Building a safer system : Canadian adverse event reporting and learning system, consultation paper

The findings The challenge faced by reporting and learning systems of these analyses, and a proposal for a Canadian is the translation of complex narrative reports to Adverse Event Reporting and Learning System analyzable data. [...] The activities of the Observatory and provide short-term gains without compromising would include the identification of other relevant the longer-term goal of a comprehensive, complete sources of information to compliment the reported system. [...] Finally, recognizing the goals arising from this work is the creation of a complexity of the applicable legal and regulatory national reporting system and a storehouse of patient implications, a Review of Provincial, Territorial and safety information so that knowledge of the. [...] Through the work of the ISMP Canada, Accreditation Canada and the Health Quality Council of Alberta, A coordinated and comprehensive approach to adverse there has been a concerted effort over several years to event reporting and learning in Canada will provide ensure that no more patients are harmed as a result the system with sufficient numbers for valid and of the accidental injection of undilut [...] The VA team placed a strong emphasis incidents were outlined in the report and included on making the components of a safety system work the presence of a culture of blame and the lack of a together: integration of root cause analysis, tight national system for sharing lessons learned.