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Latest articles and information - Tag :: Clinical risk management

Access a range of articles and resources written by clinical governance experts and search our carefully curated list of safety and quality journal articles and reports.

AICG articles, resources and curated journals and reports are available to all AICG members. Members must be logged in, in order to access all content. Users who are not AICG members will only be able to access publicly available articles. 

AICG Articles

Showing 1–5 of 5 articles
Why ‘SCA’ should be as common as ‘RCA’ in health and human services
Why ‘SCA’ should be as common as ‘RCA’ in health and human services

Over the past three decades, the predominant approach to improving safety in health care has involved studying adverse outcomes to identify system vulnerabilities and correct them. While this approach has been useful, it has limitations. A focus only on unfavourable outcomes can limit innovation and adaptability, not to mention undermine worker morale and engagement.

Adverse events
Clinical governance
Clinical risk management
Quality governance
Identifying primary care adverse events from health records: A trigger tool
Identifying primary care adverse events from health records: A trigger tool

Numerous studies about the use of trigger tools to identify adverse events (AEs) have been performed in hospitals. However, the research conducted on the use of trigger tools to identify AEs in primary care is limited. 

This study developed a set of triggers for identifying adverse events in Primary Care, from health record reviews with high positive predictive value (PPV), making it easier to collect reliable information on care-related incidents in this sector. It also presents interesting data on adverse event prevalence in Primary Care.

Clinical governance
Clinical risk management
Primary & Community Care
Quality governance
Looking beyond individual incidents to reduce consumer harm
Looking beyond individual incidents to reduce consumer harm

Ensuring organisations learn from patient safety incidents is a key aim for human service organisations. The role that human factors and systems thinking can have in enabling organisations to learn from incidents is well acknowledged. A systems approach can help organisations focus less on individual fallibility and more on setting up resilient and safe systems.

Clinical governance
Clinical risk management
Quality improvement
Why Root Cause Analysis is not working
Why Root Cause Analysis is not working

James Reason once characterised the goal of error investigations as ‘draining the swamp, not swatting mosquitoes’. Critical incidents arise from the interplay between active failures (eg. not double-checking for allergies before administering a medication) and latent conditions (eg. workload).

Adverse events
Clinical governance
Clinical leadership
Clinical risk management
Reporting
Don’t rely on your incident reporting systems to count incidents
Don’t rely on your incident reporting systems to count incidents

Many hospitals continue to use incident reporting systems (IRSs) as their primary patient safety data source. The information IRSs collect on the frequency of harm to patients [adverse events (AEs)] is generally of poor quality, and some incident types (e.g. diagnostic errors) are under-reported. Other methods of collecting patient safety information using medical record review, such as the Global Trigger Tool (GTT), have been developed. The aim of this study was to undertake a systematic review to empirically quantify the gap between the percentage of AEs detected using the GTT to those that are also detected via IRSs.

Adverse events
Audits
Clinical governance
Clinical risk management
Reporting
Showing 1–5 of 5 articles
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