An Easy Way to Reduce a Barrier to Reporting

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An Easy Way to Reduce a Barrier to Reporting

PA PSRS Patient Saf Advis 2006 Mar;3(1):28.

In a recent survey of the attitudes of hospital-based physicians and nurses toward adverse event and near-miss reporting, the single most frequently cited barrier to reporting was a lack of feedback on their reports.¹ If clinicians don’t know how their reports are used, they may question the value of reporting and not take the time to submit a report.

An easy way to reduce this potential barrier is to share relevant articles from the Advisory with selected groups of clinicians in their own facilities. In this issue:

The lead clinical article, “Who Administers Propofol in Your Organization?” may be of interest to Pharmacy, Anesthesiology, and your P&T Committee.
“Healthcare Industry Representatives: Maximizing Benefits and Reducing Risks” may be of interest to your OR managers, surgical support staff, and risk managers.
Infection control practitioners may be interested in the article “Bioburden on Surgical Instruments.”

In any large healthcare facility, it simply isn’t possible to provide feedback on every submitted report. However, redistributing information derived from those reports sends the message that adverse event and near-miss reports are worth the time and effort it takes to submit them and that they are used to improve patient safety.

Notes

Attitudes and barriers to incident reporting: a collaborative hospital study. Evans SM, Berry JG, Smith BJ, et al. Qual Saf Health Care. 2006;15:39-43.

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An Easy Way to Reduce a Barrier to Reporting
Notes

	THE PENNSYLVANIA PATIENT SAFETY AUTHORITY AND ITS CONTRACTORS
	The Pennsylvania Patient Safety Authority is an independent state agency created by Act 13 of 2002, the Medical Care Availability and Reduction of Error (“Mcare”) Act. Consistent with Act 13, ECRI Institute, as contractor for the Authority, is issuing this publication to advise medical facilities of immediate changes that can be instituted to reduce Serious Events and Incidents. For more information about the Pennsylvania Patient Safety Authority, see the Authority’s Web site at www.patientsafetyauthority.org .
	ECRI Institute, a nonprofit organization, dedicates itself to bringing the discipline of applied scientific research in healthcare to uncover the best approaches to improving patient care. As pioneers in this science for more than 40 years, ECRI Institute marries experience and independence with the objectivity of evidence-based research. More than 5,000 healthcare organizations worldwide rely on ECRI Institute’s expertise in patient safety improvement, risk and quality management, and healthcare processes, devices, procedures and drug technology.
	The Institute for Safe Medication Practices (ISMP) is an independent, nonprofit organization dedicated solely to medication error prevention and safe medication use. ISMP provides recommendations for the safe use of medications to the healthcare community including healthcare professionals, government agencies, accrediting organizations, and consumers. ISMP’s efforts are built on a nonpunitive approach and systems-based solutions.