From: Experience Feedback Committee: a management tool to improve patient safety in mental health
N = 11 | % | |
---|---|---|
Analysis reports | ||
Written reports | 9 | 81.8 |
Oral reports | 2 | 18.2 |
Description of the data collection method | 9 | 81.8 |
Individual interviews | 9 | 81.8 |
Collective debriefing | 1 | 9.1 |
Files | 5 | 45.5 |
Area visits | 6 | 54.5 |
Description of the chronology of facts | 9 | 81.8 |
Description of existing recommendations | 6 | 54.5 |
Error identification | 6 | 54.5 |
Identification of contributing or latent factors | 10 | 90.9 |
Management | 5 | 45.5 |
Organization and procedures | 7 | 63.6 |
Working environment | 6 | 54.5 |
Teamwork | 3 | 27.3 |
Technical processes | 5 | 45.5 |
Professionals | 4 | 36.4 |
Patients | 2 | 18.2 |
Corrective actions | ||
Proposed actions | N = 26 | |
Staff Training | 4 | 15.4 |
Writing procedures | 12 | 46.1 |
Organizational changes | 4 | 15.4 |
Increasing material resources | 5 | 19.2 |
Decided actions | N = 21 | |
With a professional in charge | 14 | 66.7 |
From the department | 12 | 57.1 |
From another department | 2 | 9.5 |
With a defined deadline | 9 | 42.9 |