Canadian Anesthesia Incident Reporting System (CAIRS): The Canadian Anesthesiologists’ Society’s National Patient Safety Initiative

Introduction: A solid patient safety culture lies at the core of an effective event reporting system in a health care setting requiring a professional commitment for event reporting identification. Therefore, health care settings should provide strategies in which continuous health care education comes up as a good alternative. Traditional lectures are usually more convenient in terms of costs, and they allow us to disseminate data, information, and knowledge through a large number of people in the same room. Taking in consideration the tight money budgets in Brazil and other countries, it is relevant to investigate the impact of traditional lectures on the knowledge, skills, and attitudes to incident reporting system and patient safety culture. Objective: The study aim was to assess the traditional lecture impact on the improvement of health care professional competency dimensions (knowledge, skills, and attitudes) and on the number of health care incident reports for better patient safety culture. Participants and Methods: An open-label, nonrandomized trial was conducted in ninety-nine health care professionals who were assessed in terms of their competencies (knowledge, skills, and attitudes) related to the health incident reporting system, before and after education intervention (traditional lectures given over 3 months). Results: All dimensions of professional competencies were improved after traditional lectures ( P < .05, 95% confidence interval). Conclusions: traditional lectures are helpful strategy for the improvement of the competencies for health care incident reporting system and patient safety.

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Reflections on patient safety incident reporting systems

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0307 ◽

2021 ◽

Vol 74 (suppl 1) ◽

Author(s):

Maria de Jesus Castro Sousa Harada ◽

Ana Elisa Bauer de Camargo Silva ◽

Liliane Bauer Feldman ◽

Sheilla Siedler Tavares ◽

Luiza Maria Gerhardt ◽

...

Keyword(s):

Patient Safety ◽

Reporting System ◽

Data Entry ◽

Incident Reporting ◽

Incident Reporting Systems ◽

System Method ◽

Safety Incident ◽

Reporting Systems ◽

Patient Safety Incident ◽

National Patient

ABSTRACT Objective: To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population’s participation in reporting, and point out challenges in the Brazilian system. Method: Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added. Results: Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature. Final Considerations: In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved.

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