A Multifaceted Intervention to Increase Surgery Resident Engagement in Reporting Adverse Events
Background Although most residents have been involved in an adverse or near-miss event, they are not likely to report these incidents. To improve the culture of patient safety and to increase adverse event reporting among General Surgery residents, a multifaceted intervention focused on education, f...
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Veröffentlicht in: | Journal of surgical education 2015-11, Vol.72 (6), p.e117-e122 |
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Sprache: | eng |
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Zusammenfassung: | Background Although most residents have been involved in an adverse or near-miss event, they are not likely to report these incidents. To improve the culture of patient safety and to increase adverse event reporting among General Surgery residents, a multifaceted intervention focused on education, feedback, and event resolution was developed and implemented. Methods Adverse events involving surgery patients at Boston Medical Center were monitored for 2 months before and for 10 months after implementation of the intervention in May 2014. Results There was a significant increase in the number of adverse events reported by residents, from 0 to 30 per 2-month period (χ2 = 8.56, p = 0.003). The classification types of reports filed by residents differed significantly from those of incidents submitted by other reporters (p < 0.0001). Conclusion An intervention focused on addressing barriers to reporting adverse events can significantly increase the volume of incidents reported by surgery residents. Involving residents in patient safety efforts may enhance an institution’s ability to identify adverse events and to improve the overall culture of care. |
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ISSN: | 1931-7204 1878-7452 |
DOI: | 10.1016/j.jsurg.2015.06.022 |