Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety

BMJ Open Quality

article

Silke Kuske¹  Tabea Willmeroth¹  Jörg Schneider¹  Sandra Belibasakis¹  Martina Roes²  Sandra Olivia Borgmann¹  Maria Ines Cartes Febrero³ 

[1] Fliedner Fachhochschule Dusseldorf;German Centre for Neurodegenerative Diseases;Medizinische Hochschule Hannover

关键词: patient safety;    risk management;    incident reporting;    implementation science;    outcome assessment;   

DOI  :  10.1136/bmjoq-2021-001741

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Objective We aimed to investigate the perception of the implementation success of reporting and learning systems in German hospitals, the perceived relevance of the implementation outcomes and whether and how these implementation outcomes are monitored. An reporting and learning system is a tool used worldwide for patient safety that identifies and analyses critical events, errors, risks and near misses in healthcare.Methods A pretested exploratory cross-sectional online survey was conducted with reporting and learning system experts from 51 acute care hospitals. For communicative validation, the results were discussed in person in an expert panel discussion (N=23).Results Fifty-three per cent (n=27) of the participants (N=51) of the online survey perceived that their reporting and learning system was being comprehensively and successfully implemented. However, no service or patient outcomes were reported to ultimately capture the concept of implementation success. Most of the participants reported a (high) relevance of the implementation outcomes’ acceptability and sustainability. In total, 44 measures were provided to monitor implementation outcomes. However, most of the quantitative measures were based on the (relative) number of entered reports. Qualitative measures were reported in relation to the ‘quality of the report’. In general, the measures were poorly specified.Conclusion There is an underestimated need to develop validated ‘implementation patient safety indicator(s) (sets)’ to monitor implementation outcomes of reporting and learning systems. We also identified a potential need to facilitate awareness of the concept of implementation success and its relevance for patient safety. Drafts of indicators that could be used as a starting point for the further development of ‘implementation patient safety indicators’ were provided.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND