Designing and implementing a close call reporting system

Medical errors and adverse events related to medication errors have received press coverage over the past 3 years. Nursing leaders have by necessity and duty become leaders in the field of patient safety. Defining and reporting errors become critical when analysis of errors relies on adequate and accurate reporting of errors. The next step towards a culture of safety is to avoid "blaming" employees, establishing trust and instituting a close call/near miss reporting system. By encouraging all staff to identify close calls you raise the level of awareness of employees for maintaining a safe patient care environment. Nursing leaders need to guide staff in identifying and reporting close calls through the development and implementation of a transparent reporting system involving recognition and rewarding staff.