Page 77 - PATIENT SAFETY PATIENT SAFETY ISSUES

occurrences which could have (“near-miss”)
occurrences which could have (“near-miss”)
to the to the Root Cause Analysis / Problem analysis conducted at Root Cause Analysis / Problem analysis conducted at

a system of reporting any unintended
a system of reporting any unintended

or caused harm (“adverse events”)
or caused harm (“adverse events”)

INCIDENT REPORTING
INCIDENT REPORTING

patient patient monitored nationally 31 “incidents” monitored nationally 31 “incidents” local level local level