Changing an incident reporting and management paradigm: the NSW safety improvement program

S. Michael, M. Robinson, P. Douglas, Jeffrey Braithwaite

Research output: Contribution to journalArticlepeer-review

152 Citations (Scopus)


Objective: To conduct a formative evaluation of progress to date with safety improvement initiatives in New South Wales. Design: Description of safety improvement initiatives. Secondary analysis of extant databases of reportable incidents, root cause analyses and categories of improvement actions to date. Setting: The state of New South Wales, Australia. Main outcome measures: Education initiatives, policy reforms, reportable incident data, root cause analyses categories, safety improvement activities. Results: Over 2,500 people have been trained in the safety improvement program. Over 1,000 others have been exposed to safety improvement educational sessions. This represents over 3.9% of the 90,000 full time equivalent staff in the New South Wales health system. Evidence shows incident reporting is increasing. Causal and contributing factors are more explicit via root cause analyses. Conclusions: There is early evidence of systems improvements in New South Wales.
Original languageEnglish
Pages (from-to)29-38
JournalAsia Pacific Journal of Health Management
Issue number2
Publication statusPublished - 2006
Externally publishedYes


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