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A Coproduced Family Reporting Intervention to Improve Safety Surveillance and Reduce Disparities
Alisa Khan1,2, Jennifer Baird3, Sangeeta Mauskar1,2
1Division of General Pediatrics, Departments of Pediatrics and.
Pediatrics
|September 3, 2024
Summary
Family safety reporting improved for hospitalized children, especially for those with less education and during the COVID-19 pandemic, using a new mobile tool. This tool captured many issues missed by staff reporting, highlighting the need for family engagement in healthcare safety.
Area of Science:
- Pediatric patient safety
- Health services research
- Health literacy
Background:
- Hospitalized children with medical complexity face unique safety challenges.
- Engaging families in safety reporting is crucial for improving care quality.
- Existing reporting systems often miss family-identified concerns.
Purpose of the Study:
- To evaluate a health literacy-informed family safety-reporting intervention for hospitalized children with medical complexity.
- To examine changes in family safety reporting rates after intervention implementation.
- To assess the types of safety concerns identified by families using a mobile tool.
Main Methods:
- Implemented a coproduced, health literacy-informed intervention including a mobile reporting tool and education.
- Collected safety concerns via predischarge surveys and a mobile tool from families.
- Classified reported events and compared reporting rates between baseline and intervention groups, including subgroup analyses.
Main Results:
- Overall family safety reporting showed a non-significant increase (29.5% baseline vs. 38.2% intervention).
- Reporting significantly increased among families with less than college education (aOR 2.6) and during the COVID-19 era (aOR 3.1).
- The mobile tool identified numerous medical errors and quality issues not captured by voluntary incident reporting.
Conclusions:
- Family safety reporting intervention showed increased engagement in specific subgroups, not overall.
- The mobile tool effectively captured safety events missed by traditional staff reporting.
- Hospitals should actively involve families in safety reporting to enhance safety, quality, and equity.
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