PMID- 23113051
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20130704
LR  - 20211021
IS  - 2251-6085 (Print)
IS  - 2251-6093 (Electronic)
IS  - 2251-6085 (Linking)
VI  - 40
IP  - 1
DP  - 2011
TI  - ExpIR-RO: A Collaborative International Project for Experimenting Voluntary 
      Incident Reporting In the Public Healthcare Sector in Romania.
PG  - 22-31
AB  - BACKGROUND: Patient safety within healthcare systems is a central aspect of 
      health policy in most developed countries. From April 2007 to May 2009, the pilot 
      project ExpIR-RO tested a voluntary incident reporting system in a public 
      hospital in Bucharest Romania, in collaboration with two Italian hospitals (in 
      Genoa and Milan). METHODS: Data were collected anonymously through a form based 
      on the Australian Incident Monitoring System. After appropriate training in 
      reporting adverse events (AEs), staff in the participating Departments 
      voluntarily completed the form. The study lasted 12 months in the Bucharest and 
      Genoa hospitals and 3 months in the Milan hospital. Frequency distributions of 
      replies and AE rates per 1,000 hospitalization days per month were assessed. 
      RESULTS: Overall, 185 AEs were reported (58 in Bucharest, 75 in Genoa and 52 in 
      Milan). The corresponding rates (per 1,000 hospitalization days per month) were 1 
      in Bucharest, 3 in Genoa and 15 in Milan. Most AEs were related to diagnostic 
      (28%) and surgical (14%) procedures and patient falls (12%) in Bucharest; patient 
      falls (32%), nursing care (20%) and diagnostic procedures (19%) in Genoa; and 
      nursing care (25%), drug prescription/administration (21%) and diagnostic 
      procedures (17%) in Milan. Seventy-three per cent of respondents in Bucharest 
      informed the patient of the AE, versus 64% in Genoa and 43% in Milan. Conversely, 
      75% of respondents in Genoa entered AEs in medical records versus 53% in 
      Bucharest and 36% in Milan. CONCLUSION: ExpIR-RO experience suggests that 
      incident reporting could be introduced on a larger scale in Romania.
FAU - Tereanu, C
AU  - Tereanu C
AD  - Unit of Epidemiology and Biostatistics, Department of Health Sciences, Doctoral 
      School in Life Sciences "Camillo Golgi", University of Pavia, Italy.
FAU - Minca, Dg
AU  - Minca D
FAU - Costea, R
AU  - Costea R
FAU - Janta, D
AU  - Janta D
FAU - Grego, S
AU  - Grego S
FAU - Ravera, L
AU  - Ravera L
FAU - Pezzano, D
AU  - Pezzano D
FAU - Vigano, P
AU  - Vigano P
LA  - eng
PT  - Journal Article
DEP - 20110331
PL  - Iran
TA  - Iran J Public Health
JT  - Iranian journal of public health
JID - 7505531
PMC - PMC3481720
OTO - NOTNLM
OT  - Adverse event reporting
OT  - Clinical risk
OT  - Learning from incidents
OT  - Romanian-Italian collaboration
OT  - Safety culture
EDAT- 2011/01/01 00:00
MHDA- 2011/01/01 00:01
PMCR- 2011/03/31
CRDT- 2012/11/01 06:00
PHST- 2010/08/22 00:00 [received]
PHST- 2011/02/07 00:00 [accepted]
PHST- 2012/11/01 06:00 [entrez]
PHST- 2011/01/01 00:00 [pubmed]
PHST- 2011/01/01 00:01 [medline]
PHST- 2011/03/31 00:00 [pmc-release]
AID - ijph-40-22 [pii]
PST - ppublish
SO  - Iran J Public Health. 2011;40(1):22-31. Epub 2011 Mar 31.