Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With Other Healthcare Team Members.

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OBJECTIVES:Graduate medical education (GME) trainees have a unique perspective from which to identify and report patient safety concerns. However, it is not known how safety reports submitted by GME trainees differ from those submitted by other clinical staff. We hypothesized that GME trainees were more likely to submit safety reports regarding transitions of care, delays in care, and lapses in communication, and reports of higher severity compared with other frontline staff such as nurses, pharmacists, and other providers. METHODS:Patient safety reports submitted by clinical staff for 1 year at an academic tertiary care children's hospital were retrospectively reviewed and categorized by reporter type. Severity level and event type were analyzed by reporter type, and repeat χ tests were used to compare the percentage of reports at each severity level and in each event type submitted by GME trainees compared with each other reporter type. RESULTS:Graduate medical education trainees submitted reports of greater severity (level E/F/G) compared with nurses (10% versus 5%, P = 0.021) and pharmacists (10% versus 2%, P = 0.001). A greater percent of GME trainees' reports were categorized as errors in transitions of care, diagnosis, ordering, laboratory collection, and care delays compared with several other reporter types. CONCLUSIONS:Graduate medical education trainees identify system vulnerabilities not detected by other personnel, supporting efforts to increase safety reporting by GME trainees.






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Cohen, Sarah P, Heather S McLean, Judy Milne and Victoria Parente (2020). Differences in Safety Report Event Types Submitted by Graduate Medical Education Trainees Compared With Other Healthcare Team Members. Journal of patient safety. pp. 1–1. 10.1097/pts.0000000000000626 Retrieved from https://hdl.handle.net/10161/20333.

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Heather Seabury McLean

Professor of Pediatrics

My interests include quality improvement and patient safety, patient-family centered care, pediatric hospital medicine, and graduate and undergraduate medical education.  Through system change, I aim to improve the quality, value and safety of care of our patients at Duke Health.


Victoria Marie Parente

Assistant Professor of Pediatrics

I am a pediatric hospitalist and health services researcher with a faculty appointment in the Department of Pediatrics, Division of Hospital Medicine. The aim of my research is to reduce health inequities in the pediatric hospital setting.  Currently, my main projects are around improving racial and ethnic differences in medical team communication and caregiver (parent/guardian) empowerment on family-centered rounds.  Additional projects include addressing inpatient caregiver food insecurity, minimizing biased language in patient handoffs, and improving language access for families that use a language other than English in healthcare settings.

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