Development and Implementation of a Safety Incident Report System for Health Care Discipline Students During Clinical Internships: Observational Study.

IF 3.2 Q1 EDUCATION, SCIENTIFIC DISCIPLINES
Eva Gil-Hernández, Irene Carrillo, Mercedes Guilabert, Elena Bohomol, Piedad C Serpa, Vanessa Ribeiro Neves, Maria Maluenda Martínez, Jimmy Martin-Delgado, Clara Pérez-Esteve, César Fernández, José Joaquín Mira
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引用次数: 0

Abstract

Background: Patient safety is a fundamental aspect of health care practice across global health systems. Safe practices, which include incident reporting systems, have proven valuable in preventing the recurrence of safety incidents. However, the accessibility of this tool for health care discipline students is not consistent, limiting their acquisition of competencies. In addition, there is no tools to familiarize students with analyzing safety incidents. Gamification has emerged as an effective strategy in health care education.

Objective: This study aims to develop an incident reporting system tailored to the specific needs of health care discipline students, named Safety Incident Report System for Students. Secondary objectives included studying the performance of different groups of students in the use of the platform and training them on the correct procedures for reporting.

Methods: This was an observational study carried out in 3 phases. Phase 1 consisted of the development of the web-based platform and the incident registration form. For this purpose, systems already developed and in use in Spain were taken as a basis. During phase 2, a total of 223 students in medicine and nursing with clinical internships from universities in Argentina, Brazil, Colombia, Ecuador, and Spain received an introductory seminar and were given access to the platform. Phase 3 ran in parallel and involved evaluation and feedback of the reports received as well as the opportunity to submit the students' opinion on the process. Descriptive statistics were obtained to gain information about the incidents, and mean comparisons by groups were performed to analyze the scores obtained.

Results: The final form was divided into 9 sections and consisted of 48 questions that allowed for introducing data about the incident, its causes, and proposals for an improvement plan. The platform included a personal dashboard displaying submitted reports, average scores, progression, and score rankings. A total of 105 students participated, submitting 147 reports. Incidents were mainly reported in the hospital setting, with complications of care (87/346, 25.1%) and effects of medication or medical products (82/346, 23.7%) being predominant. The most repeated causes were related confusion, oversight, or distractions (49/147, 33.3%) and absence of process verification (44/147, 29.9%). Statistically significant differences were observed between the mean final scores received by country (P<.001) and sex (P=.006) but not by studies (P=.47). Overall, participants rated the experience of using the Safety Incident Report System for Students positively.

Conclusions: This study presents an initial adaptation of reporting systems to suit the needs of students, introducing a guided and inspiring framework that has garnered positive acceptance among students. Through this endeavor, a pathway toward a safety culture within the faculty is established. A long-term follow-up would be desirable to check the real benefits of using the tool during education.

Trial registration: Trial Registration: ClinicalTrials.gov NCT05350345; https://clinicaltrials.gov/study/NCT05350345.

医疗保健专业学生临床实习期间安全事故报告系统的开发与实施:观察研究。
背景:患者安全是全球医疗系统医疗实践的一个基本方面。事实证明,包括事故报告系统在内的安全实践对防止安全事故的再次发生很有价值。然而,医疗保健专业的学生对这一工具的使用并不一致,限制了他们对能力的掌握。此外,也没有工具让学生熟悉分析安全事故。游戏化已成为医疗保健教育的一种有效策略:本研究旨在开发一个针对医疗保健专业学生特定需求的事故报告系统,命名为 "学生安全事故报告系统"。次要目标包括研究不同组别的学生在使用该平台方面的表现,以及培训他们掌握正确的报告程序:这是一项观察研究,分三个阶段进行。第一阶段包括开发网络平台和事故登记表。为此,以西班牙已开发并投入使用的系统为基础。在第 2 阶段,来自阿根廷、巴西、哥伦比亚、厄瓜多尔和西班牙各大学的 223 名医学和护理专业临床实习学生参加了介绍会,并获得了使用平台的权限。第三阶段同步进行,包括对收到的报告进行评估和反馈,以及提供学生对这一过程发表意见的机会。通过描述性统计来了解事件的相关信息,并通过各组的平均值比较来分析所获得的分数:最终表格分为 9 个部分,由 48 个问题组成,可以介绍有关事件、事件原因和改进计划建议的数据。该平台包括一个个人仪表板,显示提交的报告、平均得分、进展情况和得分排名。共有 105 名学生参与,提交了 147 份报告。报告的事故主要发生在医院环境中,其中以护理并发症(87/346,25.1%)和药物或医疗产品的影响(82/346,23.7%)为主。重复出现最多的原因是相关的混乱、疏忽或分心(49/147,33.3%)以及缺乏流程核查(44/147,29.9%)。各国的最终平均得分之间存在明显的统计学差异(PC 结论:本研究介绍了为满足学生需求而对报告系统进行的初步调整,引入了一个具有指导性和启发性的框架,并获得了学生的积极认可。通过这一努力,在教师队伍中建立了安全文化的途径。最好能进行长期跟踪,以检查在教育过程中使用该工具的实际效果:试验注册:试验注册:ClinicalTrials.gov NCT05350345; https://clinicaltrials.gov/study/NCT05350345.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JMIR Medical Education
JMIR Medical Education Social Sciences-Education
CiteScore
6.90
自引率
5.60%
发文量
54
审稿时长
8 weeks
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