Impact of system-level activities and reporting design on the number of incident reports for patient safety
Impact of system-level activities and reporting design on the number of incident reports for patient safety
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DOI：
10.1136/qshc.2008.027532
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发表时间：
2010-04-01
影响因子：
--
通讯作者：
Hayashida, K.
中科院分区：
文献类型：
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作者：
Fukuda, H.;Imanaka, Y.;Hayashida, K.
背景事件报告是一个很有前途的工具，以提高病人的安全，但很少有实证研究已经进行了识别的因素，增加事件reports.Objective评估事件报告的数量是如何与系统级的活动和reporting design.Methods的问卷调查，在日本的所有1039教学医院。调查的项目包括报告的事件数量;事件的报告设计;以及系统级活动的状态，包括安全经理的分配、会议、同行查房和员工教育。员工教育包括患者安全的许多方面，并不仅限于事件报告。Poisson回归模型被用来确定这些活动和报告方法的设计是否增加了医生和护士提交的事件报告。结果教育活动与医生的报告显着相关（增加53%，p < 0.001），但对护士生成的报告没有显着影响。在提交报告时间较短的医院，医生和护士提交的报告较多（p < 0.05）。网上报告的影响仅限于26%的医生的报告（p < 0.05）。结论根据以往研究的建议，检查工作人员的看法和态度，本研究实证表明，减少报告负担和实施工作人员的教育，可以提高事件的报告。
Background Incident reporting is a promising tool to enhance patient safety, but few empirical studies have been conducted to identify factors that increase the number of incident reports.Objective To evaluate how the number of incident reports are related to system-level activities and reporting design.Methods A questionnaire survey was administered to all 1039 teaching hospitals in Japan. Items on the survey included number of reported incidents; reporting design of incidents; and status for system-level activities, including assignment of safety managers, conferences, ward rounds by peers, and staff education. Staff education encompasses many aspects of patient safety and is not limited to incident reporting. Poisson regression models were used to determine whether these activities and design of reporting method increase incident reports filed by physicians and nurses.Results Educational activities were significantly associated with reporting by physicians (53% increase, p < 0.001) but had no significant effect on nurse-generated reports. More reports were submitted by physicians and nurses in hospitals where time involved with filing a report was short (p < 0.05). The impact of online reporting was limited to a 26% increase in physicians' reports (p < 0.05).Conclusion In accordance with the suggestions by previous studies that examined staff perceptions and attitudes, this study empirically demonstrated that to decrease burden to reporting and to implement staff educations may improve incident reporting.