부산대학교 도서관

Purpose: To improve patient safety in the event of medical accidents or malpractice, Tawan adopted a voluntary system for patients to report complaints, as mandated by the Medical Accident Prevention and Disputes Resolution Act (hereafter, the Act). The Act defines unacceptable outcomes as 'Never Events' that are subject to mandatory reporting. This comparative study analyzed the healthcare outcomes of different reporting systems used in Taiwan and abroad. Result: Taiwan's development of its patient safety reporting system is similar to that in the United Kingdom which was marked by a transition from voluntary to mandatory reporting. In Australia, local governments define their own standards for mandatory reporting, among which the 11 types of mandatory reporting for Sentinel Events of Safer Care Victoria can serve as a reference for Taiwan's definition of Never Events. Moreover, Australia has an independent body that is responsible for root cause analysis. Taiwanese authorities can consider establishing a similar body to promote root cause analysis following the implementation of the Act. Conclusion: The mandatory reporting system stipulated by the Act must be continually evaluated to achieve prevention and promotion of the culture of patient safety in Taiwan.