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Life-Saving Errors: Health 2.0 Incident Reporting

Event Interactive 2011
Format Panel
Organizer Dennis Grace Medical BillDog
Description On March 28, 1979 the Three-Mile Island-Unit 2 nuclear power plant experienced a feed system failure that ultimately resulted in the largest release of radioactive material to the atmosphere of any nuclear incident in the United States. The Three-Mile Island incident could easily have been prevented. Three months earlier a similar incident occurred in another plant at low power. Plant supervisors reported the first incident to the NRC—even going so far as to note the possible disastrous consequences of such an incident at power—but the TMI-2 operators were not aware of the earlier incident. The NRC initiated a simple incident reporting system. Today, errors that result in plant damage and near misses are collected and published to operators across the country. Recently the Institute for Healthcare Improvement has been encouraging medical personnel to share their mistakes with their peers in the hopes that their errors, too, might prevent disaster. The IHI program is a good one, but I think it could be much better. My proposal is twofold. First, let’s establish a national medical incident reporting system. Every iatrogenic infection, injury, or death reported could result in untold lives saved. Second, for greatest efficiency, immediacy, and impact, this incident reporting system should take the form of a medical error Wiki, supported by alerts through social media such as LinkedIn and Twitter.
Questions
Answered
  1. Should the incident report Wiki be accessible to the public?
  2. Who will host and moderate the Wiki, or will moderation be necessary?
  3. How do we convince healthcare providers to admit to life-threatening errors?
  4. How specific do the incident need to be? Do names and locations need to be included?
  5. What other potentially useful data might this incident reporting system generate?
Level Advanced
Category Health
Tags Error, Incident, Medicine