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Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department.
April 15, 2015
Gabriel PE, Volz E, Bergendahl HW, et al. Jt Comm J Qual Patient Saf. 2015;41(4):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.
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