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Qual Saf Health Care 2006;15:446-447 doi:10.1136/qshc.2006.020180
  • Letter

Using a sentinel adverse incident audit on a Medicine for the Elderly ward

  1. M D Witham1,
  2. P M Jenkins2,
  3. M E T McMurdo3
  1. 1University of Dundee, Dundee, UK
  2. 2NHS Tayside, Dundee
  3. 3University of Dundee
  1. Correspondence to:
 M D Witham
 Section of Ageing and Health, Ninewells Hospital and Medical School, University of Dundee, Dundee DD1 9SY, UK; m.witham{at}dundee.ac.uk
  • Accepted 3 August 2006

Adverse events in healthcare occur more often in older people,1,2 and older people are more vulnerable to the effects of adverse events. Despite this, there are few studies that focus specifically on reducing adverse events in older people.3 Several problems have been noted with systems such as the incident reporting (IR1) system used in the National Health Service—lack of anonymity,4 failure of medical staff to fill in reports, bias towards certain types of events (eg, falls) and lack of feedback to ward staff. …

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