Journal Article

Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness.

Anderson JE; Kodate N.

This observational study of incident report review meetings found that high workload, lack of organizational support, and an autocratic leadership style were barriers to effective analysis of safety events. Safety leadership and participatory interactions facilitated event analysis. This work suggests that analyses of adverse events vary in their effectiveness and should be optimized in order to improve safety.