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National Development and Implementation of a Democratized Disruptive Behavior Reporting System in Health Care
Scott Hutton1, Kelly Vance2, Shawn M Loftus3
1Workplace Violence Prevention Program, VHA CO, Office of Mental Health and Suicide Prevention (11MHSP), 2763 Queenswood Dr, Cincinnati, Oh, 2763, USA. Scott.Hutton@va.gov.
Introduction:
Workplace disruptive behavior/ violence (WDBV) is underreported in health care. This study evaluated a 7-year implementation of the Disruptive Behavior Reporting System (DBRS), the most robust consolidated WDBV reporting system developed in the United States within the Veterans Health Administration (VHA).
Methods:
After implementation of the system, implementation success was measured in real time by number of reports, types of staff entering reports, time to review the reports and time between when the incident occurred and report entry.
Results:
Over the seven years since implementation, there has been a significant increase in reporting within DBRS with more than 50,000 reports in fiscal year (FY) 2021 up from 0 to 2014. Types of staff reporting increased to 67 from 54. The median number of days to review events in FY19 Q2 was 4.79 days and the report latency has almost completely disappeared.
Discussion:
DBRS was designed to democratize reporting so staff can report WDBV anytime and anywhere playing a large role in the successful implementation. The increase in total number of reported events is an indication of the success of the system as it captures data historically lost due to underreporting.
Conclusion:
DBRS development and implementation showcases how information systems can empower front-line personnel to voice behavioral safety concerns.
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