The Ottawa hospital quality incident notification system for capturing adverse events in obstetrics

A Florea, SS Caughey, J Westland… - Journal of Obstetrics and …, 2010 - Elsevier
Objective To describe the design and implementation of a Quality Incident Notification (QIN)
system in an obstetrical unit and provide an analysis of the frequency and nature of events
captured by the system. Methods We implemented a system to capture quality events,
consisting of an on-line form that was easily accessible to all levels of staff. A list of quality
indicators was developed to indicate potential safety concerns, near misses, or poor
outcomes that required closer scrutiny. We retrospectively analyzed the cases reported in …