Hospital administrators rely heavily on incident reporting systems to capture adverse events. 13.5% of Medicare beneficiaries discharged in October 2008 experienced adverse events. 62% were not reported because staff did not perceive an event as reportable; 25% were not reported because staff commonly reported but did not report in this case. Nurses reported events most often. The Patient Safety Intelligence (formerly PSN) is an online adverse event reporting service provided by UNM Hospital. System-wide and departmental efforts to improve quality have included attempts to increase PSI reporting. A comprehensive ducational intervention program for anesthesiology resident physicians at the University of Illinois Medical Center at Chicago increased the number of adverse events reports and improved attitudes of reporting. Anyone can report a safety incident. All patient safety incidents are reviewed by the parties involved in order to improve quality of care.
Derylo, Amanda; Josh Rider; and Joanna Fair. "Quality Improvement Conference: Effect of Patient Safety Intelligence Inservice Training on Resident PSI Entry." (2016). http://digitalrepository.unm.edu/rad_pubs/1