This session provides participants with a practical framework for identifying, classifying, and reporting adverse events and near misses within the carceral setting, giving participants the knowledge and tools necessary to improve the quality of adverse event reporting and successfully set up an internal program. By reframing reporting as a critical component of quality improvement and patient protection, the session will inspire attendees to actively engage in building safer care environments.

Educational Objectives

• Identify the steps involved in establishing an effective adverse event reporting system in a carceral setting
• Discuss how tools like root cause analysis can be used to investigate an adverse event and identify underlying system failures
• Explain how data from reported adverse events can help identify patterns and trends

Level: Basic