Incident Management in Health Care: A Pan-Canadian Perspective.

Journal of Nursing Care Quality
Sherry EspinMarketa Gross

Abstract

Nearly 10% of patients experience a harmful patient safety incident in the hospital setting. Current evidence focuses on incident reporting, whereas little is known about how incidents are managed within organizations. The aim of this study was to explore processes, tools, and resources for incident management in Canadian health care organizations. Qualitative focus groups were conducted with key stakeholders, representing clinicians, managers, executives, governors, patients, and families (n = 45). Qualitative data were thematically analyzed and presented as 3 themes: (1) variations in incident reporting and management; (2) simplification of the incident management process; and (3) need for leadership to support just culture and redefine harm. The study findings support and inform efforts to create a patient safety culture in Canadian and international health care organizations. There is a need to develop a standardized, accessible incident reporting and management system for use across health care sectors to promote continuous learning and improvement about patient safety.

References

Aug 15, 2000·Research in Nursing & Health·M Sandelowski
Nov 15, 2002·The New England Journal of Medicine·Lucian L Leape
Nov 3, 2006·Journal of Advanced Nursing·Tim Freeman
Dec 17, 2009·Research in Nursing & Health·Margarete Sandelowski
Jun 19, 2010·Quality & Safety in Health Care·Y PfeifferT Wehner
Dec 20, 2011·BMJ Quality & Safety·Rick IedemaThomas H Gallagher
May 25, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Lucian L LeapeGerald B Healy
Aug 30, 2014·Journal of Public Health Research·Julius Cuong PhamPeter J Pronovost
Sep 9, 2015·BMJ Quality & Safety·Carl Macrae

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