| Learning Objective #1: Describe the differences between a close call and an error | |||
| Learning Objective #2: Discuss advantages of anonymous close call reporting |
Creation and Implementation of an Anonymous Close Call reporting system Close calls occur between 3 to 300 times more than errors (Battles, 1998). Reports of medical “near misses” or “close calls” offer a rich source of preemptive safety knowledge and increased attention to safety when reporting systems are used. Examination of non-punitive reporting systems used in other industries for identification and prevention of error offers possible solutions
The IOM reports “To Err is Human” and “Crossing the Quality Chasm” emphasize the importance of increasing patient safety. One innovative method anticipated to increase safety is a close call reporting system. While researchers are devoting attention to developing, testing, and implementing such systems, few reports describe the methodology used to create these systems. This poster details the creation of a close call reporting system by employing a methodical approach that capitalized on the expertise of various types of healthcare providers. This poster incorporates a literature review, identifies a theoretical framework that helped guide research, reviews other systems developed in applied settings, distinguishes a close call from an error, and gains expert (i.e., healthcare providers) input into the creation of a close call reporting system. The purpose of this poster is to provide documentation of a disciplined method used to create a close call reporting system. By presenting such information, other researchers will have a blueprint that may be followed when creating relevant reporting systems. This poster is based on the University of Texas Close Call Reporting System through the Institute for Healthcare Excellence at M D Anderson Cancer Center
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