Physician reporting of clinically significant events through a computerized patient sign-out system

Journal of Patient Safety

Volumn 7, Issue 3, 2011, Pages 155-161

  Nabors, Christopher ^a   Peterson, Stephen J ^a   Aronow, Wilbert S ^a,b   Sule, Sachin ^a   Mumtaz, Arif ^a   Jhingan, Ram ^a   Lu, Stanlee ^a   Cevoli, Catherine ^c   Glickman, Linda ^d   Fried, Ethan ^e  

^a NEW YORK MEDICAL COLLEGE   (United States)

^b Center of Educational Innovations Project Quality Research   (United States)

^c MIDAS System   (United States)

^d WESTCHESTER MEDICAL CENTER   (United States)

^e ST LUKE S ROOSEVELT HOSPITAL CENTER   (United States)

Author keywords

adverse events; near miss; patient safety

Indexed keywords

ARTICLE; FEAR; HUMAN; INTERPERSONAL COMMUNICATION; MEDICAL EDUCATION; MEDICAL STAFF; PATIENT SAFETY; PSYCHOLOGICAL ASPECT; RISK MANAGEMENT; TIME;

DISCLOSURE; FEAR; HUMANS; INTERNSHIP AND RESIDENCY; MEDICAL STAFF, HOSPITAL; PATIENT SAFETY; RISK MANAGEMENT; TIME FACTORS;

EID: 80052270797     PISSN: 15498417     EISSN: 15498425     Source Type: Journal    
DOI: 10.1097/PTS.0b013e31822d7a66     Document Type: Article

References (20)

1. Kohn L, Corrigan J, Donaldson M, eds. To Err Is Human: Building a Safer Health System. Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. National Academies Press; 2000.
2. Brennan TA, Localio AR, Leape LL, et al. Identification of adverse events occurring during hospitalization. A cross-sectional study of litigation, quality assurance, and medical records at two teaching hospitals. Ann Intern Med. 1990;112:221-226. (Pubitemid 20045211)
3. Milch CE, Salem DN, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21:165-170. (Pubitemid 43363673)
4. Rowin EJ, Lucier D, Pauker SG, et al. Does error and adverse event reporting by physicians and nurses differ? Jt Comm J Qual Patient Saf. 2008;34:537-545.
5. Murff HJ, Patel VL, Hripcsak G, et al. Detecting adverse events for patient safety research: A review of current methodologies. J Biomed Inform. 2003;36:131-143. (Pubitemid 37209987)
6. Schectman JM, Plews-Ogan ML. Physician perception of hospital safety and barriers to incident reporting. Jt Comm J Qual Patient Saf. 2006;32:337-343.
7. Rosenthal M. How doctors think about medical mishaps. In: Rosenthal M, Mulcahy L, Lloyd-Bostock S, eds. Medical Mishaps. Buckingham, UK: Open University Press; 1999:141-153.
8. Lawton R, Parker D. Barriers to incident reporting in a healthcare system. Qual Saf Health Care. 2002;11:15-18. (Pubitemid 35265296)
9. Wild D, Bradley EH. The gap between nurses and residents in a community hospital's error-reporting system. Jt Comm J Qual Patient Saf. 2005;31:13-20.
10. O'Neil AC, Petersen LA, Cook EF, et al. Physician reporting compared with medical-record review to identify adverse medical events. Ann Intern Med. 1993;119:370-376. (Pubitemid 23310086)
11. Harper ML, Helmreich RL. Identifying barriers to the success of a reporting system. In: Henriksen K, Battles JB, Marks ES, et al. eds. Advances in Patient Safety: From Research to Implementation (Volume 3: Implementation Issues). Rockville, MD: 2005.
12. Holden RJ, Karsh BT. A review of medical error reporting system design considerations and a proposed cross-level systems research framework. Hum Factors. 2007;49:257-276. (Pubitemid 46493596)
13. Nguyen QT, Weinberg J, Hilborne LH. Physician event reporting: Training the next generation of physicians. In: Henriksen K, Battles JB, Marks ES, et al. eds. Advances in Patient Safety: From Research to Implementation (Volume 4: Programs, Tools, and Products). Rockville, MD: 2005.
14. Foster PN, Sidhu R, Gadhia DA, et al. Leveraging computerized sign-out to increase error reporting and addressing patient safety in graduate medical education. J Gen Intern Med. 2008;23:481-484. (Pubitemid 351464876)
15. Nabors C, Peterson SJ, Lee WN, et al. Experience with faculty supervision of an electronic resident sign-out system. Am J Med. 2010;123:376-381.
16. Weingart SN, Callanan LD, Ship AN, et al. A physician-based voluntary reporting system for adverse events and medical errors. J Gen Intern Med. 2001;16:809-814. (Pubitemid 34015695)
17. Chaudhry SI, Olofinboba KA, Krumholz HM. Detection of errors by attending physicians on a general medicine service. J Gen Intern Med. 2003;18:595-600. (Pubitemid 37047031)
18. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med. 1991;324:370-376.
19. Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38:261-271.
20. Dollarhide AW, Rutledge T, Weinger MB, et al. Use of a handheld computer application for voluntary medication event reporting by inpatient nurses and physicians. J Gen Intern Med. 2008;23:418-422. (Pubitemid 351464863)