Patient Safety Event Reporting Tool

Welcome to the AAO-HNS Patient Safety Event Web Portal, before proceeding please be sure to read the instructions below. For background on the Web Reporting Tool see the Bulletin article here as well as the Otolaryngology—Head and Neck Surgery Journal article here.

The Patient Safety Event Web Portal was developed by the Patient Safety Quality Improvement Committee using multi-stakeholder input and allows members to confidentially report on near misses, adverse events, and medical errors in real-time. The purpose of the portal is to collect information on patterns and trends of patient safety events in Otolaryngology and help inform the PSQI Committee’s work in this area.

There are safeguards to ensure the confidentiality of reporting. Once users sign-in to the Academy’s website they are able to access the platform. However, despite signing in, no identifiable data about the user is submitted with the report. Nor is the computer’s IP address from the submitting computer captured with the report. We have gone to extraordinary lengths to preserve the confidentiality of the reporter. Further, each report is immediately reviewed by a non-clinician at the Academy and if identifiable information (hospital name, location, practice name, etc.) is mistakenly included by the submitting physician, the report is immediately discarded.

To maintain confidentiality, this form needs to be completed online. However, for your convenience you may view the questions and download a pdf of the Patient Safety Event Reporting Tool here.

Instructions

• You must respond to all 10 questions
• If you do not wish to describe the event (Q.3) please submit ‘N/A’
• Do not report any information that may identify the physician, patient or institution in the questions with the free text boxes
• No identifiable information is collected from the submitting physician
• Once your data is submitted an email will be sent to AAO-HNS staff notifying them of the new submission

You may contact the AAO-HNS quality improvement business unit regarding the Patient Safety Event form at [email protected]