Book excerpt: In a just culture, incident and near miss reporting must be user-friendly
Staff Development Weekly: Insight on Evidence-Based Practice in Education, January 28, 2011
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As part of a just culture, organizations need to make incident reporting much more user-friendly and the reporting process should include clearly understood instructions for how a report is to be completed and what information should be contained in it.
For example, the Institute of Medicine recommends a combination of objective data entry with a section for narrative information, including:
- The discovery—Who and how it was discovered
- The event—type of near miss/adverse event
- Where, when, and who was involved
- Severity and preventability of the event-likelihood of recurrence
- Ancillary information-patient and product information, as applicable
- Detailed analysis
Source: Adapted from Creating a Just Culture: A Nurse Leader's Guide, by Vivian B. Miller, BA, CPHQ, LHRM, CPHRM, FASHM. For more information, visit www.hcmarketplace.com.
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