Journal of General Internal Medicine

, Volume 23, Issue 4, pp 481–484

Leveraging Computerized Sign-Out to Increase Error Reporting and Addressing Patient Safety in Graduate Medical Education

  • Paul N. Foster
  • Runa Sidhu
  • Dhruv A. Gadhia
  • Michele DeMusis
Brief Report

DOI: 10.1007/s11606-007-0503-y

Cite this article as:
Foster, P.N., Sidhu, R., Gadhia, D.A. et al. J GEN INTERN MED (2008) 23: 481. doi:10.1007/s11606-007-0503-y

SUMMARY

Setting

Electronic reporting systems are important components of the patient-safety movement but have been problematic particularly in capturing information from physicians.

Objective

In an attempt to increase error reporting in our community hospital residency program, we devised a convenient safety log integrated into the computerized resident-patient sign-out.

Measurements and Main Results

Safety-log events are discussed in weekly safety reports with emphasis on developing a safety culture and preventing further events. We report our experience implementing the safety log. The program quadrupled our contribution to the hospital quality assurance system and has led to significant system innovations. Challenges have included sharing information and improving accountability without humiliating participants or alienating co-workers, as well as sustaining the project over time.

Conclusion

Residents are uniquely placed to provide insight into hospital systems. An error-reporting system based in a resident sign-out can leverage this role into an important tool for safety education and care improvement.

KEY WORDS

medical errors medical education safety hospital medicine quality improvement 

Copyright information

© Society of General Internal Medicine 2008

Authors and Affiliations

  • Paul N. Foster
    • 1
  • Runa Sidhu
    • 1
  • Dhruv A. Gadhia
    • 1
  • Michele DeMusis
    • 1
  1. 1.Greater Baltimore Medical CenterBaltimoreUSA

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