Authors
Ariela Popper-Giveon, Yael Keshet, Tamar Adar
Published in
The International journal of risk & safety in medicine. Pages 9246479261477229. Aug 13, 2026. Epub Aug 13, 2026.
Abstract
BackgroundPrimary care accounts for more than half of all adverse events leading to patient harm. Unique patient safety and risk management (PSRM) units have been operating in health maintenance organizations (HMOs) in Israel.ObjectiveTo explore healthcare providers' perspectives regarding the tasks, accomplishments, and recommendations concerning these PSRM units.MethodsIn-depth qualitative interviews were conducted with 40 healthcare community providers: 10 family physicians, 10 specialist physicians, 10 nurses, and 10 pharmacists.FindingsInterviewees identified two of the unit's main benefits and roles: learning from adverse events and providing backing in litigation cases. They emphasized four of the unit's accomplishments: sharing lessons learned from adverse event reports; addressing inquiries regarding clinic practice; instructing physicians on how to improve the accuracy of medical record documentation; and providing a user-friendly reporting procedure. They proposed several practices for promoting the reporting of adverse events.ConclusionsThe study suggests that embedded PSRM units promote the principles of Just Culture and encourage the reporting and discussion of adverse events. It outlines recommendations for practice and policy to support the optimization of PSRM units in primary care. The Israeli PSRM unit may offer an internationally relevant model for strengthening patient safety culture.
PMID:
42593240
Bibliographic data and abstract were imported from PubMed on 13 Aug 2026.
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