Rubin Daniel S, Pesyna Colin, Jakubczyk Sharon, Liao Chuanhong, Tung Avery
1 The University of Chicago, Chicago, IL.
2 Mount Sinai Medical Center, New York, NY.
Am J Med Qual. 2019 Jan/Feb;34(1):30-35. doi: 10.1177/1062860618781920. Epub 2018 Jun 25.
Physicians underutilize adverse event reporting systems. Web-based platforms have increased participation; thus, it was hypothesized that a mobile application would increase adverse event reporting. The authors developed a mobile reporting application for iOS and Android operating systems and performed a retrospective review on reporting rates by clinicians in the Department of Anesthesia and Critical Care. Monthly reporting rates were calculated for the intervention year and for the 2 prior years (2013-2016). The Wilcoxon rank sum test and χ test were used to evaluate significance. Overall monthly reporting rates for all clinicians were 15.3 ± 7 for the first time period, 17.3 ± 6 for the second time period, and 27.9 ± 7 for the third time period ( P = .0035). The majority of reports in the third time period were submitted using the mobile application (193/337, 57%, P = .026). Deployment of a mobile application reduced barriers to adverse event reporting and increased monthly reporting rates for all clinicians.
医生对不良事件报告系统的利用不足。基于网络的平台提高了参与度;因此,有人推测移动应用程序会增加不良事件报告。作者开发了一款适用于iOS和安卓操作系统的移动报告应用程序,并对麻醉与重症监护科临床医生的报告率进行了回顾性分析。计算了干预年份以及之前两年(2013 - 2016年)的月度报告率。采用Wilcoxon秩和检验和χ检验来评估显著性。所有临床医生在第一个时间段的总体月度报告率为15.3±7,第二个时间段为17.3±6,第三个时间段为27.9±7(P = 0.0035)。第三个时间段的大多数报告是通过移动应用程序提交的(193/337,57%,P = 0.026)。移动应用程序的部署减少了不良事件报告的障碍,并提高了所有临床医生的月度报告率。