Abstract
SETTING: Electronic reporting systems are important components of the patient-safety movement but have been problematic particularly in capturing information from physicians. OBJECTIVE: In an attempt to increase error reporting in our community hospital residency program, we devised a convenient safety log integrated into the computerized resident-patient sign-out. MEASUREMENTS AND MAIN RESULTS: Safety-log events are discussed in weekly safety reports with emphasis on developing a safety culture and preventing further events. We report our experience implementing the safety log. The program quadrupled our contribution to the hospital quality assurance system and has led to significant system innovations. Challenges have included sharing information and improving accountability without humiliating participants or alienating co-workers, as well as sustaining the project over time. CONCLUSION: Residents are uniquely placed to provide insight into hospital systems. An error-reporting system based in a resident sign-out can leverage this role into an important tool for safety education and care improvement.
Original language | English (US) |
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Pages (from-to) | 481-484 |
Number of pages | 4 |
Journal | Journal of general internal medicine |
Volume | 23 |
Issue number | 4 |
DOIs | |
State | Published - Apr 2008 |
Externally published | Yes |
Keywords
- Hospital medicine
- Medical education
- Medical errors
- Quality improvement
- Safety
ASJC Scopus subject areas
- Internal Medicine