Journal Article
Study

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.