Five Hundred Sets of Eyes: Improving Patient Safety Incident Reporting by Resident Physicians

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M. Cooper, Jefferson College of Population Health, Thomas Jefferson University, Philadelphia PA.


Identifying and detecting safety incidents (adverse events, near misses, and unsafe conditions) is an important element of patient safety. The systematic collection and analysis of safety incidents plays a significant role in improving healthcare systems to prevent further morbidity and mortality related to preventable harm. This is also an integral part of the practical training of resident physicians and is now an expected part of their education. At Maimonides Medical Center, residents have historically not been active contributors to the safety incident reporting system. The purpose of this project was to create an electronic incident reporting system that would allow for the collection of data to be used in understanding safety vulnerabilities for patient care processes in which residents participate. This coincided with institutional efforts to foster a just culture and ensure that residents felt secure and supported when reporting events.

Presentation: 47:54

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