Designing Consumer Reporting Systems for Patient Safety Events

Exhibit 3. Reporting of patient safety events

[D] Text Description:

A flowchart shows reporting of patient safety events.

The chart begins with individuals experiencing or witnessing patient safety events. Information about the event flows to system users: primary system audience of consumers; and other potential audiences of medical care providers and bystanders. Information then flows to the following standardized reporting form:

  • Reporter:_________________
  • Injured party:______________________ (Encourage confidential reporting, giving name�but can be anonymous.)
  • Type of event: harm event, no harm event, near miss. (Collect information on all types of events.)
  • Event details: who, what, where, etc. (Use structured input in a common reporting format.)
  • In your own words, please describe what happened. ___________________________ (Collect open-ended narrative information.)

Reporting can be at any time, during or after the event. Allow real-time reporting, but caution reporters that the system is not a substitute for calling 911 in the event of emergencies.


Text description is below the image.

Page last reviewed October 2014
Page originally created September 2012
Internet Citation: Exhibit 3. Reporting of patient safety events. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.