title: The effect of an organizational network for patient safety on safety event reporting.
abstract: Health care organizations continue to implement organization-wide educational approaches to enhance patient safety with less attention on evaluating the impact of these approaches. In this context, a study was conducted to measure the impact of an organization-wide patient safety network approach on patient safety event reporting. A time-series analysis with reported rates of adverse events (major and moderate), near misses, sentinel events, and incidents from 2 years prior through 13 months following implementation was conducted. Study findings include a significant increase in reporting of patient safety events (an approximately 50% increase in overall reporting of safety events was observed; p < .001), especially near misses (an approximately 100% increase following implementation; p = .002). Study findings suggest that a multifaceted networked approach does contribute to improving patient safety event reporting.
authors.affiliation: St. Michael's Hospital, Toronto, ON, Canada University of Toronto, Toronto, ON, Canada jeffsl@smh.ca.
authors.forename: Lianne
authors.initials: L
authors.lastname: Jeffs
authors.affiliation: St. Michael's Hospital, Toronto, ON, Canada.
authors.forename: Chris
authors.initials: C
authors.lastname: Hayes
authors.affiliation: St. Michael's Hospital, Toronto, ON, Canada.
authors.forename: Orla
authors.initials: O
authors.lastname: Smith
authors.affiliation: St. Michael's Hospital, Toronto, ON, Canada University of Toronto, Toronto, ON, Canada Institute for Clinical Evaluative Sciences (ICES) of Ontario, Toronto, ON, Canada.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Mamdani
authors.affiliation: St. Michael's Hospital, Toronto, ON, Canada University of Toronto, Toronto, ON, Canada.
authors.forename: Rosane
authors.initials: R
authors.lastname: Nisenbaum
authors.affiliation: University of Toronto, Toronto, ON, Canada Institute for Clinical Evaluative Sciences (ICES) of Ontario, Toronto, ON, Canada Department of Medicine, Mount Sinai Hospital, Toronto, ON, Canada.
authors.forename: Chaim M
authors.initials: CM
authors.lastname: Bell
authors.affiliation: St. Michael's Hospital, Toronto, ON, Canada.
authors.forename: Patricia
authors.initials: P
authors.lastname: McKernan
authors.affiliation: St. Michael's Hospital, Toronto, ON, Canada.
authors.forename: Ella
authors.initials: E
authors.lastname: Ferris
mesh_terms: D003695:Delivery of Health Care / Q000458:organization & administration / Q000592:standards; D006801:Humans; D019300:Medical Errors / Q000706:statistics & numerical data; D015279:Organizational Culture; D061214:Patient Safety / Q000706:statistics & numerical data
keywords: adverse event reporting; organizational network approach; safety culture