Enhancing the Patient Safety Movement by Increasing Resident Awareness and Participation in Patient Safety Event Reports

1University of Michigan, Ann Arbor, MI

Meeting: Hospital Medicine 2014, March 24-27, Las Vegas, Nev.

Abstract number: 204

Background:

Safety Event (SE) reporting is a critical element for health care organizations striving for continuous quality improvement. It provides a medium for staff to engage in the quality improvement process, and serves as a valuable primary information source for leaders in the organization. Residents routinely provide the majority of the direct patient care at academic medical centers, yet the voices of these important front‐line care providers are frequently under‐represented.

Purpose:

To understand the common barriers that prevent residents from submitting online SE in our health system and design an intervention to increase the number of SE reports by resident physicians.

Description:

We surveyed 304 residents and fellows to assess attitudes toward the SE reporting system and identify barriers to submitting online SEs. Of the survey respondents, 174 (58%) had never submitted a SE report. The most commonly identified barriers were (1) too much time required to submit a report (38%), (2) lack of education on how or what to report (31%), (3) lack of feedback or change after reporting (18%), and (4) concern for repercussions or lack of anonymity (8%).

Based on this analysis of barriers, we piloted an intervention with the internal medicine residency program to educate residents about SE reporting through a reminder message in their orientation email, informational slides at the end of conferences that described what and how to report, a pocket card with reporting instructions (Figure 1), and leadership encouragement during walk rounds by chief medical residents and the program director. Compared to the 10 weeks prior to the start of the intervention, the number of SE reports submitted by internal medicine residents more than doubled from 16 to 37 SEs (p<0.01).

Conclusions:

A resident‐driven intervention that fostered a culture of encouragement for SE reporting through leadership support and targeted education was shown to increase the number of SE reports submitted by internal medicine residents at our health system. Hospitals and health systems should seek to understand the common reasons that inhibit SE reporting from this important group of direct patient care providers in their organization and administer structured educational programs to encourage their participation.

To cite this abstract:

Stewart D, Junn J, Adams M, Spencer‐Segal J, Perdoncin E, Lopez K, Kim C. Enhancing the Patient Safety Movement by Increasing Resident Awareness and Participation in Patient Safety Event Reports. Abstract published at Hospital Medicine 2014, March 24-27, Las Vegas, Nev. Abstract 204. Journal of Hospital Medicine. 2014; 9 (suppl 2). https://www.shmabstracts.com/abstract/enhancing-the-patient-safety-movement-by-increasing-resident-awareness-and-participation-in-patient-safety-event-reports/. Accessed March 31, 2020.

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