Perceived barriers of Reporting Incidents Online Among Internal Medicine Physicians

2019 ◽  
Author(s):  
Mouhand F.H. Mohamed ◽  
Ibrahim Yusuf ◽  
Dabia Al-Mohanadi ◽  
Ahmed Al-Mohammed ◽  
Abdul-Badi Abou-Samra ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Online Survey ◽  
Perceived Barriers ◽  
Medicine Department ◽  
Incident Reporting Systems ◽  
Reporting Systems ◽  
Incident Reports ◽  
Main Barrier ◽  
Fear Of Retaliation ◽  
Previous Learning

Abstract Background: Incident reporting systems (IRS) facilitate incidents' reporting and tracking, and help in identifying gaps in health care (HC). Learnings from incident reports (IR) are extremely valuable. This study aimed to assess physician's knowledge and experience with an online IRS in a large tertiary academic institution and to identify barriers of reporting incidents. Methods: A 21-questions electronic online survey was sent to physicians working in the Internal Medicine Department of Hamad Medical Corporation. Results: A total of 115 physicians (76% trainees and 24% attending faculty) responded to the survey, 59% of them were aware of the availability of IRS at HMC. However, only 29% knew how to submit an online IR, and 20% have ever submitted an IR. The survey revealed that of 46% and 63% of participants are less likely to submit an IR when they or their colleague, respectively, commit an error. The main barriers of reporting incidents were, unawareness about the IRS (36%), inability to access it (26%), the perception that IR does not result in a change (13%), Also, the concern or fear of retaliation (13%). When asked about solutions, 57% recommended training and awareness, and 22% recommended sharing learnings and actions from previous IR. Conclusion: IRS is under-utilized by Internal Medicine physicians. The main barrier at the time of the survey is the lack of training and awareness. Promoting awareness and sharing previous learning and actions may improve the utilization of the IRS.

scholarly journals Perceived Barriers of Incident Reporting Among Internists: Results from Hamad Medical Corporation in Qatar

2021 ◽  
Author(s):  
Mouhand F.H. Mohamed ◽  
Ibrahim Y. Abubeker ◽  
Dabia Al-Mohanadi ◽  
Ahmed Al-Mohammed ◽  
Abdul-Badi Abou-Samra ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Online Survey ◽  
Motor Vehicle ◽  
Tertiary Hospital ◽  
Incident Reporting ◽  
Cross Sectional ◽  
Vehicle Accidents ◽  
Incident Reporting Systems ◽  
Main Barrier ◽  
Fear Of Retaliation

Abstract Background Adverse events (AE) are responsible for annual deaths that exceed deaths due to motor vehicle accidents, breast cancer, and AIDS. Many AE are considered preventable. Thus, AE needs to be detected and analyzed. Incident reporting systems (IRS) are crucial in identifying AE. Nevertheless, the incident report (IR) process is flawed with underreporting, especially from the physicians' side. This limits its efficiency in detecting AE. Therefore, we aimed to assess the practice and identify the barriers associated with incident reporting among internal medicine physicians in a large tertiary hospital through a survey. Methods A cross-sectional descriptive study. We distributed an online survey to physicians working in the Internal Medicine Department of Qatar's largest tertiary academic institute. The questionnaire was validated and piloted ahead of the start of the trial. The response rate was 53%. Results A total of 115 physicians completed the survey; 59% acknowledged the availability of an institutional IRS. However, only 29% knew how to submit an online IR, and 20% have ever submitted an IR. The survey revealed that participants were less likely to submit an IR when they or a colleague is involved in the incident; 46% and 63%, respectively. The main barriers of reporting incidents were unawareness about the IRS (36%) and the perception that IR will not bring a system change (13%); moreover, there exists the fear of retaliation (13%). When asked about solutions, 57% recommended training and awareness, and 22% recommended sharing learnings and actions from previous IR. Conclusions IRS is underutilized by internal medicine physicians. The main barrier at the time of the survey is the lack of training and awareness. Promoting awareness and sharing previous learning and actions may improve the utilization of the IRS.

