Feedback on Reports

It is vital that some form of feedback and follow up on the reported near miss incidents is given. Generally, a monthly list of all the items reported is circulated to all via the intranet or posted on the notice boards, or featured in the newsletter. Employees want to see what they have reported in writing and want to see some form of action being taken on their report. In most instances, the reports will be of high risk acts or high risk conditions and safe work observations and few may be true near miss incidents. 

What is important is the feedback and action instigated by management to rectify the hazard if the event reported wasn t already closed out at the time of the report. For example, an employee notices some 2 x 4s with protruding nails laying in the walkway. He removes the nails and places the wood in a proper storage area. He then fills in the near miss incident report form as follows  

Describe the near miss incident Nearly stepped on four 2 x 4s with nails protruding in recycle area walkway. Action taken to prevent recurrence Removed nails, restacked the timber, and mentioned it to the area supervisor.  

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The Confidential Human Factors Incident Reporting Programme (CHIRP) Administered by an independent body and which provides sensitive follow-up and feedback on reports of human errors that have been rendered anonymous. 

Finally, the administrative/management/organizational category includes reasons such as lack of feedback on reported errors, administrative response, poor match of administrative response to errors with severity of errors, and persistence of the culture of blame/shame, blaming the individual [37-39,42,46]. 

Feedback Feedback on report drafts, reports, and oral presentations Bachelor Thesis Project (3rd year)... 

This must be followed by regular feedback on reported issues and progress on rectification actions. 

An electronic version of Pharmacotherapy Principles Practice can be downloaded to a desktop or laptop computer using the access number that appears on the card inserted in the middle of this book. The Online Learning Center at www.ChisholmPharmacotherapy.com provides complete reference lists, self-assessment questions, a testing center that has the ability to grade and provide immediate feedback on the self-assessment questions as well as reporting capabilities, and other features designed to support learning. 

Electronic copies of the World Drug Report 2007 report can be accessed via the UNODC website at www.unodc.org. Comments and feedback on the report can be sent to worlddrugreport unodc.org. 

A management review will usually be conducted periodically, with one or more validation reports used as feedback on the overall validation program. Although shown as the last phase of management cycle, reviews can and should take place throughout validation. The review endeavors to draw out lessons from the validation conducted to date, to consider the impact of any regulation developments, and to report any recommendations. The overall aim is the continuous improvement of the company s validation capability. 

One of the principal elements of Green Zia that will be the focus of this paper is the third-party assessment and feedback report process. Like our Baldrige brethren at both the national level and at the state Quality Award Program level, Green Zia employs a number of volunteers to read applications that are submitted to our state Environment Department, provide nonprescriptive feedback on strengths and opportunities for improvement, determine a score for the application based on a 1000-point scale, and possibly conduct a site visit to verify/clarify the application. This paper will describe all aspects of the third-party examination process and will provide some personal insight as to the strengths and opportunities for improvement of our own process. 

Many companies have hotlines or help lines employees can call to report potential noncompliances. The nomenclature notwithstanding, either of these can be an effective vehicle to allow employees to report situations they believe may be violations of law or situations that make them uncomfortable. While employees should be given the option of making these calls anonymously, employers are better able to follow up and give feedback on calls when the identity of the caller is known. Often, the legal or human resources department monitors these calls in-house. There are also external services that can be retained to staff a company hotline. 

Employees often see no action taken on the report that they submitted. Late or no feedback discourages reporting. Some employees refuse to report anything over and above the normal, as they do not receive recognition for reporting. 

A Bounce back Information to reporter Acknowledge report filed (e.g. automated response) Debrief reporter (e.g. telephone debriefing) Provide advice from safety experts (feedback on issue type) OutI ine issue process (and decision to escalate)... 

Two tanker companies were studied in late 2007 and early 2008. In order to ensure the companies anonymity, company and vessel specific information is retained. In both companies the HSQ manager and Crewing Manager have been interviewed. In one company the SMS data system was examined. In the other company aU available statistics, experience feedback from reported cases and safety bulletins available for the vessel were examined. Two field studies have been carried out on one vessel in each company. 

Along with incident reporting systems, hospitals should consider implementing After Event Reviews (AERs). InanAER, individuals discuss and provide feedback on critical events with the aim of detecting and learning from errors. Not ordy does this provide a forum to learn fiom errors, it also helps create a mindset that errors... 

Feedback and error communication Feedback of incident reporting communication of specific patient safety issues (e.g. hemovigilance) mandatory education of new staff on patient safety discussion of feedback incident reports with units on regular basis in order to implement improvements patient safety column in hospital magazine patient safety dashboard via intranet designation of incident administrator... 

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