PMID- 28671907
OWN - NLM
STAT- MEDLINE
DCOM- 20211124
LR  - 20230928
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Linking)
VI  - 17
IP  - 5
DP  - 2021 Aug 1
TI  - Communication Training, Adverse Events, and Quality Measures: 2 Retrospective 
      Database Analyses in Washington State Hospitals.
PG  - e393-e400
LID - 10.1097/PTS.0000000000000348 [doi]
AB  - OBJECTIVE: Washington State's HealthPact program was launched in 2011 as part of 
      AHRQ's Patient Safety and Medical Liability Reform initiative. HealthPact 
      delivered interdisciplinary communication training to health-care professionals 
      with the goal of enhancing safety. We conducted 2 exploratory, retrospective 
      database analyses to investigate training impact on the frequency of adverse 
      events (AEs) and select quality measures across 3 time frames: pretraining 
      (2009-2011), transition (2012), and posttraining (2013). METHODS: Using 
      administrative data from Washington State's Comprehensive Hospital Abstract 
      Reporting System (CHARS) and clinical registry data from the Surgical Care and 
      Outcomes Assessment Program (SCOAP), we compared proportions of AEs and quality 
      measures between HealthPact (n = 4) and non-HealthPact (n = 93-CHARS; n = 
      48-SCOAP) participating hospitals. Risk ratios enabled comparisons between the 2 
      groups. Multivariable logistic regression enabled investigation of the 
      association between training and the frequency of AEs. RESULTS: Approximately 
      9.4% (CHARS) and 7.7% (SCOAP) of unique patients experienced 1 AE or greater. In 
      CHARS, the odds of a patient experiencing an AE in a HealthPact hospital were 
      initially (pretraining) higher than in a non-HealthPact hospital (odds ratio 
      [OR], 1.13; 95% confidence interval [CI], 1.10-1.17), lower in transition (OR, 
      0.80; 95% CI, 0.76-0.83) and posttraining (OR, 0.72; 95% CI, 0.69-0.75) periods. 
      In SCOAP, ORs were consistently lower in HealthPact hospitals: pretraining (OR, 
      0.87; 95% CI, 0.80-0.95), transition (OR, 0.75; 95% CI, 0.70-0.81), and 
      posttraining (OR, 0.63; 95% CI, 0.58-0.68). The proportion of at-risk patients 
      that experienced each individual AE was low (<1%) throughout. Adherence to 
      quality measures was high. CONCLUSIONS: Interprofessional communication training 
      is an area of intense activity nationwide. A broad-based training initiative may 
      play a role in mitigating AEs.
CI  - Copyright (c) 2017 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Slade, Ian R
AU  - Slade IR
AD  - From the Department of Anesthesiology and Pain Medicine.
FAU - Beck, Sara J
AU  - Beck SJ
AD  - Surgical Outcomes Research Center.
FAU - Kramer, C Bradley
AU  - Kramer CB
AD  - Surgical Outcomes Research Center.
FAU - Symons, Rebecca G
AU  - Symons RG
AD  - Surgical Outcomes Research Center.
FAU - Cusumano, Michael
AU  - Cusumano M
AD  - Pharmaceutical Outcomes Research and Policy Program.
FAU - Flum, David R
AU  - Flum DR
AD  - Surgical Outcomes Research Center.
FAU - Gallagher, Thomas H
AU  - Gallagher TH
AD  - Department of Medicine, University of Washington, Seattle, Washington.
FAU - Devine, Emily Beth
AU  - Devine EB
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Communication
MH  - *Hospitals
MH  - *Hospitals, State
MH  - Humans
MH  - Retrospective Studies
MH  - Washington
COIS- The authors disclose no conflict of interest.
EDAT- 2017/07/04 06:00
MHDA- 2021/11/25 06:00
CRDT- 2017/07/04 06:00
PHST- 2017/07/04 06:00 [pubmed]
PHST- 2021/11/25 06:00 [medline]
PHST- 2017/07/04 06:00 [entrez]
AID - 01209203-202108000-00014 [pii]
AID - 10.1097/PTS.0000000000000348 [doi]
PST - ppublish
SO  - J Patient Saf. 2021 Aug 1;17(5):e393-e400. doi: 10.1097/PTS.0000000000000348.