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Commentary
Using incident reporting to improve patient safety: a conceptual model.
March 28, 2007
Pronovost PJ, Holzmueller CG, Young J, et al. J Patient Saf. 2008;3(1).
Though all hospitals are mandated to maintain an incident reporting system, there is limited evidence that such systems effectively detect patient safety problems or can reliably be used to improve safety. In this study, the authors provide a conceptual framework for using data from incident reporting systems to recognize and address safety issues. The model involves education about identifying, reporting, and analyzing events as well as implementing process changes to improve safety.
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