Developing and judging barriers after medical incidents
On behalf of the Netherlands Federation of University Medical Centres (NFU) Intergo was asked to provide knowledge and expertise in the development of a tool that could judge the quality of improvement measures after an incident.
The ambition of the NFU is to learn from incidents and prevent incidents from happening in the future. One element of this learning process is the development of good improvement measures after an incident occurred (so-called barriers in safety science literature). The tool, the Dutch Barrier Score, developed in close cooperation with two University Medical Centres in the Netherlands (Amsterdam Medical Centre & University Medical Centre Groningen) support incident investigators in two ways:
• With guiding questions, the model supports the developmentof good barriers;
• With control questions, the model classifiesthe quality of a proposed barrier.
In addition to this, a Dutch Grading Score was developed for Board of Directors to judge the quality of the analysis and barriers proposed by the investigations.
The model will be presented and public available in the near future. If you are interested in this model, please contact Gert-Jan Kamps.