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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
ADVERSE EVENTS PREVENTION AND CONTROL STRATEGIES
Minerva Ortopedica e Traumatologica 2006 October;57(5):437-42
Incident Reporting Systems
Reale R., Messori Ioli G., Centofanti B., Pasqualucci A., Borsotti M.
ASL 8 Chieri, Torino
Within the framework of risk management programs, health care organizations are developing instruments to identify and analyze clinical risk; one such tool is incident reporting. The method entails the systematic collection of errors with a view to provide a basis for analyzing data that are useful for devising strategies and actions that will prevent such errors from recurring. Derived from the aviation sector, the system is used by pilots and air traffic controllers to make confidential voluntary reports of errors in order to improve air traffic safety. It has been recently adapted to health care services in English-speaking countries in a move to improve patient safety. In Italy, several regional administrations have deployed clinical risk management programs that include various incident reporting systems with which health workers can report errors and near misses.