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• Analysing Adverse Events.
  Deborah Shanks
  Published on: 29 November 2004

• Published on: 29 November 2004

  Analysing Adverse Events.

  • Deborah Shanks, Consultant Paediatrician

  Dear Editor,

  I enjoyed Ricci et al's article on the ' Pitfalls of adverse event reporting..'.This is a difficult issue for medical departments.As well as a robust reporting system it is important to have a forum to deal with the incidents and educate staff.

  Our paediatric unit has had a Clinical Practice Meeting for the past 2 years. This happens every 6-8 weeks, it is multidisciplinary (nursing,doc...

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  Dear Editor,

  I enjoyed Ricci et al's article on the ' Pitfalls of adverse event reporting..'.This is a difficult issue for medical departments.As well as a robust reporting system it is important to have a forum to deal with the incidents and educate staff.

  Our paediatric unit has had a Clinical Practice Meeting for the past 2 years. This happens every 6-8 weeks, it is multidisciplinary (nursing,doctors, pharmacist and clinical risk manager). It is anonymous and non-threatening with the emphasis being on reviewing our systems and education. We are also not good at reporting 'near misses' and this is very difficult to monitor. We had planned to audit our incidents and I think it will be interesting to look at which staff report which incidents.

  I would recommend this type of meeting for raising staff awareness and making changes to unsafe practices. yours sincerely,

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  Conflict of Interest:
  None declared.

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