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KMID : 1040120150010020081
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Evidence and Values in Healthcare
2015 Volume.1 No. 2 p.81 ~ p.88
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Analysis for healthcare safety management systems: Safety management systems for patients safety improvement
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Kim Min-Jeong
Kim Su-Kyeong
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Abstract
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Objectives: This study aims to investigate and analyze patient safety management system and to draw implications for domestic patient safety improvement.
Methods: The United States (US), United Kingdom (UK) and Australia establishing patient safety incident reporting system were selected. Website information and published documents of relevant institutions were reviewed. Expert advice was solicited for analysis of domestic and overseas system.
Results: There are patient safety management systems in either federal or state government level in the US. Patient Safety Organizations and Patient Safety Network were established. The National Healthcare Safety Network for reporting healthcare-associated infection is operated. Some state governments have also established reporting systems including mandatory reporting for serious adverse events. The National Patient Safety Agency and National Reporting and Learning System were established in the UK. Care Quality Commission sets national standards of quality and safety, and monitors and inspects care services to make sure to meet the standards. The Australian Patient Safety Foundation collects information about adverse events and near misses, analyzes and offers the results to national and international users of Advanced Incident Management System.
Conclusion: There is a mandatory reporting system for death or serious adverse events or a voluntary reporting system for weak events or near misses. Authorities collecting the safety information have to ensure relevant information to be non-identifiable. Continuous reviewing and analyzing the collected safety information are needed for understanding the current status and feed-back of national level rather than investigation of a causal relationship for individual incident.
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KEYWORD
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Safety management system, Patient safety, Preventable adverse events, Reporting system
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