The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events

Abstract

The combination of an increase in awareness of event reporting with a psychiatry-specific AE reporting tool resulted in a significant improvement in the number of reports by psychiatrists.

Hospital Adverse Event Reporting Systems: A Systematic Scoping Review of Qualitative and Quantitative Evidence

“…Four studies directly compared passive with active reporting, [28][29][30][31] 6 addressed barriers and facilitators in passive surveillance, 32,33,[35][36][37][38] and the systematic review 25 reported barriers and facilitators in active surveillance. Strategies to improve passive reporting were addressed in 4 studies, 20,26,27,34 as seen in Figure 2.…”

“…After screening by title and abstract and full text review, 3,754 titles were removed for not meeting inclusion criteria. Finally, 15 studies were included: 1 systematic review, 25 2 clinical trials, 26,27 8 observational studies, 20,[28][29][30][31][32][33][34] 3 qualitative studies, [35][36][37] and 1 mixed study. 38 The details of the selection process are summarized in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses diagram (Fig.…”

“…-The 8 observational-cohorts-studies 20,[28][29][30][31][32][33][34] and the mixed study 38 were rated as having poor quality. The main methodological flaws were found in the reporting of characteristics of recruited participants, the time of exposure, and follow-up.…”

“…Within the measures of actions of change reported that make passive report systems more effective, the following measures were found: (1) the education focused in finding what is considered an REUE, (2) the simplification of the mechanism of reporting, increasing the making, and quality of reported information to even an 230%, 26 (3) activities focused on increasing the motivation for self-reporting that can increase its effectiveness to 260% 27 ; (4) adopt self-reporting as an institutional obligatory policy; and (5) use specific reporting formats. 30 Others include electronic and technological systems such as: (6) formats to report by e-mail, 34 (7) report through a mobile app, 20 (8) systems such as REDCap, 31 and (9) the use of triggers on data collection systems. 29…”

Reporting Incidents in the Psychiatric Intensive Care Unit

“…C linical risk management plays a relevant role in health care systems due to the possible impact on the optimization of clinical results and the reduction of poor outcomes (Rodriguez et al, 2017). Hospital incident reporting system (IRS) is a method to systematically collect reports of adverse events by health personnel, including near miss and sentinel events (Elkin et al, 2016;Institute of Medicine, 1999;Kroll et al, 2018;Pham et al, 2013;Ramírez et al, 2018). Because IRS proved to help identify and reduce risks in health organizations, the implementation of hospital IRS has been encouraged by major health care leadership organizations such as the Joint Commission (Giesbrecht and Au, 2016), the Institute of Medicine (Institute of Medicine, 1999), and the World Health Organization (Larizgoitia et al, 2013).…”