Leveraging a safety event management system to improve organizational learning and safety culture.

Regina Dawson; Teresa Saulnier; Adam Campbell; Sandip A Godambe

Study

Leveraging a safety event management system to improve organizational learning and safety culture.

March 30, 2022

Dawson R, Saulnier T, Campbell A, et al. Hosp Pediatr. 2022;12(4):407-417.

View more articles from the same authors.

Voluntary error reporting remains underutilized in many clinical settings despite its importance for organizational learning and improved patient safety. This pediatric health system implemented a new safety event management system (SEMS) aimed at increased usability, de-centralized event follow-up, and closed-loop communication. The new SEMS resulted in more event reporting and less staff time spent on each report.

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Leveraging a safety event management system to improve organizational learning and safety culture.

Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Reducing hospital harm: establishing a command centre to foster situational awareness.

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