A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial.

Voluntary incident reporting remains low despite its demonstrated importance in improving patient safety. This randomized controlled trial tested the impact of a multidisciplinary effort to increase event reporting in primary care settings. The intervention included e-learning training modules, identification of a risk management advisor, and multidisciplinary meetings focused on patient safety incidents at each facility. Only 7 of the 17 facilities fully implemented the program, and there were no improvements in reporting rates in intervention or control facilities.