Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.
This article examines whether a patient safety "champion" on an ambulatory chemotherapy infusion unit can increase reporting of adverse events and close calls. Reporting rates increased substantially on both intervention and control units. It was accompanied by more reports of medical errors and conditions that worried staff and fewer reports of service quality incidents. The facilitated reporting method described here is a novel approach to incident reporting, complements the spontaneous reporting systems used in hospitals and some ambulatory care settings, and may help to build a safety culture. By identifying errors and worrisome conditions, it may help managers identify problems before they lead to harm.
Weingart
Saul N
SN
Center for Patient Safety, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA. saul weingart@dfci.harvard.edu
Price
Jessica
J
Duncombe
Deborah
D
Connor
Maureen
M
Conley
Karen
K
Conlin
Genevieve J
GJ
Sullivan
Amy M
AM
Powell
Mark
M
Ponte
Patricia Reid
PR
Bierer
Barbara E
BE
D000328:Adult; D000553:Ambulatory Care / Q000458:organization & administration / Q000592:standards*; D002173:Cancer Care Facilities / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D019300:Medical Errors / Q000451:nursing; D009720:Nurse Clinicians / Q000458:organization & administration / Q000592:standards*; D009740:Nursing Staff / Q000458:organization & administration / Q000592:standards; D009859:Oncology Nursing / Q000458:organization & administration / Q000592:standards*; D015279:Organizational Culture; D011787:Quality of Health Care; D012308:Risk Management / Q000458:organization & administration*; D012449:Safety