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Rarely involved
- Learning from patient safety incidents is challenging and difficult to achieve and is rarely facilitated by reporting systems alone. Nurses are rarely involved in the learning process following patient safety incidents.
onlinelibrary.wiley.com/doi/10.1111/nicc.13114Learning from patient safety incidents: The Green Cross method
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Are nurses involved in the learning process after patient safety incidents?
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Are group processes effective for learning from patient safety incidents?
How can hospitals improve how they learn from patient safety incidents?
HROs have adopted a variety of learning approaches following safety incidents, and studies stress that using one or two learning tools alone are not sufficient to address safety incidents. Healthcare organizations should be encouraged to use a combination of methods to help staff learn from safety incidents.
Oct 31, 2017 · The three examples below illustrate these processes: the immediate follow up after an incident or identification of a hazard, the quality-improvement and learning processes that follow, and the positive changes that happen as a result.
Feb 25, 2021 · The best we can hope to do is to try to minimise the risk of error occurring, to be risk aware, to learn from the patient safety errors of past and to change practices. These are the fundamental prerequisites for developing an ingrained patient safety culture in the NHS.
While the effect on patient safety has yet to be proven, shifting the goal of incident reporting systems from solving specific safety issues to improving the process of learning seems a promising strategy.
- Ian Leistikow, Sandra Mulder, Jan Vesseur, Paul Robben
- 2017
The impact of a patient safety incident can be far reaching and can negatively affect the staff involved and the healthcare system, in addition to patients and families. Research is required to understand how best to identify and support staff who are involved in patient safety incidents.
Dec 1, 2015 · The aims of this study were to investigate how teams in an acute and mental health hospital learn from discussions of patient safety incidents, to understand the factors that facilitate or hinder team learning, and to develop and apply a set of process measures of team discussions.
