ISE - Research

Knowledge Sharing and Management on Near Miss in Ten Public and Private Hospitals (ongoing project)

This project aims at a structured multi-channel multi-media capture of Near Miss knowledge for sharing and betterment of quality healthcare services. Near Miss reporting and sharing is a very mature system in aviation industry (26 years of development). Nevertheless, it is a very new concept in healthcare industry and various other industries. This project is the first of kind bridging both public and private sectors in hospital services, as well as academic professionals at backend. Over 5,000 professionals (doctors, nurses, senior allied health professionals, etc.) participate in this project and 30,000 industrial professionals of local hospitals will share the benefit of the Project.

The project involves much culture change with obvious benefit and a good clause. Staff‘s concern over negative follow up/blame culture will be tackled. The promotion on and cultivation of positive attitude on Near Miss reporting must be separated from mandatory Adverse Incident Reporting. Training with staff buy-in and immediate feedback to build up the culture will be adopted.