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Emergency Medicine
The problem:
Many healthcare providers, especially physicians, do not (or will not) participate in event-reporting programs. Reasons include:
- fear of professional or personal reprisals and/or jeopardy
- difficult and time-consuming reporting processes
- frustrations due to information not being used for "local" improvements
- lack of feedback
Our solution:
Above all else, we focus on accommodating the intended end-users and addressing their needs. Our systems are:
- anonymous (no sign-ins, no card-swipes, no names)
- easy-to-use and designed for reporting in 3:00 minutes (or less)
- designed to provide plain language action items to "unit-level" leadership
- feedback intensive
High-level results:
During a 15 week pilot program at a large (100k patient visits per year) ED, the following were achieved:
- 300 physician reports (a 366% increase compared to their legacy system)
- average session time was 2:37 minutes (median: 2:02 minutes)
- 51% of survey respondents thought their reported issues were addressed
- 71% of survey respondents used the system every several shifts (or more)
Examples of information collected:
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Note: on a case-by-case basis, our emergency medicine pilot program site has allowed appropriately credentialed health care professionals to review redacted sample reports. Please contact us for additional details.
End-user comments:
Department Chief:
"Excellent way for the front line providers to relay concerns and trends. Be ready for the reports - lots of information that will require follow through."
Participating MD:
"Allows for near real time reporting of hazards and resident evaluations. Excellent for tracking trends!"
Emergency Department Program Sponsor (MD, MS, FACEP):
"Bottom line is that this is the first system I’ve ever witnessed that actually collects sufficient quantities of data from the frontlines – not just from the supervisors, and not just about events they feel obligated to report – to allow meaningful conclusions to be drawn about how to improve the safety of the system. This system was incredibly effective in the Emergency Medicine environment."