The ISREE strategy workshop seeks to promote learning from medical errors and patient safety incidents
Medical errors and patient safety incidents remain largely unreported and unregulated at a national level. As patient safety remains at the core of JAG’s mission to improve endoscopy quality across the UK, JAG convened a workshop in January 2018 to discuss a new initiative: ISREE- Improving Safety and Reducing Error in Endoscopy. ISREE was developed from the premise that in order to make GI endoscopy services safer, we need to better understand, record, and draw on patient safety incidents as opportunities for learning.
Learning from endoscopy patient safety incidents: case of the month
Each month JAG publishes a case of the month highlighting a real-life clinical scenario which has impacted patient safety. Case studies are contributed by JAG leads and endoscopy services across the UK and are designed to provide an opportunity for discussion and to share learning.
Below you can find some examples, or visit the JAG website for all cases.
A mugful of coffee ground vomit
Going down the rabbit hole