Promoting patient safety: Creating a workable reporting system

As policymakers and health professionals begin to address the issue of medical error, they are turning towards reporting systems as a way of determining the magnitude and nature of the problem. This note provides a framework for creating and evaluating useful reporting systems. Reporting systems are...

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Bibliographic Details
Published in:Yale journal on regulation 2001-07, Vol.18 (2), p.383-408
Main Author: Chiang, Melissa
Format: Article
Language:English
Subjects:
confidentiality
Consumers
Documentation
Error
Errors
Health care
Health care industry
Health policy
Hospitals
Legal aspects
Legal medicine
Medical errors
Medical personnel
Patient safety
Patients
Penicillin
Quality control
Quality improvement
records management
Regulation
Reporting requirements
Safety
State court decisions
Studies
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Summary:As policymakers and health professionals begin to address the issue of medical error, they are turning towards reporting systems as a way of determining the magnitude and nature of the problem. This note provides a framework for creating and evaluating useful reporting systems. Reporting systems are important tools for describing the kinds of situations that result in medical error, but high-quality reporting requires 2 changes: removing legal and practical disincentives to reporting and fostering reporters' dedication to reporting. This note concentrates on the legal issues and ultimately proposes a brightline rule protecting confidentiality of incident reports made for the purposes of quality management.
ISSN:0741-9457
2376-5925