Reporting and investigating emergencies
It is important to us at Erasmus MC that we learn from any undesirable events that occur in our care for patients. Furthermore, hospitals must comply with the Dutch Healthcare Quality, Complaints and Disputes Act (Wkkgz). This act stipulates that hospitals must give an explanation to the Dutch Health and Youth Care Inspectorate (IGJ) in matters related to reporting and investigating emergencies in patient care.
The method used
Erasmus MC uses the Tripod Bèta method to investigate emergencies or possible emergencies and incidents in patient care. This method focuses on the underlying causes at systems level that are the reason for (possible) emergencies. This makes the Tripod Bèta method different from the personal approach that only focuses on the actions of the care providers directly involved in the care. Our hospital focuses on the situation in which care providers make certain choices. We also identify the obstacles present in managing the care process and protecting a patient.
Improving and monitoring
Based on the underlying causes, actions are dawn up with the department(s) concerned to improve the quality of care. Our improvement activities are recorded and monitored in our Quality Management System (QMS). Every four months, the Board of Directors receives a report on the state of affairs of the improvement activities initiated following analysis of incidents and emergencies. This enables the Board of Directors to monitor the implementation of the improvement activities.