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SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers

BACKGROUND: Among the many modalities of error detection in academic pediatric hospitals, patient safety reporting is an important component, particularly for unexpected events. Residents recognize the importance of reporting but cite some barriers to doing so. A rubric was developed to guide reside...

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Autores principales: Keefer, Patricia, Helms, Lauren, Warrier, Kavita, Vredeveld, Jennifer, Burrows, Heather, Orringer, Kelly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132893/
https://www.ncbi.nlm.nih.gov/pubmed/30229181
http://dx.doi.org/10.1097/pq9.0000000000000045
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author Keefer, Patricia
Helms, Lauren
Warrier, Kavita
Vredeveld, Jennifer
Burrows, Heather
Orringer, Kelly
author_facet Keefer, Patricia
Helms, Lauren
Warrier, Kavita
Vredeveld, Jennifer
Burrows, Heather
Orringer, Kelly
author_sort Keefer, Patricia
collection PubMed
description BACKGROUND: Among the many modalities of error detection in academic pediatric hospitals, patient safety reporting is an important component, particularly for unexpected events. Residents recognize the importance of reporting but cite some barriers to doing so. A rubric was developed to guide resident reporting and streamline information gathering in patient safety reports. The rubric used the acronym SAFEST as a reminder to include 6 key elements: 1. Staff involved in the incident. 2. Actual event description. 3. Follow-up initiated. 4. Effect on patient. 5. Standard of care described. 6. To-do/suggestions for improvement. OBJECTIVES: This study was designed to determine if the addition of this educational rubric into a standard quality improvement curriculum improves the consistency of information documented in patient safety reports as a subset of a larger quality improvement project aimed at improving safety reporting. METHODS: A team of faculty members analyzed individual resident error reports for adherence to the 6 tenets of the SAFEST mnemonic. RESULTS: From April to October of 2014, 2015, and 2016, a convenience sample of 131, 110, and 132 reports, respectively, were extracted and analyzed. For the rates of reporting “staff involved” and “standard of care,” the differences over time were significant, both with P values < 0.001. After training, residents were 2.2 times more likely to report on the “staff involved” in the error and 1.8 times more likely to report the “standard of care.” DISCUSSION: These results describe successful education on a rubric designed to improve the content of patient safety reports.
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spelling pubmed-61328932018-09-18 SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers Keefer, Patricia Helms, Lauren Warrier, Kavita Vredeveld, Jennifer Burrows, Heather Orringer, Kelly Pediatr Qual Saf Individual QI Projects from Single Institutions BACKGROUND: Among the many modalities of error detection in academic pediatric hospitals, patient safety reporting is an important component, particularly for unexpected events. Residents recognize the importance of reporting but cite some barriers to doing so. A rubric was developed to guide resident reporting and streamline information gathering in patient safety reports. The rubric used the acronym SAFEST as a reminder to include 6 key elements: 1. Staff involved in the incident. 2. Actual event description. 3. Follow-up initiated. 4. Effect on patient. 5. Standard of care described. 6. To-do/suggestions for improvement. OBJECTIVES: This study was designed to determine if the addition of this educational rubric into a standard quality improvement curriculum improves the consistency of information documented in patient safety reports as a subset of a larger quality improvement project aimed at improving safety reporting. METHODS: A team of faculty members analyzed individual resident error reports for adherence to the 6 tenets of the SAFEST mnemonic. RESULTS: From April to October of 2014, 2015, and 2016, a convenience sample of 131, 110, and 132 reports, respectively, were extracted and analyzed. For the rates of reporting “staff involved” and “standard of care,” the differences over time were significant, both with P values < 0.001. After training, residents were 2.2 times more likely to report on the “staff involved” in the error and 1.8 times more likely to report the “standard of care.” DISCUSSION: These results describe successful education on a rubric designed to improve the content of patient safety reports. Wolters Kluwer Health 2017-11-08 /pmc/articles/PMC6132893/ /pubmed/30229181 http://dx.doi.org/10.1097/pq9.0000000000000045 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CC-BY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Individual QI Projects from Single Institutions
Keefer, Patricia
Helms, Lauren
Warrier, Kavita
Vredeveld, Jennifer
Burrows, Heather
Orringer, Kelly
SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers
title SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers
title_full SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers
title_fullStr SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers
title_full_unstemmed SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers
title_short SAFEST: Use of a Rubric to Teach Safety Reporting to Pediatric House Officers
title_sort safest: use of a rubric to teach safety reporting to pediatric house officers
topic Individual QI Projects from Single Institutions
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6132893/
https://www.ncbi.nlm.nih.gov/pubmed/30229181
http://dx.doi.org/10.1097/pq9.0000000000000045
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