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首页> 外文期刊>International Journal for Quality in Health Care >Improved incident reporting following the implementation of a standardized emergency department peer review process
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Improved incident reporting following the implementation of a standardized emergency department peer review process

机译：实施标准化的急诊部门同行评审程序后，改进了事件报告

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Objective. Incident reporting is an important component of health care quality improvement. The objective of this investigation was to evaluate the effectiveness of an emergency department (ED) peer review process in promoting incident reporting. Design. An observational, interrupted time-series analysis of health care provider (HCP) incident reporting to the ED during a 30-month study period prior to and following the peer review process implementation and a survey-based assessment of physi- cian perceptions of the peer review process' educational value and its effectiveness in identifying errors. Setting. Large, urban, academic ED. Participants and Interventions. HCPs were invited to participate in a standardized, non-punitive, non-anonymous peer review process that involved analysis and structured discussion of incident reports submitted to ED physician leadership. Main Outcome Measures. Monthly frequency of incident reporting by HCPs and physician perceptions of the peer review process. Results. HCPs submitted 314 incident reports to the ED over the study period. Following the intervention, frequency of reporting by HCPs within the hospital increased over time. The frequencies of self-reporting, reporting by other ED practitioners and reporting by non-ED practitioners within the hospital increased compared with a control group of outside HCPs (P = 0.0019, P = 0.0025 and P< 0.0001). Physicians perceived the peer review process to be educational and highly effective in identifying errors. Conclusions. The implementation of a non-punitive peer review process that provides timely feedback and is perceived as being valuable for error identification and education can lead to increased incident reporting by HCPs.
机译：目的。事件报告是改善医疗质量的重要组成部分。这项调查的目的是评估急诊部门（ED）同行评审过程在促进事件报告方面的有效性。设计。在同行评审过程实施前后的30个月研究期内，对观察员向急诊室报告的卫生保健提供者（HCP）事件进行了观察性，中断性时间序列分析，并对同行的医师看法进行了基于调查的评估审查过程的教育价值及其在发现错误中的有效性。设置。大型的，城市的，学术的ED。参与者和干预。邀请HCP参加标准化的，非惩罚性的，非匿名的同行评审过程，该过程包括对提交给ED医师领导的事故报告的分析和结构化讨论。主要观察指标。 HCP每月报告事件的频率以及医师对同行评审过程的看法。结果。在研究期间，卫生防护计划人员向教育署提交了314起事故报告。干预之后，医院内HCP的报告频率随时间增加。与外部HCP的对照组相比，医院内自我报告，由其他ED执业医生报告和非ED执业医生报告的频率增加（P = 0.0019，P = 0.0025和P <0.0001）。医师认为同行评审过程具有教育意义，并且可以有效地识别错误。结论实施非惩罚性的同行评审过程可提供及时的反馈，并被认为对于错误识别和教育很有价值，这可能导致HCP增加事件报告。

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