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Updated: Jan 24, 2026

How to Obtain Reliable Visual Event-related Potentials in Newborns
Published on: October 24, 2019
Evaluating the Use of High-Reliability Principles to Increase Error Event Reporting: A Retrospective Review
Pam Duffey1, JoAnn S Oliver, Patricia Newcomb
1Authors Affiliations: Chief Nursing Officer (Dr Duffey), Texas Health Specialty Hospital, Fort Worth; Professor (Dr Oliver), The University of Alabama, Capstone College of Nursing, Tuscaloosa; Nurse Scientist (Dr Newcomb), Texas Health Resources, Arlington.
Objective:
Assess the relationship between educating caregivers about high-reliability principles and reporting of potential adverse safety events.
Background:
Persuading caregivers to report potential safety events is challenging. Learning high-reliability principles may help caregivers identify and report potential safety problems.
Methods:
Event reports submitted by caregivers 6 months before and after high-reliability training were examined for event types, event significance, and shift when events occurred. χ Tests assessed relationships between variables.
Results:
The number and type of caregiver event reports before and after training were not significantly different; however, clinical process error reports significantly decreased (χ = 9.251, P = .003). There was a significant difference in reports submitted by day and night shifts (χ = 5.942, P = .02).
Conclusions:
Trends suggest staff report actual, rather than potential, events regardless of training. Further research is needed to determine what motivates caregivers to report safety concerns.
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