Reporting and Learning From Errors

Voluntary Reporting Systems

This resource highlights how voluntary reporting systems can help healthcare professionals identify patterns, share lessons learned, and drive system-wide improvements. For nurses, it reinforces the importance of reporting near misses and actual errors without fear of blame. It’s especially helpful when promoting a just culture and encouraging open dialogue around safety.

Agency for Healthcare Research and Quality. (2023). Voluntary reporting systems. https://psnet.ahrq.gov/primer/voluntary-reporting-systems

Serious Reportable Events in Healthcare

This report outlines a list of “never events,” including severe medication-related errors that are considered preventable. Nurses can use this resource to understand the types of incidents that must be reported and the broader implications of these errors. It also serves as a tool for risk management and organizational accountability.

National Quality Forum. (2021). Serious reportable events in healthcare. https://www.qualityforum.org/topics/sres

Learning from Medication Incidents

This resource provides real-world case studies, safety bulletins, and recommendations based on reported medication errors. Nurses can review these examples to recognize common pitfalls and apply practical strategies in their own settings. It’s an excellent tool for reflective learning during team safety huddles or quality improvement meetings.

Institute for Safe Medication Practices Canada. (2020). Learning from medication incidents. https://www.ismp-canada.org/learning