Incident Analysis - Report, Learn, Act
To effectively improve medication safety in a healthcare setting, it is important to recognize and understand what medication errors or incidents are occurring and why. With this knowledge, the next step is to determine what evidence-based actions should be taken to reduce the risk of the same or similar incident reoccurring.
The Canadian Incident Analysis Framework provides a structured and systematic approach to reporting, learning, and acting.
A free hardcopy of the Canadian Incident Analysis Framework is available from ISMP Canada for the cost of shipping.
ISMP Canada also provides educational workshops on incident analysis (e.g., root cause analysis, and multi-incident analysis).
On-site workshops or facilitation of healthcare incident analyses can also be arranged. For more information, contact firstname.lastname@example.org or call 416-733-3131 / 1-866-544-7672 (toll free).
ISMP Canada shares learning from our incident analyses in the ISMP Canada Safety Bulletins, and SafeMedicationUse.ca newsletters for consumers.