The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events.
Approach to Improving Safety
Setting of Care
Incident reporting systems are widely implemented in health care systems, but they are often underutilized by clinicians. This institution implemented a psychiatry-specific incident reporting tool. Researchers found that physicians submitted more incident reports but there was no significant change in how many serious harm events were identified. An Annual Perspective described the challenges in measuring and responding to serious patient harm.