Video intervention to improve incident reporting among medical trainees

Jose Valery, Haythem Helmi, Aaron Spaulding, Xinxuang Che, Gabriel Prada, Natalia Chamorro Pareja, Pablo Moreno-Franco, Fernando F. Stancampiano

Research output: Contribution to journalArticle

Abstract

Introduction/objective: Improving graduate medical trainee involvement with patient safety and incident reporting is an important task in teaching hospitals that has been recognised across the country and led to numerous efforts to address barriers to incident reporting. A variety of studies have started to define the reasons why trainees are not optimally involved and interventions that may be helpful. The present study aims to add to this literature by primarily addressing barriers that can be considered 'non-technical' such as fears surrounding potential professional repercussions after submitting a report, perceptions that reporting incidents is not useful, and concerns about anonymity. Methods: Barriers to incident reporting were previously analysed at our institution. A video was produced to directly target the barriers discovered. A 2-hour educational session was delivered which included the video intervention. The educational session was part of the standard patient safety curriculum at our institution. Paper surveys were used to capture changes in perceived barriers to incident reporting. Baseline and postintervention surveys were analysed for changes using t-tests and a p value of <0.05 to determine significance. Survey development included literature review, patient safety expert discussion and cognitive interviews. Results: Perceived knowledge about the reporting process significantly improved after the intervention (t=-4.49; p<0.05). Attitudes about reporting also significantly improved with reduction in fear of negative consequences and anonymity. Perceptions of reporting being a futile activity were also diminished after the intervention. Conclusions This study demonstrates that targeting non-technical barriers to incident reporting with a video intervention is an effective way to improve perceived knowledge and attitude about incident reporting.

Original languageEnglish (US)
Article numbere000706
JournalBMJ Open Quality
Volume8
Issue number4
DOIs
StatePublished - Oct 1 2019

Keywords

  • graduate medical education
  • incident reporting
  • patient safety
  • significant event analysis, critical incident review

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Leadership and Management

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  • Cite this

    Valery, J., Helmi, H., Spaulding, A., Che, X., Prada, G., Chamorro Pareja, N., Moreno-Franco, P., & Stancampiano, F. F. (2019). Video intervention to improve incident reporting among medical trainees. BMJ Open Quality, 8(4), [e000706]. https://doi.org/10.1136/bmjoq-2019-000706