Documento en modo de impresión; puede cambiar de modo en la pestaña "imprimir"
BACRA is a tool designed to help middle managers improve management of risks inherent in healthcare activities. It helps to create a safer environment for patients, and it also helps professionals to demonstrate that they effectively assume their responsibility of handling safety events in a proactive manner that is in accordance with Spanish Law 16/2003 on Quality and Cohesion in the National Health System. BACRA has been designed to be used at both hospitals and primary care.
How to use BACRA:
Document on print mode. You can switch modes on the "Print" tab.
You can hide the form so that nobody else may access the data concerning the incident you are analyzing. Choose a key that contains four numbers to protect the form, write it down, and place it in a secure location. Without this key, you will not be able to access your data.
Please introduce the key you used to protect the form in order to continue with the incident analysis.
If you do not remember the key and wish to use the tool, click the Reset button below in order to start over and conduct a new analysis.
WARNING: all data entered up to now will be erased.
Yor form is hidden, please check the "Hide/show" tab and accept conditions in the "Info" tab
Note that, for unavoidable damage, you do not need to fill in the fields of BACRA tool. However, if you wish, you can perform the analysis.
We recommend you report the incident with the system used at your health center.
1. The Five Whys technique
We must ask ourselves as many as five times why events occur. "Safety is like peeling an onion; the more you look, the more you find, and each layer makes you cry.”
2. Immediate and latent causes
When filling in data, keep in mind:
This category includes forgetfulness, distractions, lapses, assessment errors, and failures of compliance with established norms.
Use of resources and equipment
Organization and culture of safety
Factors attributable to professional activity
3. Intrinsic risk factors for the patient
Legends of letters used:
S: Severity O: Probability de occurrence D: Probability of detection RPN: Risk probability number
Severity scale (S):
1: No effects (without any consequences)
2: Very mild (deterioration in system performance will probably be noticed)
4: Minimun (deterioration in system performance)
7: Great (incompatible system)
9: Serious (problem of safety)
Probability of occurrence scale (O):
1: Almost never (improbable error)
2: Remote (improbable error)
3: Very slight
4: Slight (occasional errors)
7: Moderately high (repeated errors)
9: Very high (error almost unavoidable)
10: Almost certain
Probability of detection scale (D):
1: Almost certain (detection methods)
2: Very high
4: Moderately high
8: Very slight
10: Almost impossible (detection methods do not exist)
Root cause S O D RPN Proposed solutions Person responsible and date Verification
This report may be useful for patient safety managers at your center who analyze incidents and assess whether issuing an alert to improve safety for all patients is advisable.
Assess whether this report should be sent to the unit of reference in patient safety.
Once the report is printed, erasing all fields for reasons of confidentiality is recommended.