A Quality Improvement Initiative to Improve Patient Safety Event Reporting by Residents

Herchline, Daniel; Rojas, Christina R.; Shah, Ankur; Fairchild, Victoria; Mehta, Sonul; Hart, Jessica

doi:10.1097/pq9.0000000000000519

Cited by 5 publications

(2 citation statements)

References 34 publications

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“…These programs used various strategies to increase resident-identified patient safety and quality concerns and to engage residents in analyzing these events. [6][7][8][9][10][11][12][13] However, none of the prior studies indicated that all resident event report submissions would be reviewed and that feedback would be sent to the submitting residents on how their concerns would be addressed-a key provision of our program.…”

Section: Discussionmentioning

confidence: 99%

Improving Resident Physician Participation in Reporting Patient Safety and Quality Concerns

Craig,

Smith,

Shaeffer

2024

TOJ

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Background: Reporting medical errors, near misses, and adverse events is an important component of improving patient safety and resident learning. Studies have revealed that event reporting rates can be low for physicians, resident physicians, and fellows. The objective of this quality improvement project was to improve resident reporting of patient safety and quality events and engage residents in the analysis of events at a community-based teaching hospital in the United States. Methods: We developed a program to engage 122 residents from 6 Accreditation Council for Graduate Medical Education–accredited residency programs using a multifaceted approach that included instructing residents how to use the hospital's adverse event reporting system; requiring first-year residents to submit at least 1 report; reviewing all resident reports during a monthly multidisciplinary meeting; and ensuring that each resident who submitted a report received feedback on how the concern was being addressed. Results: The program resulted in a 41.8% (95% CI 31%-53%) absolute increase in the number of residents reporting a concern, and resident submissions led to several documented improvements in patient care. A survey was administered to the residents who submitted reports, and the majority (76.0% response rate) expressed satisfaction with both the reporting system and the feedback about how their submission was being addressed. The responding residents agreed that they were more likely to submit reports because of their experience with the program and that they felt the program would improve safety and the quality of care at the institution. Conclusion: This quality improvement project successfully increased resident event reporting and engaged residents in the review of submitted events. The program can serve as a model for other teaching hospitals.

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Section: Discussionmentioning

confidence: 99%

Improving Resident Physician Participation in Reporting Patient Safety and Quality Concerns

Craig,

Smith,

Shaeffer

2024

TOJ

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“… 10 Resident physicians have been found to report less frequently than their attending counterparts. 11 , 12 , 13 Pathology residents specifically have been found to report even less frequently than that, with one study finding that pathology residents report safety events at one tenth the rate of trainees overall. 14 Although only one component of patient safety, physicians’ lack of engagement in safety reporting is viewed as emblematic of the broader challenge of engaging physicians in patient safety.…”

Section: Introductionmentioning

confidence: 99%

The next phase in patient safety education: Towards a standardized, tools-based pathology patient safety curriculum

Harris,

Chen,

Alston

et al. 2023

Academic Pathology

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Pathology trainees rarely report safety incidents: A review of 13,722 safety reports and a call to action

et al. 2022

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A Quality Improvement Initiative to Improve Patient Safety Event Reporting by Residents

Abstract: Supplemental Digital Content is available in the text.

Cited by 5 publications

References 34 publications

Improving Resident Physician Participation in Reporting Patient Safety and Quality Concerns

Improving Resident Physician Participation in Reporting Patient Safety and Quality Concerns

The next phase in patient safety education: Towards a standardized, tools-based pathology patient safety curriculum

Pathology trainees rarely report safety incidents: A review of 13,722 safety reports and a call to action

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