Implementation strategies for the patient safety reporting system using Consolidated Framework for Implementation...

Area of Science:

• Healthcare Management
• Patient Safety
• Implementation Science

Background:

• Healthcare systems are complex, leading to adverse events.
• Patient safety reporting systems are crucial but face cultural implementation barriers.
• Implementation science offers tools to analyze and overcome these barriers.

Purpose of the Study:

• To determine the effect of implemented strategies on patient safety report numbers.
• To identify determinants of successful patient safety reporting system implementation.
• To analyze strategy effectiveness using an implementation framework.

Main Methods:

• Mixed-methods analysis at Fujita Health University Hospital (FHUH), Japan.
• Utilized the Consolidated Framework for Implementation Research (CFIR) to identify strategies from internal documents.
• Analyzed electronic reporting system data (2004-2020) alongside staff and hospital volume data.

Main Results:

• Over 110,000 reports analyzed; significant increases observed after concentrated strategy implementation periods (2007, 2016).
• Identified 74 contributing strategies across CFIR domains: Intervention Characteristics (12), Outer Settings (20), Inner Settings (21), Individual Characteristics (8), and Process (13).
• Reporting rates showed stagnation between 2009-2012, highlighting the need for sustained strategic efforts.

Conclusions:

• A robust safety culture was fostered at FHUH during the study period.
• A direct relationship exists between the number of implemented strategies and the development of a reporting culture.
• The study underscores the necessity of adequate and intensive strategies for successful patient safety reporting system implementation.