Evidence map›Paper›PMID 33235677›Full record

ArticleJournal of community hospital internal medicine perspectives2020

Interventions to improve resident reporting of patient safety events: a quality improvement initiative.

Mukul Singal, Manasi Godbole, Aneeqa Zafar, Nagesh Jadhav, Richard Alweis, Hiloni Bhavsar

Abstract read
In one paragraph

Article in Journal of community hospital internal medicine perspectives, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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

6 authors.

Mukul SingalDepartment of Internal Medicine, Rochester General Hospital, Rochester, NY, USA.
Manasi GodboleInternal Medicine Residency Program, Unity Hospital, Rochester, NY, USA.
Aneeqa ZafarInternal Medicine Residency Program, Unity Hospital, Rochester, NY, USA.
Nagesh JadhavDepartment of Internal Medicine, Rochester General Hospital, Rochester, NY, USA.
Richard AlweisDepartment of Graduate Medical Education, Rochester Regional Health, Rochester, NY, USA.ORCID https://orcid.org/0000-0002-4747-8066
Hiloni BhavsarDepartment of Internal Medicine, Rochester General Hospital, Rochester, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient safety events (PSE) are opportunities to improve patient care but physicians rarely report them. In a previous study, residents identified knowledge regarding what constitutes a PSE, perceived lack of time, complexity of the reporting process, lack of feedback, and perceived failure to resolve the issue despite reporting to be barriers limiting their PSE reporting. The residency programs and system patient safety and quality improvement departments created targeted interventions to address identified barriers.

objectiveAssess effectiveness of targeted interventions on improving PSE reporting rates amongst residents.

methodsAs part of a multi-residency patient safety project, interventions were created to focus on the removal of barriers to reporting PSE identified previously. Post-interventions, an identical cross-sectional survey of the residents at the same two community teaching hospitals was conducted from Sept to Dec 2018 through an online questionnaire tool.

results78 out of 149 residents (52.3%) completed the survey. We found a significant improvement in the number of residents who endorsed reporting a PSE in the past 1 year (51.2% vs 23.5%, p = 0.001), as well as during the course of their training (52.6% vs 26.5%, P = 0.001). There was also a significant decrease in the number of residents who were unsure of how to report a PSE (p = 0.031) as well as those who viewed medical error as a sign of incompetence (p = 0.036).

conclusionOur study demonstrates that simplifying the PSE reporting process, improving knowledge and acceptance of patient safety/quality improvement principles and promotion of a just culture improves resident PSE reporting.

Indexed as

educational modelsgeneral hospitalsgraduate medical educationPatient safetyresidencysafety culturevoluntary patient safety event reporting

Identifiers

PMID33235677
PMCPMC7671725

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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.