Evidence map›Paper›PMID 39506028›Full record

ArticleScientific reports2024

Implementation of a novel TRIZ-based model to increase the reporting of adverse events in the healthcare center.

Jiun-Yih Lee, Pei-Shan Lee, Cheng-Hsien Chiang, Yi-Ping Chen, Chiung-Ju Chen, Yuan-Ming Huang, Jlan-Ren Chiu, Pei-Ching Yang, Chen-An Yeh, Jui-Ting Chang

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Jiun-Yih LeeCenter for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wenchang Rd., Shilin Dist., Taipei City 111, Taipei, Taiwan.
Pei-Shan LeeCenter for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wenchang Rd., Shilin Dist., Taipei City 111, Taipei, Taiwan.
Cheng-Hsien ChiangDepartment of Pharmacy, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Yi-Ping ChenDepartment of Information Technology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Chiung-Ju ChenDepartment of Pathology and Laboratory, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Yuan-Ming HuangDepartment of Engineering, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Jlan-Ren ChiuDepartment of Radiological Diagnosis, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Pei-Ching YangNursing Department, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Chen-An YehCenter for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wenchang Rd., Shilin Dist., Taipei City 111, Taipei, Taiwan.
Jui-Ting ChangCenter for Quality Management, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wenchang Rd., Shilin Dist., Taipei City 111, Taipei, Taiwan. skhnephropgy@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Underreporting of adverse events in healthcare systems is a global concern. This study aims to address the underreporting of adverse events (AE) by implementing a TRIZ-based model to identify and overcome barriers to reporting, thus filling gaps in current reporting practices and improving incident recognition. A TRIZ (Theory of Inventive Problem Solving) approach was adopted, integrating with SERVQUAL methodologies to design interventions. Preintervention and postintervention surveys were conducted to evaluate changes in the recognition of adverse events and barriers to reporting. Statistical analyses were performed to assess the effectiveness of the interventions. Recognition improved and barriers to reporting AEs significantly decreased. Monthly reported cases rose from 33.7 to 50.3 (p = 0.000), demonstrating the effectiveness of the TRIZ-based interventions. Implementing a TRIZ-based model significantly improved adverse event reporting by enhancing the recognition of reportable events and overcoming identified barriers. Future research should explore the long-term sustainability of these interventions and their broader applicability in diverse healthcare settings.

Indexed as

Delivery of Health CareHumansMedical ErrorsProblem SolvingRisk ManagementAdverse eventsHealthcare qualityIncident reportingPatient safetySERVQUALTRIZ

Identifiers

PMID39506028
PMCPMC11542035

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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.