MedicalResearch.com Interview with:
Alisa Khan, MD, MPH
Instructor in Pediatrics
Boston Children’s Hospital
MedicalResearch.com: What is the background for this study? What are the main findings?
Response: Medical errors are known to be a leading cause of death in the United States. However, the true rate at which errors and adverse events occur in medicine is believed to be even higher than what has been found through the most rigorous patient safety studies.
Families are typically excluded from safety surveillance efforts, both in research and operationally in hospitals. We found that including families in safety reporting at four pediatric hospitals led to significantly higher error/adverse event detection rates, compared to the safety surveillance methodology typically considered most rigorous and highest yield in safety research. In addition, families reported errors/adverse events at similar rates as providers and at several-fold higher rates than the hospital incident reports which typically form the basis of operational hospital safety surveillance.
MedicalResearch.com: What should readers take away from your report?
Response: Families offer valuable patient safety information and should be included as partners in safety surveillance efforts by both researchers and hospitals.
MedicalResearch.com: What recommendations do you have for future research as a result of this study?
Response: Given that family reporting in our study led to significant increases in overall error and adverse (AE) event rates, we believe future research involving the measurement of error and AE rates should include family reporting to increase detection. Additionally, we believe future research should investigate and compare different methods of family error reporting and how best to operationalize the inclusion of families in hospital safety surveillance efforts.
MedicalResearch.com: Thank you for your contribution to the MedicalResearch.com community.
Khan A, Coffey M, Litterer KP, Baird JD, Furtak SL, Garcia BM, Ashland MA, Calaman S, Kuzma NC, O’Toole JK, Patel A, Rosenbluth G, Destino LA, Everhart JL, Good BP, Hepps JH, Dalal AK, Lipsitz SR, Yoon CS, Zigmont KR, Srivastava R, Starmer AJ, Sectish TC, Spector ND, West DC, Landrigan CP, and the Patient and Family Centered I-PASS Study Group. Families as Partners in Hospital Error and Adverse Event Surveillance. JAMA Pediatr. Published online February 27, 2017. doi:10.1001/jamapediatrics.2016.4812
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