Journal Article

Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department.

Gabriel PE, Volz E, Bergendahl HW, et al. Joint Commission journal on quality and patient safety. 2015;41:160-8.

This study describes the experience of an incident learning program in a radiation oncology department over a nearly 4-year period. Approximately 78% of all staff had reported at least one incident, representing a high level of frontline engagement. The department also saw significant improvements in AHRQ Patient Safety Culture scores following implementation of the program.