn from patient safety incidents is a key aim for healthcare organisations. The role that human factors and systems thinking can have to enable organisations learn from incidents is well acknowledged.
This scoping review challenges current beliefs around the value of learning from near misses to improve patient safety. There is a lack of evidence to date that learning from near misses has reduced harm, with assumptions having been made of the link between near misses and harmful events.
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related to: how can hospitals improve how they learn from patient safety incidents and accidentsProactively manage safety-related events and activities, and build a culture of safety. Address the root cause of patient safety incidents.