Patient Safety in Radiology (2025)-Reporting and Responding to Safety Incidents (SAFE)

Reporting and Responding to Safety Incidents (SAFE)

Video Transcription

Video Summary

Mike Bruno from Penn State University discusses safe reporting of safety incidents in healthcare, emphasizing a non-punitive, confidential, and voluntary system to encourage error reporting and organizational learning. He explains definitions of serious and sentinel events per Joint Commission guidelines and outlines Penn State's reporting process, including root cause analysis and patient communication. Penn State tracks key incident types (the "top six index") to monitor safety, integrating data into a departmental dashboard. Bruno stresses that encouraging reporting—including near misses—and providing feedback fosters improvement, not punishment, making safety reports a vital organizational "temperature check."

Keywords

lean strategies

patient flow improvement

emergency department overcrowding

interventional radiology workflow

capacity and demand management

safety incident reporting

non-punitive system

sentinel events

root cause analysis

organizational learning