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Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis
Morgan M Sellers1, Ian Berger2, Jennifer S Myers3
1Department of Surgery, Center for Surgery Healthcare and Economics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.
Journal of Surgical Education
|September 4, 2018
Summary
Surgical trainees submit more detailed patient safety reports, including a wider range of issues. However, their reports show higher anonymity and blame language compared to attending physicians and nurses.
Area of Science:
- Patient safety
- Medical education
- Healthcare quality improvement
Background:
- Understanding patient safety event reporting is crucial for improving healthcare.
- Trainees' reporting behaviors may differ from experienced clinicians, impacting data quality and safety insights.
Purpose of the Study:
- To compare patient safety event reporting behaviors between surgical trainees and other clinicians (attending physicians and nurses).
Main Methods:
- Qualitative analysis of patient safety event reports from surgical patients over six months.
- Comparison of report characteristics, including completeness and focus, between trainees, attendings, and nurses.
Main Results:
- Trainees submitted fewer reports per person but had higher anonymity rates.
- Trainee reports covered a broader range of issues and showed more completeness elements.
- Trainee reports also exhibited more frequent use of blame language.
Conclusions:
- Surgical trainees report diverse issues across various settings, often with greater detail.
- Higher anonymity and blame language in trainee reports offer insights into the learning environment.
- Analyzing trainee reports alongside those of other clinicians is vital for identifying safety improvement areas.
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