[Preliminary results of an anonymous internet-based reporting system for critical incidents in ambulatory primary care].
To learn from errors is not always easy, especially if they happened to others! This paper describes the organization and management of a critical incident reporting system for primary care physicians in Switzerland and reports about the difficulties and experiences during the first 18 months since the start of the program. It seems to be particularly difficult to enhance the attentiveness of physicians for apparently harmless daily critical incidents and to motivate them to report it even in an anonymous reporting system. As incentives for more intensive participation there are the hope for comments on reported cases by other participants and the expectation that reported errors will be avoided by the readers.
Brun
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Facharzt FMH fürAllgemeinmedizin, Hauptstrasse 14, CH-3512, Walkringen. brun.andreas@hin.ch
D003628:Database Management Systems; D033181:Information Dissemination / Q000379:methods; D020407:Internet; D019221:Mandatory Reporting; D019300:Medical Errors / Q000517:prevention & control*; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D011320:Primary Health Care / Q000379:methods / Q000706:statistics & numerical data*; D018907:Privacy; D011785:Quality Assurance, Health Care / Q000379:methods / Q000458:organization & administration; D012308:Risk Management / Q000379:methods* / Q000458:organization & administration*; D017751:Safety Management; D013557:Switzerland; D013597:Systems Analysis