疏忽之罪:初级医生是否没有报告临床事件,如果是,我们如何更好地支持他们这样做?

IF 0.6 Q4 HEALTH CARE SCIENCES & SERVICES
I. Bertram, Jack Cantelo, William Hutton, Henry Kirkham, N. Scallan
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引用次数: 1

摘要

伯明翰大学医院(UHB)基金会医生应该通过信托的事件报告系统记录临床事件。坊间报道显示,少报是司空见惯的事。因此,重要的是确定目睹但未报告事件的基础一年级学生的比例,并确定和权衡报告的感知障碍。然后,我们可以提出解决这些障碍的策略,并重复我们的数据收集。我们对来自信托基金的Datix事件报告系统的匿名数据进行了分析,并进行了匿名调查,以确定目睹可报告临床事件的fy15比例,以及在2017/18学年成功报告事件的比例。该调查还收集了有关第一财年对报告障碍的看法的数据。在2019-20学年重复数据收集之前,我们继续与UHB管理层讨论我们的结果,并提出了一些改进报告的策略。结果在2017-18财年接受调查的医生中,36.4%的人报告至少目睹了一起他们没有报告的临床事件。在2019 - 2020财年接受调查的医生中,有37.0%的医生报告了同样的情况。受访者认为完成表格和系统复杂性所花费的时间是报告的主要障碍。结论:结果显示,UHB超过三分之一的fy15每年目睹但未报告至少一次临床事件。2018年和2020年向信托基金提出的循证战略包括第一财年关于事件报告的教育,早期高级临床医生参与报告途径,以及与现有基础设施相结合的精简报告系统。这些尚未得到执行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sins of Omission: Are junior doctors failing to report clinical incidents, and if so, how can we better support them to do so?
Objectives University Hospitals Birmingham's (UHB) Foundation Doctors should log clinical incidents via the Trust's incident reporting system. Anecdotal reports suggest under-reporting is commonplace. It is therefore important to identify the proportion of Foundation Year 1 (FY1s) who witnessed but did not report incidents and identify and weigh perceived barriers to reporting. We can then suggest strategies to address these barriers and repeat our data collection. Methodology We performed an analysis of anonymised data from the Trust's Datix Incident Reporting system alongside an anonymised survey to determine the proportion of FY1s witnessing reportable clinical incidents, and the proportion successfully reporting an incident in the 2017/18 academic year. The survey also gathered data on FY1 perceptions of barriers to reporting. We went on to discuss our results with UHB management and suggested several strategies to improve reporting, prior to repeating data collection for the 2019–20 academic year. Results 36.4% FY1 doctors surveyed in 2017–18 reported witnessing at least one clinical incident that they did not report. 37.0% FY1 doctors surveyed in 2019–20 reported the same. Respondents felt time taken to complete forms and system complexity were the key barriers to reporting. Conclusion Results show that over a third of FY1s at UHB had witnessed but not reported at least one clinical incident each year. The evidence-based strategies suggested to the trust in 2018 and 2020 included FY1 education on incident reporting, early senior clinician involvement in the reporting pathway, and a streamlined reporting system integrated with existing infrastructure. These have not been implemented.
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