Video intervention to improve incident reporting among medical trainees

Abstract

Introduction/objectiveImproving graduate medical trainee involvement with patient safety and incident reporting is an important task in teaching hospitals that has been recognised across the country and led to numerous efforts to address barriers to incident reporting. A variety of studies have started to define the reasons why trainees are not optimally involved and interventions that may be helpful. The present study aims to add to this literature by primarily addressing barriers that can be considered ‘non-technical’ such as fears surrounding potential professional repercussions after submitting a report, perceptions that reporting incidents is not useful, and concerns about anonymity.MethodsBarriers to incident reporting were previously analysed at our institution. A video was produced to directly target the barriers discovered. A 2-hour educational session was delivered which included the video intervention. The educational session was part of the standard patient safety curriculum at our institution. Paper surveys were used to capture changes in perceived barriers to incident reporting. Baseline and postintervention surveys were analysed for changes using t-tests and a p value of <0.05 to determine significance. Survey development included literature review, patient safety expert discussion and cognitive interviews.ResultsPerceived knowledge about the reporting process significantly improved after the intervention (t=−4.49; p<0.05). Attitudes about reporting also significantly improved with reduction in fear of negative consequences and anonymity. Perceptions of reporting being a futile activity were also diminished after the intervention.ConclusionsThis study demonstrates that targeting non-technical barriers to incident reporting with a video intervention is an effective way to improve perceived knowledge and attitude about incident reporting.

Public awareness in Wales of the UK Yellow Card scheme for reporting suspected adverse drug reactions

“…5 However, a telephone poll conducted in 2009 showed that only 172 of 2028 respondents (8.5%) had heard of the YCS, and only 3 individuals had self-reported to the scheme. 11 The attitudes to YCS observed in this study after watching the information video confirm lay-user assessments of the scheme, reported elsewhere. 12 Exposure to this video by the public may also reinforce the intentions of health professionals to report suspected ADRs in the future.…”

“…Patient reporting of suspected ADRs and their impacts, especially when these differ from reports by healthcare professionals has been suggested as a key step towards improving pharmacovigilance 5 . However, a telephone poll conducted in 2009 showed that only 172 of 2028 respondents (8.5%) had heard of the YCS, and only 3 individuals had self‐reported to the scheme 11 . The attitudes to YCS observed in this study after watching the information video confirm lay‐user assessments of the scheme, reported elsewhere 12 .…”

A Narrative Review of Strategies to Increase Patient Safety Event Reporting by Residents

“…References 6,9,11,12,[14][15][16]18,19,21,22,24,30, 41-44, 47-68. †References 6, 18, 44, 51, 56, 57, 62, 69-72.…”

Perceived Barriers of Incident Reporting Among Internists: Results from Hamad Medical Corporation in Qatar

“…A short teaching program was recently shown to be effective in improving the knowledge and practice of IR among medical trainees. 18 Concerns highlighted by our participants, such as the need for dissemination of IR results or learning, were stressed earlier by the Mitchell et al paper which stated: "Ideally, following the investigation of a report, feedback from the analysis would be delivered to the reporters as well as to relevant people in the organization to close the loop." 12 Assessment of the individual study participants' responses revealed that the concern of anonymity breach and the fear of retaliation stood as the most prevalent other barriers.…”