Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.
Adverse event reporting is a key element for improving patient safety. This study describes a new voluntary, anonymous reporting system that facilitates reporting of near-miss and patient harm events and an assessment of patient harm by the bedside care provider in a pediatric intensive care unit. The results demonstrated the effectiveness of the Patient Safety Report as a method to capture near-miss and patient harm events.
Grant
Mary Jo C
MJ
Division of Pediatric Critical Care, Department of Pediatrics, Primary Children's Medical Center, University of Utah, Salt Lake City, UT 84113, USA. maryjo.grant@intermountainmail.org
Larsen
Gitte Y
GY
D003219:Confidentiality; D003625:Data Collection; D004282:Documentation / Q000379:methods*; D006776:Hospitals, Pediatric; D006801:Humans; D015278:Intensive Care Units, Pediatric / Q000458:organization & administration; D019300:Medical Errors / Q000009:adverse effects / Q000401:mortality / Q000451:nursing / Q000517:prevention & control* / Q000706:statistics & numerical data*; D020380:Needs Assessment; D015403:Nursing Evaluation Research; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000458:organization & administration; D010865:Pilot Projects; D011785:Quality Assurance, Health Care; D012107:Research Design; D012308:Risk Management / Q000458:organization & administration*; D013597:Systems Analysis; D014589:Utah