Reflections on patient safety incident reporting systems

To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population’s participation in reporting, and point out challenges in the Brazilian system.

Method:

Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added.

Results:

Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature.

Final Considerations:

In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved.

Descriptors:
Health Services; Patient Harm; Patient Safety; Hospital Administration; Patients

Country	Health professionals	Health organization	Patients	Others	Public	Regulated by law
Austria	Voluntary	No	No	No	No	No
Belgium	Voluntary	No	Voluntary	No	No	Partially
Croatia	Mandatory	No	Voluntary	No	No	Partially
Cyprus	Voluntary	No	No	No	No	No
Czech Republic	Voluntary	No	No	No	No	No
Denmark	Mandatory	No	Voluntary	Voluntary	No	Yes
Estonia	Mandatory	No	No	No	No	Partially
France	Mandatory	No	Voluntary	Voluntary	Voluntary	Partially
Germany	Voluntary	Voluntary	Voluntary	Voluntary	Voluntary	-
Hungary	Voluntary	Voluntary	No	No	No	No
Ireland	Mandatory	Yes	No	No	No	Partially
Italy	Mandatory	Yes	No	No	No	Partially
Latvia	Voluntary	No	No	No	No	Partially
Luxembourg	Voluntary	No	No	No	No	No
Netherlands	Voluntary	No	No	No	No	Partially
Norway	Mandatory	No	No	No	No	Yes
Slovakia	Voluntary	Mandatory	No	No	No	No
Slovenia	Voluntary	Mandatory	No	No	No	No
Spain	Voluntary	No	No	No	No	No
Sweden	Mandatory	Mandatory	Voluntary	Voluntary	Voluntary	Yes
United Kingdom	Voluntary	Mandatory	Voluntary	Voluntary	Voluntary	Partially

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Maria Jesus Castro Sousa Harada E-mail: maria.harada@uol.com.br