Journal Article

Closing the loop with ambulatory staff on safety reports

Williams S, Fiumara K, Kachalia A, Desai S. Joint Commission journal on quality and patient safety. 2020;46:44-50.

A lack of closed-loop feedback systems has been identified as one contributor to underreporting of patient safety events. This paper describes one large academic medical center’s implementation of a Feedback to Reporter program in ambulatory care, which aimed to ensure feedback on safety reports is provided to reporting staff by managers. At baseline, 50% of staff who requested feedback ultimately received it; after three years, the rate of feedback to reporters had increased to 90%.