Navigation Links
Penn researchers find error reporting improves perceptions of safety and may reduce incidents
Date:10/31/2012

(BOSTON) Documenting adverse events improves perceptions of safety and may decrease incidents in multi-site clinical practices, according to a new study from researchers at the Perelman School of Medicine at the University of Pennsylvania. The results of the year-long study, which focused on the Radiation Oncology department's workflow, show a strong correlation between the implementation of a Conditions Reporting System and increasingly positive responses to staff surveys focusing on the culture of safety within the department. The findings of the study will be presented on Tuesday, Oct. 30 at the American Society for Radiation Oncology's (ASTRO) 2012 annual meeting.

"The way an organization reports the workflow process is a key factor to determining safety and quality. Since the process for investigating errors can be associated with perceptions of safety, questions are often raised about these methods in large, multi-site health systems," said Amit Maity, MD, PhD, associate professor of Radiation Oncology in the Perelman School of Medicine at the University of Pennsylvania, and one of the authors of the study. "To examine the safety culture and incident reporting process across our department, our team implemented a Conditions Reporting System that would ensure the continuous examination of any incidents. By utilizing the program, we learn from all reported events, and are able to develop improved safety measures that help us deliver the highest-quality patient care."

Results of the study after one year already show an increasingly open and healthy culture, and improved responses to staff surveys focused on safety. For the duration of the study, staff in all divisions and across all steps in the Radiation Oncology workflow participated in reporting incidents. Researchers measured safety culture using the AHRQ Patient Safety Culture Survey a tool commonly used to assess the safety culture of a hospital or specific unit within a hospital over time. Comparing survey results at the onset of the study to those gathered one year later, the team saw improvements in eleven of the thirteen categories pertaining to a safe and open environment.

"By providing a conditions reporting program and encouraging our entire staff to be part of the process of improving patient safety, we're reinforcing that safety is a top priority," said Stephen M. Hahn, MD, Henry K. Pancoast Professor of Radiation Oncology, and chair of the Department of Radiation Oncology at the Perelman School of Medicine at the University of Pennsylvania. "What we've learned from reporting events has already led to a number of changes to departmental policies, procedures, and workflow. Ultimately, by reporting and investigating incidents, our faculty and staff are more confident in the care they provide and we're better able to identify any holes in our processes. Moving forward, we hope these systems will aid in preventing adverse events."

Based on their findings, the team plans to continue instituting policies and procedures to ensure that low-level errors are addressed and do not escalate into serious problems that could harm patients.


'/>"/>

Contact: Katie Delach
katie.delach@uphs.upenn.edu
215-349-5964
University of Pennsylvania School of Medicine
Source:Eurekalert

Related medicine news :

1. Common Antidepressants Too Risky During Pregnancy, Researchers Say
2. Mechanism found for destruction of key allergy-inducing complexes, Stanford researchers say
3. Feinstein Institute researchers discover that bean used in Chinese food could protect against sepsis
4. Mayo Clinic researchers develop new tools to better treat ADHD patients in early stages
5. Moffitt Researchers find genetic predictors of fatigue for some prostate cancer patients
6. Penn Medicine researchers map strategy for choosing wisely on low-value health care services
7. Researchers ID potential patient population who may benefit from novel anti-platelet treatment
8. Moffitt researchers identify unique immune gene signature across thousands of patients solid tumors
9. Mount Sinai researchers identify predictors for inpatient pain
10. As painkiller overdoses mount, researchers outline effective approaches to curb epidemic
11. Research prizes from the Carlsberg Foundation to researchers from University of Copenhagen
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/4/2016)... ... December 03, 2016 , ... The Lymphoma Research Foundation ... research and serving the lymphoma community through a comprehensive series of education programs, ... Event in New York City, with long-time partners The Paul Foundation, on November ...
(Date:12/4/2016)... (PRWEB) , ... December 03, 2016 , ... ... “Fastest growing Entrepreneurial Company in the Dallas area” Tuesday evening at the 26th ... Dallas Hotel, presented by SMU's Cox School’s Caruth Institute for Entrepreneurship. Dallas 100™, ...
(Date:12/4/2016)... ... ... Responsible dental care hinges on regular brushing of the teeth. However, just brushing ... inspired an inventor from Las Vegas, Nev., to design the BRUSH PROPER. , ... bad techniques of brushing the teeth in order to prevent cavities," he said. "Children ...
(Date:12/2/2016)... ... ... On Dec. 2, 2016, CURE® magazine will host the 4th Annual MPN ... Heroes—eight individuals who have made a difference in the field of rare blood cancers ... demonstrating leadership within the MPN community and/or a commitment to individual patients. , This ...
(Date:12/2/2016)... ... December 02, 2016 , ... FlexiSpot, a trusted ... 60-day free trial program for all of the company’s desktop riser products. A ... hassle free experience. , FlexiSpot’s unique desktop risers use an advanced dual gas ...
Breaking Medicine News(10 mins):
(Date:12/2/2016)... 2, 2016 Persistence Market Research ... its upcoming report titled, "Global Market Study on Cardiac Pacemaker: ... of -1.4% between 2016 and 2024". The global cardiac pacemaker ... and this is likely to decline to US$ 3923.8 ... cardiac pacemaker market is anticipated to exhibit a declining ...
(Date:12/2/2016)... Dec 2, 2016 Research and Markets has ... Development, Growth and Demand Forecast to 2022" report to their offering. ... , , ... billion in 2015, and it is expected to grow at a CAGR ... expected to witness faster growth during the forecast period, a CAGR of ...
(Date:12/2/2016)... Spain , Dec. 2, 2016 In ... natural sources apart from those derived from C. sativa, ... the Universita` di Napoli Federico II , the ... created the first comprehensive, critical, integrated and unified inventory ... The article focuses on the remarkable chemical and ...
Breaking Medicine Technology: