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National Clinical Incident Reporting A Driver for Patient Safety

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National Clinical Incident Reporting- A Driver for Patient Safety ... A man of genius makes no mistakes; his errors are volitional and are the portals of discovery. ... – PowerPoint PPT presentation

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Title: National Clinical Incident Reporting A Driver for Patient Safety


1
National Clinical Incident Reporting- A Driver
for Patient Safety
Debbie Dunne, Clinical Risk Advisor
2
Clinical Indemnity Scheme
  • Manage clinical negligence claims
  • Provide risk advisory services to Public
  • Health Sector

3
STARSweb-National Clinical Incident Reporting
System Web-based clinical incident reporting
system -Electronic, highly secured,
confidential -Adverse events and near
misses -National Rollout of system

4
Response to notification of adverse
events. Integrated Clinical Risk and Claims
Management

5
1st January 2004 and the 31st December 2007 there
were 139,978 clinical incidents reported on this
system
6
Top 5 Incidents
7
Who reports?-Incidents reported to CIS via
StarsWeb as of 31 Dec. 2007
8
Sharing the Learning
CIS Obstetrics Forum
CIS Paediatric Forum
CIS Health Care Associated Infection Forum
9
Remember
A man of genius makes no mistakes his errors are
volitional and are the portals of discovery.
James Joyce (1882 - 1941)
 
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