National Clinical Incident Reporting A Driver for Patient Safety

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National Clinical Incident Reporting- A Driver
for Patient Safety
Debbie Dunne, Clinical Risk Advisor
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Clinical Indemnity Scheme

• Manage clinical negligence claims
• Provide risk advisory services to Public
• Health Sector

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STARSweb-National Clinical Incident Reporting
System Web-based clinical incident reporting
system -Electronic, highly secured,
confidential -Adverse events and near
misses -National Rollout of system

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Response to notification of adverse
events. Integrated Clinical Risk and Claims
Management

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1st January 2004 and the 31st December 2007 there
were 139,978 clinical incidents reported on this
system
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Top 5 Incidents
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Who reports?-Incidents reported to CIS via
StarsWeb as of 31 Dec. 2007
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Sharing the Learning
CIS Obstetrics Forum
CIS Paediatric Forum
CIS Health Care Associated Infection Forum
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Remember
A man of genius makes no mistakes his errors are
volitional and are the portals of discovery.
James Joyce (1882 - 1941)