Evidence map›Paper›PMID 29781978›Full record

ArticleJournal of patient safety2020

Mixed-Methods Evaluation of Real-Time Safety Reporting by Hospitalized Patients and Their Care Partners: The MySafeCare Application.

Sarah A Collins, Brittany Couture, Ann DeBord Smith, Esteban Gershanik, Elizabeth Lilley, Frank Chang, Cathy Yoon, Stuart Lipsitz, Aziz Sheikh, James Benneyan and 1 more

Abstract read
In one paragraph

Article in Journal of patient safety, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
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  5. Use and impact of an online community for hospital patients.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  6. Article
  7. Article
  8. Informatics opportunities to involve patients in hospital safety: a conceptual model.Journal of the American Medical Informatics Association : JAMIA · 2020
    Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Sarah A Collins
Brittany CoutureDepartments of Medicine.
Ann DeBord Smith
Esteban Gershanik
Elizabeth Lilley
Frank ChangPartners Healthcare System, Boston, Massachusetts.
Cathy YoonDepartments of Medicine.
Stuart Lipsitz
Aziz SheikhUsher Institute of Population Health Sciences and Informatics, The University of Edinburgh, Edinburgh, United Kingdom.
James BenneyanHealthcare Systems Engineering Institute, Northeastern University.
David W Bates

Funding

Making Acute Care More Patient-CenteredP30HS023535 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI BATES, DAVID W., MD,MSC · 2014 to 2017
$3.9M
AHRQ HHS P30 HS023535NIA NIH HHS L30 AG051270
6 · The paper itself

Abstract

objectiveThe aims of the study were to evaluate the amount and content of data patients and care partners reported using a real-time electronic safety tool compared with other reporting mechanisms and to understand their perspectives on safety concerns and reporting in the hospital.

methodsThis study used mixed methods including 20-month preimplementation and postimplementation trial evaluating MySafeCare, a web-based application, which allows hospitalized patients/care partners to report safety concerns in real time. The study compared MySafeCare submission rates for three hospital units (oncology acute care, vascular intermediate care, medical intensive care) with submissions rates of Patient Family Relations (PFR) Department, a hospital service to address patient/family concerns. The study used triangulation of quantitative data with thematic analysis of safety concern submissions and patient/care partner interviews to understand submission content and perspectives on safety reporting.

resultsThirty-two MySafeCare submissions were received with an average rate of 1.7 submissions per 1000 patient-days and a range of 0.3 to 4.8 submissions per 1000 patient-days across all units, indicating notable variation between units. MySafeCare submission rates were significantly higher than PFR submission rates during the postintervention period on the vascular unit (4.3 [95% confidence interval = 2.8-6.5] versus 1.5 [95% confidence interval = 0.7-3.1], Poisson) (P = 0.01). Overall trends indicated a decrease in PFR submissions after MySafeCare implementation. Triangulated data indicated patients preferred to report anonymously and did not want concerns submitted directly to their care team.

conclusionsMySafeCare evaluation confirmed the potential value of providing an electronic, anonymous reporting tool in the hospital to capture safety concerns in real time. Such applications should be tested further as part of patient safety programs.

Indexed as

CaregiversFemaleHospitalizationHumansMalePatient Safety

Identifiers

PMID29781978
PMCPMC6204117

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.