Incidents and near incidents affect the life of patients, their relatives and dependants as well as our employees and organisations. Incidents and near incidents are systematically recorded and analysed to ensure seamless patient care in the Hirslanden Group.

Near incidents have been collected and analysed in all Hirslanden hospitals in what is called a CIRS (Critical Incident Reporting System) system since 2008. Information from this system has enabled us to implement successful measures to improve patient safety. In 2021, the CIRS system was replaced by a comprehensive incident management system called “The Patient Safety Company” (“TPSC”) reporting platform so that we also have the capacity to record incidents systematically.

With the introduction of the TPSC reporting platform, Hirslanden is able to continuously and comprehensively log and systematically process incidents in which patients were nearly or actually harmed. The new incident management system enables employees in any job to report incidents or near incidents using an online form.

An effective safety culture is a task shared by all employees and doctors. Therefore, we must treat each other with respect so that untoward incidents can be reported by anyone, whatever their place in the hierarchy. At the same time as recording and systematically analysing data on the nature, extent and concomitant circumstances of predominantly serious incidents, we also use the reporting platform as a learning tool that generates knowledge and creates transparency. This really helps us to improve patient safety.

Every event that is reported is classified according to its nature. This indicates areas in particular need of corrective action. The table below shows the incidents and near incidents for the 2021* calendar year that have been closed. Most of the incidents and near incidents are to be found in the three areas of “Falls”, “Medication/biologicals/liquids” and “Documentation”. 

Incident management (data for 2021)
Inappropriate/aggressive behaviour 16
Blood/plasma products 14
Administrative processes 40
Diagnostic/therapeutic process 117
Documentation 163
Handling hazardous substances 4
Falls 610
Infection prevention and control 27
Medical products/equipment/consumables 40
Medical gases/oxygen 2
Medication/biologicals/liquids 373
Nutrition 23
Patients’ rights 8
Perioperative incident 45
Perinatal incident 2
Peripheral infusion incident 2
Personal property/data/information 1
Pressure ulcers 78
Skin lesions 59
Other 144

*Because of the phased introduction of the new reporting portal across all the hospitals of the Hirslanden Group, the table does not show the figures for the entire year. All the hospitals have had access to the TPSC reporting portal since February 2022.