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Cohen SP, McLean HS, Milne J, Parente V. Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With Other Healthcare Team Members. J Patient Saf 2021; 17:e1352-e1357. [PMID: 32217929 DOI: 10.1097/pts.0000000000000626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Graduate medical education (GME) trainees have a unique perspective from which to identify and report patient safety concerns. However, it is not known how safety reports submitted by GME trainees differ from those submitted by other clinical staff. We hypothesized that GME trainees were more likely to submit safety reports regarding transitions of care, delays in care, and lapses in communication, and reports of higher severity compared with other frontline staff such as nurses, pharmacists, and other providers. METHODS Patient safety reports submitted by clinical staff for 1 year at an academic tertiary care children's hospital were retrospectively reviewed and categorized by reporter type. Severity level and event type were analyzed by reporter type, and repeat χ2 tests were used to compare the percentage of reports at each severity level and in each event type submitted by GME trainees compared with each other reporter type. RESULTS Graduate medical education trainees submitted reports of greater severity (level E/F/G) compared with nurses (10% versus 5%, P = 0.021) and pharmacists (10% versus 2%, P = 0.001). A greater percent of GME trainees' reports were categorized as errors in transitions of care, diagnosis, ordering, laboratory collection, and care delays compared with several other reporter types. CONCLUSIONS Graduate medical education trainees identify system vulnerabilities not detected by other personnel, supporting efforts to increase safety reporting by GME trainees.
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Affiliation(s)
| | | | - Judy Milne
- Patient Safety Office, Duke University Hospital, Durham, North Carolina
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Sarkany DS, Shenoy-Bhangle AS, Catanzano TM, Fineberg TA, Eisenberg RL, Slanetz PJ. Running a Radiology Residency Program: Strategies for Success. Radiographics 2018; 38:1729-1743. [DOI: 10.1148/rg.2018180016] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- David S. Sarkany
- From the Department of Radiology, Staten Island University Hospital and Northwell Health, Staten Island, NY (D.S.S.); Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro-4, Boston, MA 02215 (A.S.S., T.A.F., R.L.E., P.J.S.); and Department of Radiology, Baystate Medical Center and University of Massachusetts Medical School–Baystate, Springfield, Mass (T.M.C.)
| | - Anuradha S. Shenoy-Bhangle
- From the Department of Radiology, Staten Island University Hospital and Northwell Health, Staten Island, NY (D.S.S.); Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro-4, Boston, MA 02215 (A.S.S., T.A.F., R.L.E., P.J.S.); and Department of Radiology, Baystate Medical Center and University of Massachusetts Medical School–Baystate, Springfield, Mass (T.M.C.)
| | - Tara M. Catanzano
- From the Department of Radiology, Staten Island University Hospital and Northwell Health, Staten Island, NY (D.S.S.); Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro-4, Boston, MA 02215 (A.S.S., T.A.F., R.L.E., P.J.S.); and Department of Radiology, Baystate Medical Center and University of Massachusetts Medical School–Baystate, Springfield, Mass (T.M.C.)
| | - Tabitha A. Fineberg
- From the Department of Radiology, Staten Island University Hospital and Northwell Health, Staten Island, NY (D.S.S.); Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro-4, Boston, MA 02215 (A.S.S., T.A.F., R.L.E., P.J.S.); and Department of Radiology, Baystate Medical Center and University of Massachusetts Medical School–Baystate, Springfield, Mass (T.M.C.)
| | - Ronald L. Eisenberg
- From the Department of Radiology, Staten Island University Hospital and Northwell Health, Staten Island, NY (D.S.S.); Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro-4, Boston, MA 02215 (A.S.S., T.A.F., R.L.E., P.J.S.); and Department of Radiology, Baystate Medical Center and University of Massachusetts Medical School–Baystate, Springfield, Mass (T.M.C.)
| | - Priscilla J. Slanetz
- From the Department of Radiology, Staten Island University Hospital and Northwell Health, Staten Island, NY (D.S.S.); Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Shapiro-4, Boston, MA 02215 (A.S.S., T.A.F., R.L.E., P.J.S.); and Department of Radiology, Baystate Medical Center and University of Massachusetts Medical School–Baystate, Springfield, Mass (T.M.C.)
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Feldman SS, Buchalter S, Hayes LW. Health Information Technology in Healthcare Quality and Patient Safety: Literature Review. JMIR Med Inform 2018; 6:e10264. [PMID: 29866642 PMCID: PMC6006013 DOI: 10.2196/10264] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Revised: 04/01/2018] [Accepted: 05/19/2018] [Indexed: 01/08/2023] Open
Abstract
Background The area of healthcare quality and patient safety is starting to use health information technology to prevent reportable events, identify them before they become issues, and act on events that are thought to be unavoidable. As healthcare organizations begin to explore the use of health information technology in this realm, it is often unclear where fiscal and human efforts should be focused. Objective The purpose of this study was to provide a foundation for understanding where to focus health information technology fiscal and human resources as well as expectations for the use of health information technology in healthcare quality and patient safety. Methods A literature review was conducted to identify peer-reviewed publications reporting on the actual use of health information technology in healthcare quality and patient safety. Inductive thematic analysis with open coding was used to categorize a total of 41 studies. Three pre-set categories were used: prevention, identification, and action. Three additional categories were formed through coding: challenges, outcomes, and location. Results This study identifies five main categories across seven study settings. A majority of the studies used health IT for identification and prevention of healthcare quality and patient safety issues. In this realm, alerts, clinical decision support, and customized health IT solutions were most often implemented. Implementation, interface design, and culture were most often noted as challenges. Conclusions This study provides valuable information as organizations determine where they stand to get the most “bang for their buck” relative to health IT for quality and patient safety. Knowing what implementations are being effectivity used by other organizations helps with fiscal and human resource planning as well as managing expectations relative to cost, scope, and outcomes. The findings from this scan of the literature suggest that having organizational champion leaders that can shepherd implementation, impact culture, and bridge knowledge with developers would be a valuable resource allocation to consider.
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Affiliation(s)
- Sue S Feldman
- Department of Health Services Adminstration, The University of Alabama at Birmingham, Birmingham, AL, United States
| | - Scott Buchalter
- Pulmonary and Critical Care, The University of Alabama at Birmingham Medical Center, Birmingham, AL, United States
| | - Leslie W Hayes
- Department of Pediatrics, The University of Alabama at Birmingham Medical Center, Birmingham, AL, United States
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