Abstract：
OBJECTIVE:Underreporting of adverse events by physicians is a barrier to improving patient safety. In an effort to increase resident and medical student (hereafter "trainee") reporting of adverse events, trainees developed and led a monthly conference during which they reviewed adverse event reports (AERs), identified system vulnerabilities, and designed solutions to those vulnerabilities. METHODS:Monthly conferences over the 22-month study period were led by pediatric trainees and attended by fellow trainees, departmental leadership, and members of the hospital's quality improvement team. Trainees selected which AERs to review, with a focus on common near misses. Discussions were directed toward the development of potential solutions to issues identified in the reports. Trainee submissions of AERs were tracked monthly. RESULTS:The mean number of AERs submitted by trainees increased from 6.7 per month during the baseline period to 14.1 during the study period (P < .001). The average percent of reports submitted by trainees increased from a baseline of 27.6% to 46.1% during the study period (P = .0059). There was no significant increase in reporting by any other group (attending, nursing, or pharmacy). Multiple meaningful solutions to identified system vulnerabilities were developed with trainee input. CONCLUSIONS:Trainee-led monthly adverse event review conferences sustainably increased trainee reporting of adverse events. These conferences had the additional benefit of having trainees use their unique perspective as frontline providers to identify important system vulnerabilities and develop innovative solutions.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Smith A,Hatoun J,Moses Jdoi
10.1016/j.acap.2017.01.004subject
Has Abstractpub_date
2017-01-01 00:00:00pages
902-906issue
8eissn
1876-2859issn
1876-2867pii
S1876-2859(17)30006-2journal_volume
17pub_type
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2019-03-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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journal_title：Academic pediatrics
pub_type： 杂志文章,评审
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更新日期：2018-07-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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journal_title：Academic pediatrics
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.01.010
更新日期：2018-04-01 00:00:00
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journal_title：Academic pediatrics
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doi：10.1016/j.acap.2010.09.003
更新日期：2010-11-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.06.014
更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
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更新日期：2021-01-01 00:00:00
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journal_title：Academic pediatrics
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更新日期：2014-03-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2013.09.003
更新日期：2014-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.07.006
更新日期：2019-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2012.03.004
更新日期：2012-07-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.09.008
更新日期：2019-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.08.001
更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.12.006
更新日期：2020-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.08.013
更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.01.003
更新日期：2016-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2017.05.001
更新日期：2018-03-01 00:00:00
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更新日期：2010-07-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
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更新日期：2016-03-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.11.007
更新日期：2019-08-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2019.01.004
更新日期：2019-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2011.05.001
更新日期：2011-09-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2016.03.003
更新日期：2016-07-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2020.12.003
更新日期：2020-12-21 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,评审
doi：10.1016/j.acap.2013.04.014
更新日期：2013-11-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章
doi：10.1016/j.acap.2018.01.008
更新日期：2018-01-01 00:00:00
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journal_title：Academic pediatrics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.acap.2017.11.002
更新日期：2018-03-01 00:00:00