scholarly journals EVALUASI SISTEM PELAPORAN INSIDEN KESELAMATAN PASIEN DI RUMAH SAKIT

2018 ◽  
Vol 6 (2) ◽  
pp. 83
Author(s):  
Arfella Dara Tristantia
Keyword(s):  
Patient Safety ◽  
Incident Reporting ◽  
Safety Reporting ◽  
Descriptive Research ◽  
Incident Reporting Systems ◽  
Data Collection Process ◽  
Safety Incident ◽  
Reporting Systems ◽  
Patient Safety Incident ◽  
Incident Reports

Background: Incident reporting systems are designed to obtain information about patient safety and used for organizational and individual learning.Aims: The objective is to evaluate the implementation of patient safety incident reporting system at a hospital of Surabaya.Method: This study was an observational descriptive research supported by qualitative data. This study used Health Metrics Network (HMN) model.Results: The results of the input evaluation show that there was a policy that regulates the incident report, but its implementation was still not appropriate with no direct funding. However, facilities were provided for reporting. There were socialization for employees who have different understanding and responsibility, organizational structure of the patient safety team, problem solving method which had not used PDSA (Plan, Do, Study, Action), and computerized technology.Conclusion: The process evaluation shows that the indicators were in line with the rules. The data sources were in accordance with the guidelines. Data collection, process, presentation, and analysis were in line with the theory. The output evaluation shows the submission of incident reports had not been timely. Moreover, the report was complete and suitable to the existing guidelines, and it had been used for decision-making. It is required for the hospital to revise the guidebook of incidence reporting and improve the human resource skill.Keywords: evaluation, incident, patient safety, reporting

Learning Electrocardiogram Interpretation: Insights from Residents and a Proposed Solution in an Observational Study (Preprint)

2020 ◽  
Author(s):  
Mohammad Alakchar ◽  
Abdisamad M. Ibrahim ◽  
Mohsin Salih ◽  
Mukul Bhattarai ◽  
Nitin Tandan ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Correlation Coefficient ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Resident Attitudes ◽  
Internal Medicine Residents ◽  
Life Threatening ◽  
Degree Of Participation ◽  
Electrocardiogram Interpretation

BACKGROUND Interpretation of electrocardiograms (EKG) is an essential tool for every physician. Despite this, the diagnosis of life-threatening pathology on EKG remains suboptimal in trainees. The purpose of this study is to study resident attitudes and behaviours towards EKGs, and describe an innovative way to teach EKGs. OBJECTIVE Study attitudes and behaviours towards EKGs. Describe an innovative way to teach EKGs. METHODS Design: An observational cross-sectional study through an anonymous online survey of resident attitudes and comfort with EKG interpretation. This was followed by creation of a WhatsApp group for discussion and interpretation of EKGs with peers. At the end of the day, the official EKG interpretation was posted. Setting: Internal medicine residency at Southern Illinois University. Participants: Internal medicine residents Interventions: Creation of WhatsApp group to aid with EKG interpretation Measurements: A 17 item questionnaire, followed by detection of degree of participation in a WhatsApp group. RESULTS Forty-one out of 63 residents (65%) completed the survey. 85% of respondents thought that an interactive way to teach EKGs is the best method of teaching, and 73% did not feel confident interpreting EKGs. 30% often rely on automated EKG interpretation. Further analysis indicated that PGY-1 residents reported ordering fewer EKGs (correlation coefficient -0.399, p = 0.012) and were uncomfortable diagnosing QT prolongation on an EKG (correlation coefficient -0.310, p = 0.049). Residents in the third or greater year of training ordered more EKGs (correlation coefficient 0.379, p = 0.015), less frequently relied on the computer for EKG diagnosis (correlation coefficient 0.399, p = 0.010), and were comfortable diagnosing an acute myocardial infarction and atrial arrhythmias. CONCLUSIONS In conclusion, most IM trainees do not feel comfortable interpreting EKG, however, this does improve with PGY year. WhatsApp is a possible platform for teaching EKGs.

