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Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis.

Publication ,  Journal Article
Sellers, MM; Berger, I; Myers, JS; Shea, JA; Morris, JB; Kelz, RR
Published in: Journal of surgical education
November 2018

To examine patient safety event reporting behavior by trainees caring for surgical patients compared to other clinicians.Qualitative analysis of a patient safety event reporting system comparing reports entered by trainees to those entered by attending physicians and nurses. Categorical data associated with reports were compared, and free-text event descriptions underwent content analysis focusing on themes related to report completeness and report focus.The Hospital of the University of Pennsylvania, an academic tertiary care hospital in Philadelphia, Pennsylvania.All patient safety event reports related to surgical patients from a 6-month period (July-December 2016).One thousand four hundred twenty-three reports were entered by trainees (T), attendings (A), and nurses (N). Trainees had a lower number of reports entered per reporter compared to nurses (T median [IQR]: 1 [1-2], N: 2 [1-3]), and the highest percentage of reports entered anonymously for any group (T: 28.7%, N: 9.9%, A: 4.6%). The overall distribution of event location and event type differed significantly between groups (p < 0.001). Trainee reports were found to have a broader range of focus, more elements associated with completeness of reports, and more frequent use of blame language.Surgical trainees report a wide variety of issues in the perioperative, floor, and ICU settings. Their reports often include more details than those entered by other clinicians, but feature higher rates of anonymous reporting and use of blame language. Analysis of patient safety event reports by trainees compared with other healthcare professionals can reveal important insights into the clinical learning environment and areas for safety improvement.

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Published In

Journal of surgical education

DOI

EISSN

1878-7452

ISSN

1931-7204

Publication Date

November 2018

Volume

75

Issue

6

Start / End Page

e168 / e177

Related Subject Headings

  • Training Support
  • Surgical Procedures, Operative
  • Surgery
  • Risk Management
  • Nursing Staff, Hospital
  • Medical Staff, Hospital
  • Humans
  • 3901 Curriculum and pedagogy
  • 3202 Clinical sciences
  • 1302 Curriculum and Pedagogy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Sellers, M. M., Berger, I., Myers, J. S., Shea, J. A., Morris, J. B., & Kelz, R. R. (2018). Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. Journal of Surgical Education, 75(6), e168–e177. https://doi.org/10.1016/j.jsurg.2018.08.004
Sellers, Morgan M., Ian Berger, Jennifer S. Myers, Judy A. Shea, Jon B. Morris, and Rachel R. Kelz. “Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis.Journal of Surgical Education 75, no. 6 (November 2018): e168–77. https://doi.org/10.1016/j.jsurg.2018.08.004.
Sellers MM, Berger I, Myers JS, Shea JA, Morris JB, Kelz RR. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. Journal of surgical education. 2018 Nov;75(6):e168–77.
Sellers, Morgan M., et al. “Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis.Journal of Surgical Education, vol. 75, no. 6, Nov. 2018, pp. e168–77. Epmc, doi:10.1016/j.jsurg.2018.08.004.
Sellers MM, Berger I, Myers JS, Shea JA, Morris JB, Kelz RR. Using Patient Safety Reporting Systems to Understand the Clinical Learning Environment: A Content Analysis. Journal of surgical education. 2018 Nov;75(6):e168–e177.
Journal cover image

Published In

Journal of surgical education

DOI

EISSN

1878-7452

ISSN

1931-7204

Publication Date

November 2018

Volume

75

Issue

6

Start / End Page

e168 / e177

Related Subject Headings

  • Training Support
  • Surgical Procedures, Operative
  • Surgery
  • Risk Management
  • Nursing Staff, Hospital
  • Medical Staff, Hospital
  • Humans
  • 3901 Curriculum and pedagogy
  • 3202 Clinical sciences
  • 1302 Curriculum and Pedagogy