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Developing the 'gripes' tool for junior doctors to report concerns: a pilot study.

S Carr1, T Mukherjee2, A Montgomery3

  • 1Department of Clinical Education, University Hospitals of Leicester, Leicester, UK.

Pilot and Feasibility Studies
|November 18, 2016
PubMed
Summary
This summary is machine-generated.

Junior doctors can now report safety concerns using a new web tool. This tool aims to improve patient safety by addressing issues proactively, though sustained use requires organizational commitment.

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Area of Science:

  • Healthcare quality improvement
  • Patient safety initiatives
  • Medical education technology

Background:

  • Junior doctors often hesitate to use traditional incident reporting systems.
  • Concerns about quality and safety among junior doctors are prevalent.
  • A need exists for improved, proactive reporting mechanisms.

Purpose of the Study:

  • To develop and pilot a web-based reporting tool for junior doctors.
  • To proactively capture concerns regarding the quality and safety of care.
  • To optimize the tool for future implementation and use.

Main Methods:

  • Co-development of the 'gripes' tool with junior doctors.
  • Pilot testing at a large UK teaching hospital trust.
  • Evaluation through analysis of reported concerns and stakeholder interviews/focus groups.

Main Results:

  • 111 concerns reported, revealing previously unknown issues.
  • Junior doctors found the tool easy to use and encouraging.
  • Barriers included lack of motivation and fear of repercussions; transparency and feedback were identified as mitigators.
  • Trust committed to ongoing use of the tool.

Conclusions:

  • The 'gripes' tool can proactively identify and address patient safety risks.
  • Long-term sustainability depends on organizational commitment to staffing and perceived value.
  • The tool has potential to enhance patient safety monitoring in healthcare settings.