Learning From Critical Incidents
The Critical Incident reporting process allows for the identification and examination of problems or errors that have occurred in the health care system. The process is educational and not punitive and as such leads to change that reduces or prevents future risk in those areas.
-Dr. Brian Laursen, Family Physician, Regina
Saskatchewan was the first province to mandate the reporting of critical incidents in the health system. Critical incidents are reviewed; the recommendations from these reviews improve health system quality and safety so that similar incidents do not recur.
The analysis of critical incidents and the province-wide distribution of findings reduce the risk of recurrence of similar incidents. The province will be undertaking a comprehensive review of legislation and regulations for reporting, the processes for follow-up, and communication about critical incidents. This review will inform future actions directed towards improving the quality and safety of patient care in Saskatchewan.
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