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A Narrative Review of Strategies to Increase Patient Safety Event Reporting by Residents

机译：居民增加患者安全事件报告的叙述述评

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BackgroundBecause residents are often on the frontlines of patient care and are likely to witness adverse events firsthand, it is critical they report patient safety events. They may, however, be underreporting.ObjectiveWe examined the current literature to identify strategies to increase patient safety event reporting by residents.MethodsWe used CINAHL (EBSCO Information Services, Ipswich, MA), EMBASE (Elsevier, Amsterdam, the Netherlands), PsycINFO (APA Publishing, Washington, DC), and PubMed (National Center for Biotechnology Information, Bethesda, MD) databases. The search was limited to English-language articles published in peer-reviewed journals through March 2020. Key terms included “residents, trainees, fellows, interns, graduate medical education, house staff, event reporting, patient safety reporting, incident reporting, adverse event, and medical error.” To organize findings, we adapted a published framework of strategies for encouraging self-protective behavior.ResultsWe identified 68 articles that described strategies used to increase event reporting. The most sustainable interventions used a combination of 3 of the 5 strategies: behavior modeling, surveys and messaging, and required limited financial support. The survey creates awareness; the behavior modeling is critical for educational purposes, and the reminders help to reinforce the new behavior and embed it into routine patient care activities. We noted a dearth of studies involving trainees in root cause analysis following submission of event reports.ConclusionsThe most successful sustainable interventions were those that combined strategies that minimized time for busy physicians, incorporated accessible event reporting in already existing medical records, and became part of a normal workflow in patient care.
机译：背景下，居民往往是患者护理的前线，并且可能首先见证不利事件，这是他们报告患者安全事件的关键。然而，他们可能会遭到欠款.ObjectiveWe审查了目前的文献，以确定居民增加患者安全事件报告的策略。近似使用Cinahl（EBSCO信息服务，IPSWICH，MA），EMBASE（Elsevier，Amsterdam，荷兰），Psycinfo（ APA Publishing，华盛顿特区）和PubMed（国家生物技术信息中心，Bethesda，MD）数据库。该搜索仅限于在同行评审期刊的英语文章到2020年3月。包括“居民，学员，研究员，实习生，研究生医学教育，房屋工作人员，活动报告，患者安全报告，事件报告，不良事件和医疗错误。“为了组织调查结果，我们改编了一个发表的策略框架，以鼓励自我保护行为。详细知识68篇文章描述了用于增加事件报告的策略。最可持续的干预措施使用了5个策略中的3个组合：行为建模，调查和消息，以及所需的有限财务支持。调查创造了意识;行为建模对于教育目的至关重要，提醒有助于加强新行为，并将其嵌入常规患者护理活动。我们注意到在提交事件报告后涉及根本原因分析的学员的研究。结论最成功的可持续干预措施是最小化繁忙医师的策略，将可访问的事件报告纳入现有的医疗记录的一部分，并成为a的一部分患者护理的正常工作流程。

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