scholarly journals How Is Geriatric Assessment Used in Clinical Practice for Older Adults With Cancer? A Survey of Cancer Providers by the American Society of Clinical Oncology

2020 ◽  
pp. OP.20.00442
Author(s):  
William Dale ◽  
Grant R. Williams ◽  
Amy R. MacKenzie ◽  
Enrique Soto-Perez-de-Celis ◽  
Ronald J. Maggiore ◽  
...  
Keyword(s):  
Older Adults ◽  
Geriatric Assessment ◽  
Online Survey ◽  
Task Force ◽  
Statistical Significance ◽  
Geriatric Oncology ◽  
Perceived Barriers ◽  
Patients With Cancer ◽  
Change Behavior ◽  
American Society

PURPOSE: For patients with cancer who are older than 65 years, the 2018 ASCO Guideline recommends geriatric assessment (GA) be performed. However, there are limited data on providers’ practices using GA. Therefore, ASCO’s Geriatric Oncology Task Force conducted a survey of providers to assess practice patterns and barriers to GA. METHODS: Cancer providers treating adult patients including those ≥ 65 years completed an online survey. Questions included those asking about awareness of ASCO’s Geriatric Oncology Guideline (2018), use of validated GA tools, and perceived barriers to using GA. Descriptive statistics and statistical comparisons between those aware of the Guideline and those who were not were conducted. Statistical significance was set at P < .05. RESULTS: Participants (N = 1,277) responded between April 5 and June 5, 2019. Approximately half (53%) reported awareness of the Guideline. The most frequently used GA tools, among those aware of the Guideline and those who were not, assessed functional status (69% v 50%; P < .001) and falls (62% v 45%; P < .001). Remaining tools were used < 50% of the time, including tools assessing weight loss, comorbidities, cognition, life expectancy, chemotherapy toxicity, mood, and noncancer mortality risk. GA use was two to four times higher among those who are aware of the Guideline. The most frequent barriers for those who reported being Guideline aware were lack of resources, specifically time (81.7%) and staff (77.0%). In comparison, those who were unaware of the Guideline most often reported the following barriers: lack of knowledge or training (78.4%), lack of awareness about tools (75.2%), and uncertainty about use of tools (75.0%). CONCLUSION: Among providers caring for older adults, 52% were aware of the ASCO Guideline. Some domains were assessed frequently (eg, function, falls), whereas other domains were assessed rarely (eg, mood, cognition). Guideline awareness was associated with two to four times increased use of GA and differing perceived barriers. Interventions facilitating Guideline-consistent implementation will require various strategies to change behavior.

Medication Errors in an Internal Medicine Department. Evaluation of a Computerized Prescription System

2005 ◽  
Vol 27 (4) ◽  
pp. 351-352 ◽  
Author(s):  
Ana Mirco ◽  
Luís Campos ◽  
Fátima Falcão ◽  
João Silva Nunes ◽  
Ana Aleixo
Keyword(s):  
Internal Medicine ◽  
Medication Errors ◽  
Medicine Department ◽  
Internal Medicine Department ◽  
Department Evaluation

National Critical Incident Reporting Systems Relevant to Anaesthesia

2014 ◽  
Vol 58 (5) ◽  
pp. 268
Author(s):  
S. Reed ◽  
D. Arnal ◽  
O. Frank ◽  
J. I. Gomez-Arnau ◽  
J. Hansen ◽  
...  
Keyword(s):  
Critical Incident ◽  
Incident Reporting ◽  
Incident Reporting Systems ◽  
Reporting Systems ◽  
Critical Incident Reporting
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