Journal Article

How well do incident reporting systems work on inpatient psychiatric units?

Reilly CA, Cullen SW, Watts B, et al. Joint Commission journal on quality and patient safety. 2019;45:63-69.

A number of studies have shown that incident reporting systems only capture a small proportion of suspected adverse events in hospitals. Conducted in inpatient psychiatric units at Veterans Affairs hospitals, the study found that only a minority of adverse events identified through chart review were voluntarily reported by clinicians. A recent commentary discussed the inherent limitations of incident reporting systems and suggested ways to optimize their utility.