Table 2.
Planned improvement actions with exemplar quotes from the incident reports
Planned improvement actions | n(%) | Example quotes |
Patient care focused | 822 (32) | |
Adequate support and care to patient |
|
|
Patient education/counselling/decision support |
|
|
Monitoring equipment/medication dispensing aids to patient |
|
|
Staff focused | 932 (37) | |
Staff orientation/supervision/assistance |
|
|
Staff training |
|
|
Checklists/protocols/policies availability and adherence |
|
|
Adequate staff numbers/quality |
|
|
Equipment/agents/general protocols | 260 (10) | |
Provision/improvement of resources/equipment/medication alerts/systems/services |
|
|
General protocols and guidelines support |
|
|
Environment/organisational issues | 520 (21) | |
Environmental changes/matching physical environment |
|
|
Organising risk assessment/root cause analysis/audits |
|
|
Improving leadership/guidance |
|
|
Matching staff/planning adequate staff |
|
|
Improving a safety culture |
|
|
Total | 2534 (100) |
IRS, incident reporting system.