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Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive
Mary Jo C Grant1, Gitte Y Larsen
1Division of Pediatric Critical Care, Department of Pediatrics, Primary Children's Medical Center, University of Utah, Salt Lake City, UT 84113, USA. maryjo.grant@intermountainmail.org
Insights
A new voluntary, anonymous reporting system effectively captures near-miss and patient harm events in a pediatric intensive care unit. This patient safety tool enhances event detection and reporting for improved care.
Area of Science:
- Pediatric intensive care
- Patient safety science
- Healthcare quality improvement
Background:
- Adverse event reporting is crucial for enhancing patient safety.
- Existing reporting systems may not capture all near-miss and patient harm events.
- Effective reporting mechanisms are needed in critical care settings.
Purpose of the Study:
- To describe a novel voluntary, anonymous reporting system for near-miss and patient harm events.
- To assess the utility of this system within a pediatric intensive care unit (PICU).
- To evaluate the role of bedside care providers in assessing patient harm.
Main Methods:
- Implementation of a voluntary, anonymous Patient Safety Report system in a PICU.
- Inclusion of near-miss and patient harm event reporting.
- Bedside care provider assessment of patient harm.
Main Results:
- The Patient Safety Report system successfully captured near-miss events.
- The system facilitated the reporting of patient harm events.
- Bedside assessment by care providers proved effective in identifying harm.
Conclusions:
- The developed Patient Safety Report system is an effective method for capturing near-miss and patient harm events in a PICU.
- Voluntary, anonymous reporting by bedside care providers enhances patient safety data.
- This system contributes to a more comprehensive understanding of safety events in pediatric critical care.
Abstract:
Adverse event reporting is a key element for improving patient safety. This study describes a new voluntary, anonymous reporting system that facilitates reporting of near-miss and patient harm events and an assessment of patient harm by the bedside care provider in a pediatric intensive care unit. The results demonstrated the effectiveness of the Patient Safety Report as a method to capture near-miss and patient harm events.
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