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PSNet: Patient Safety Network
Journal Article
Study

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

Goh HS, Tan V, Chang J, et al. J Nurs Care Qual. 2021;Epub Feb 24.

Incident reporting systems are a common method for hospitals to detect patient safety events, but prior research has questioned whether these systems improve outcomes. Conducted in a nursing home, this study found that an existing incident reporting system redesigned to facilitate double-loop learning could improve nurses’ patient safety awareness and workplace practices, which could improve patient outcomes and safety.