Evidence map›Paper›PMID 35535946›Full record

ArticleJournal of hospital medicine2022

Family Input for Quality and Safety (FIQS): Using mobile technology for in-hospital reporting from families and patients.

Naomi S Bardach, Jim R Stotts, Darren M Fiore, Urmimala Sarkar, Anjana E Sharma, W John Boscardin, Lizette Avina, Caroline Peralta-Neel, Glenn Rosenbluth

Abstract read
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In one paragraph

Article in Journal of hospital medicine, 2022. 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.

  1. Observational
  2. Review
  3. Article
  4. Observational
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

9 authors.

Naomi S BardachDepartment of Pediatrics, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0002-5178-0719
Jim R StottsDepartment of Patient Safety and Regulatory Affairs, University of California San Francisco, San Francisco, California, USA.
Darren M FioreDepartment of Pediatrics, University of California San Francisco, San Francisco, California, USA.
Urmimala SarkarDivision of General Internal Medicine, University of California San Francisco, San Francisco, California, USA.
Anjana E SharmaDepartment of Medicine, UCSF Center for Vulnerable Populations, University of California San Francisco, San Francisco, California, USA.
W John BoscardinDepartments of Medicine and Epidemiology & Biostatistics, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0003-3121-9526
Lizette AvinaPhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, California, USA.
Caroline Peralta-NeelPhilip R. Lee Institute for Health Policy Studies, University of California San Francisco, San Francisco, California, USA.
Glenn RosenbluthDepartment of Pediatrics, University of California San Francisco, San Francisco, California, USA.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
The Family Input for Quality and Safety (FIQS) StudyR01HD100393 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BARDACH, NAOMI SHULA · 2020 to 2024
$3.7M
Novel IT to Create Patient-Integrated Quality ImprovementR21HS024553 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BARDACH, NAOMI SHULA · 2016 to 2017
$297k
AHRQ HHS K08 HS028477AHRQ HHS K08HS028477AHRQ HHS R21 HS024553NCATS NIH HHS KL2 TR001870NCATS NIH HHS KL2TR001870NICHD NIH HHS R01 HD100393
6 · The paper itself

Abstract

objectiveDespite three decades of effort, ensuring inpatient safety remains elusive. Patients and family members are a potential source of safety observations, but systems gathering these are limited. Our goal was to test a system to gather safety observations from hospitalized patients and their family members via a real-time mobile health tool.

methodsWe developed a mobile-responsive website for reporting safety observations. We piloted the tool during June 2017-April 2018 on the medical-surgical unit of a children's hospital. Participants were English-speaking family members and patients ≥13 years. We sent a daily text with a website link. We assessed: (1) face validity by comparing observations to incident reporting (IR) criteria and to hospital IRs and (2) associations between the number of safety observations/100 patient-days and participant characteristics using Poisson regression.

resultsWe enrolled 235 patients (43.8% of 537 reviewed for eligibility), resulting in 8.15 safety reports/100 patient-days, most frequently regarding medications (29% of reports) and communication (20% of reports). Fifty-one (40% of 125) met IR criteria; only one (1.1%) had been reported via the IR system. Latinx participants submitted fewer observations than White participants (3.9 vs. 10.1, p = .002); participants with more prior hospitalizations submitted more observations (p < .001). In adjusted analyses, including measures of preference in decision making, and patient activation, the difference between Latinx and White participants diminished substantially (6.4 vs. 11.3, p = .16).

conclusionsWe demonstrated the feasibility of real-time patient and family-member technology-enabled safety observation reporting and elicited reports not otherwise identified. Variation in reporting may potentially exacerbate disparities in safety if not addressed.

Indexed as

Patient SafetyRisk ManagementChildFamilyHospitals, PediatricHumansTechnology

Identifiers

PMID35535946
PMCPMC12179642

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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.