Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation

J Nurs Care Qual. 2009 Jul-Sep;24(3):203-10. doi: 10.1097/NCQ.0b013e318195168d.


This article examines whether a patient safety "champion" on an ambulatory chemotherapy infusion unit can increase reporting of adverse events and close calls. Reporting rates increased substantially on both intervention and control units. It was accompanied by more reports of medical errors and conditions that worried staff and fewer reports of service quality incidents. The facilitated reporting method described here is a novel approach to incident reporting, complements the spontaneous reporting systems used in hospitals and some ambulatory care settings, and may help to build a safety culture. By identifying errors and worrisome conditions, it may help managers identify problems before they lead to harm.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Ambulatory Care / organization & administration
  • Ambulatory Care / standards*
  • Cancer Care Facilities / organization & administration
  • Cancer Care Facilities / standards*
  • Humans
  • Medical Errors / nursing
  • Nurse Clinicians / organization & administration
  • Nurse Clinicians / standards*
  • Nursing Staff / organization & administration
  • Nursing Staff / standards
  • Oncology Nursing / organization & administration
  • Oncology Nursing / standards*
  • Organizational Culture
  • Quality of Health Care
  • Risk Management / organization & administration*
  • Safety