PMID- 29957679
OWN - NLM
STAT- MEDLINE
DCOM- 20190925
LR  - 20190925
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Linking)
VI  - 14
IP  - 3
DP  - 2018 Sep
TI  - The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases 
      Psychiatrist Participation in Reporting Adverse Events.
PG  - e51-e55
LID - 10.1097/PTS.0000000000000505 [doi]
AB  - OBJECTIVES: Although the reporting of adverse events (AEs) is widely thought to 
      be a key first step to improving patient safety in hospital systems, 
      underreporting remains a common problem, particularly among physicians. We aimed 
      to increase the number of safety reports filed by psychiatrists in our hospital 
      system. METHODS: We piloted an online survey for psychiatry-specific AE 
      reporting, the Psychiatry Morbidity and Mortality Incident Reporting Tool (PMIRT) 
      for a 1-year period. An e-mail prompt containing a link to the survey was sent on 
      a weekly basis to all psychiatry department clinical staff. The primary outcome 
      was the total number of events reported by psychiatrists through PMIRT; secondary 
      outcomes were the total number of AEs and the number of serious harm events filed 
      by psychiatrists in our hospital's formal event reporting system before and after 
      implementation of the new protocol. RESULTS: Psychiatrists filed 65 reports in 
      PMIRT during the study period. The average number of AEs reported by 
      psychiatrists in the hospital's formal event reporting system significantly 
      increased after the intervention (P = 0.0251), and the average number of serious 
      harm events reported by psychiatrists increased nonsignificantly (P = 0.1394). 
      CONCLUSIONS: The combination of an increase in awareness of event reporting with 
      a psychiatry-specific AE reporting tool resulted in a significant improvement in 
      the number of reports by psychiatrists.
FAU - Kroll, David S
AU  - Kroll DS
FAU - Shellman, Andrea D
AU  - Shellman AD
AD  - Department of Quality and Safety, Brigham and Women's Hospital, Boston, 
      Massachusetts.
FAU - Gitlin, David F
AU  - Gitlin DF
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Drug-Related Side Effects and Adverse Reactions/*psychology
MH  - Humans
MH  - Morbidity
MH  - Mortality
MH  - Patient Safety/*standards
MH  - Psychiatry/*methods
MH  - Risk Management/*methods
MH  - Surveys and Questionnaires
EDAT- 2018/06/30 06:00
MHDA- 2019/09/26 06:00
CRDT- 2018/06/30 06:00
PHST- 2018/06/30 06:00 [pubmed]
PHST- 2019/09/26 06:00 [medline]
PHST- 2018/06/30 06:00 [entrez]
AID - 10.1097/PTS.0000000000000505 [doi]
PST - ppublish
SO  - J Patient Saf. 2018 Sep;14(3):e51-e55. doi: 10.1097/PTS.0000000000000505.