title: Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation.
abstract: 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.
authors.affiliation: Center for Patient Safety, Dana-Farber Cancer Institute, Boston, Massachusetts 02115, USA. saul weingart@dfci.harvard.edu
authors.forename: Saul N
authors.initials: SN
authors.lastname: Weingart
authors.forename: Jessica
authors.initials: J
authors.lastname: Price
authors.forename: Deborah
authors.initials: D
authors.lastname: Duncombe
authors.forename: Maureen
authors.initials: M
authors.lastname: Connor
authors.forename: Karen
authors.initials: K
authors.lastname: Conley
authors.forename: Genevieve J
authors.initials: GJ
authors.lastname: Conlin
authors.forename: Amy M
authors.initials: AM
authors.lastname: Sullivan
authors.forename: Mark
authors.initials: M
authors.lastname: Powell
authors.forename: Patricia Reid
authors.initials: PR
authors.lastname: Ponte
authors.forename: Barbara E
authors.initials: BE
authors.lastname: Bierer
mesh_terms: 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