Interventions to improve resident reporting of patient safety events: a quality improvement initiative
| Autor: | Hiloni Bhavsar, Mukul Singal, Nagesh Jadhav, Richard Alweis, Aneeqa Zafar, Manasi Godbole |
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| Rok vydání: | 2020 |
| Předmět: |
lcsh:Internal medicine
Quality management educational models Psychological intervention Graduate medical education 030204 cardiovascular system & hematology Patient care safety culture 03 medical and health sciences Patient safety 0302 clinical medicine polycyclic compounds Internal Medicine medicine 030212 general & internal medicine Safety culture lcsh:RC31-1245 voluntary patient safety event reporting business.industry graduate medical education biochemical phenomena metabolism and nutrition medicine.disease Patient Safety Medical emergency residency business Research Article general hospitals |
| Zdroj: | Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 5, Pp 431-435 (2020) |
| ISSN: | 2000-9666 |
| DOI: | 10.1080/20009666.2020.1799494 |
| Popis: | Background Patient safety events (PSE) are opportunities to improve patient care but physicians rarely report them. In a previous study, residents identified knowledge regarding what constitutes a PSE, perceived lack of time, complexity of the reporting process, lack of feedback, and perceived failure to resolve the issue despite reporting to be barriers limiting their PSE reporting. The residency programs and system patient safety and quality improvement departments created targeted interventions to address identified barriers. Objective Assess effectiveness of targeted interventions on improving PSE reporting rates amongst residents. Methods As part of a multi-residency patient safety project, interventions were created to focus on the removal of barriers to reporting PSE identified previously. Post-interventions, an identical cross-sectional survey of the residents at the same two community teaching hospitals was conducted from Sept to Dec 2018 through an online questionnaire tool. Results 78 out of 149 residents (52.3%) completed the survey. We found a significant improvement in the number of residents who endorsed reporting a PSE in the past 1 year (51.2% vs 23.5%, p = 0.001), as well as during the course of their training (52.6% vs 26.5%, P = 0.001). There was also a significant decrease in the number of residents who were unsure of how to report a PSE (p = 0.031) as well as those who viewed medical error as a sign of incompetence (p = 0.036). Conclusion Our study demonstrates that simplifying the PSE reporting process, improving knowledge and acceptance of patient safety/quality improvement principles and promotion of a just culture improves resident PSE reporting. |
| Databáze: | OpenAIRE |
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