Imperial College London
Alternate

Professor the Lord Darzi of Denham PC KBE FRS FMedSci HonFREng

Faculty of Medicine, Department of Surgery & Cancer

Co-Director of the IGHI, Professor of Surgery
 
 
 
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Contact

 

+44 (0)20 3312 1310a.darzi

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Howell:2016:10.1136/bmjqs-2015-004456,
author = {Howell, AR and Burns, EM and Hull, L and Sevdalis, N and Mayer, E and Darzi, A},
doi = {10.1136/bmjqs-2015-004456},
journal = {BMJ Quality and Safety},
pages = {150--163},
title = {International recommendations for national patient safety incident reporting systems: An expert Delphi consensus-building process},
url = {http://dx.doi.org/10.1136/bmjqs-2015-004456},
volume = {26},
year = {2016}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background Patient safety incident reporting systems (PSRS) have been established for over a decade, but uncertainty remains regarding the role that they can and ought to play in quantifying healthcare-related harm and improving care.Objective To establish international, expert consensus on the purpose of PSRS regarding monitoring and learning from incidents and developing recommendations for their future role.Methods After a scoping review of the literature, semi-structured interviews with experts in PSRS were conducted. Based on these findings, a survey-based questionnaire was developed and subsequently completed by a larger expert panel. Using a Delphi approach, consensus was reached regarding the ideal role of PSRSs. Recommendations for best practice were devised.Results Forty recommendations emerged from the Delphi procedure on the role and use of PSRS. Experts agreed reporting system should not be used as an epidemiological tool to monitor the rate of harm over time or to appraise the relative safety of hospitals. They agreed reporting is a valuable mechanism for identifying organisational safety needs. The benefit of a national system was clear with respect to medication error, device failures, hospital-acquired infections and never events as these problems often require solutions at a national level. Experts recommended training for senior healthcare professionals in incident investigation. Consensus recommendation was for hospitals to take responsibility for creating safety solutions locally that could be shared nationally.Conclusions We obtained reasonable consensus among experts on aims and specifications of PSRS. This information can be used to reflect on existing and future PSRS, and their role within the wider patient safety landscape. The role of PSRS as instruments for learning needs to be elaborated and developed further internationally.
AU  - Howell,AR
AU  - Burns,EM
AU  - Hull,L
AU  - Sevdalis,N
AU  - Mayer,E
AU  - Darzi,A
DO  - 10.1136/bmjqs-2015-004456
EP  - 163
PY  - 2016///
SN  - 2044-5415
SP  - 150
TI  - International recommendations for national patient safety incident reporting systems: An expert Delphi consensus-building process
T2  - BMJ Quality and Safety
UR  - http://dx.doi.org/10.1136/bmjqs-2015-004456
UR  - http://hdl.handle.net/10044/1/40034
VL  - 26
ER  -
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