2016 Risk Course Book

PREREQUISITES OF IRLS

Prerequisite Non punitive

Reason

Reporters should be free of fear of retaliation or punishment from others as a result of reporting The identity of the patient, reporter and institution are never revealed to a third party The program is independent of any authority with power to punish the reporter or the organization Reports are evaluated by experts who understand the clinical circumstances and are trained to understand underlying causes The reports are analyzed promptly and recommendations are rapidly disseminated to those implicated/impacted

Confidential

Independent

Expert analysis

Timely

Systems oriented

Recommendations focuses on changes in systems, processes or products rather than individual performances