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Table 7 Recommendations for European Chiropractic Incident Reporting and Learning Systems, developed by the commission (2010)

From: Creating European guidelines for Chiropractic Incident Reporting and Learning Systems (CIRLS): relevance and structure

Criteria for success Requirements for success
Clear purpose Strategy to communicate the purpose of learning to improve patient safety in practice
Clear strategy Specific instructions for reporters (e.g., chiropractors and staff) on incidents to be reported
Anonymity Safe IT-systems and procedures to guarantee anonymity/confidentiality for patients, practitioners and institutions
Risk free Administrators and experts involved in managing the system without authority for punishment and retaliation
Feedback to the reporting individual Experts must analyse the incidents and give timely feedback. Focus should be on improving the clinical setting and/or avoiding similar incidents in the future
Feedback to organizations If serious hazards are identified, information - after being made anonymous - should be distributed to organisations and/or the individual through pre-determined channels without delay
Accumulation of knowledge Received data should be collated in a structured fashion to allow meaningful analyses
Formulation of guidelines An expert panel should be appointed to transform the aggregated analyses into clinically meaningful guidelines, targeting systems and operational procedures as well as individual performance
Implementation A comprehensive strategy for national implementation must be in place for the individual countries, including (but not limited to) presentation at national meetings, workshops and making available written information for clinicians