Incident reporting has been recognized as a critical strategy for improving patient safety (PS) as is the focus area/pathway ACGME’s Clinical Learning Environment Review (CLER). Yet despite its importance, physician incident reporting remains limited hindering efforts to learn and develop processes to prevent future occurrences. An often cited barrier to physician reporting is that submissions go into a “black hole” with no process for learning. Through collaboration with incident reporting leaders, we developed an approach whereby residency program directors review incidents related to their program from an educational perspective.

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