May 19-20, 2010 The importance of reporting and analyzing events and near misses and using the information to prevent recurrence and make system improvements is reviewed. Approaches to implementing an effective reporting system, including the continued trend toward computerized systems, are presented. Strategies for implementing solutions to problems identified through event reporting and other risk identification techniques are reviewed. The presentation also covers: • Event reporting, investigation, and analysis in a "just culture" • Internal processes for communicating and responding to the occurrence of an event • Examples of successful event reporting outcomes • ECRI Institute sample policies, forms, and tools included in the Event Reporting Toolkit, available at the Clinical Risk Management services Web site
Keywords: Webinar, Event, Reporting
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