Accuracy of Harm Scores Entered Into an Event Reporting System

被引:10
作者
Abbasi, Toni [1 ]
Adornetto-Garcia, Debra [2 ]
Johnston, Patricia A. [3 ,4 ]
Segovia, Julie H. [3 ]
Summers, Barbara [5 ,6 ]
机构
[1] Canc Network, Projects & Operat, Norwalk, CT USA
[2] Univ Texas MD Anderson Canc Ctr, Nursing Profess Practice, Div Nursing, Houston, TX 77030 USA
[3] Univ Texas MD Anderson Canc Ctr, Clin Nursing, Div Nursing, Houston, TX 77030 USA
[4] Univ Texas MD Anderson Canc Ctr, Nursing Governance, Div Nursing, Houston, TX 77030 USA
[5] Univ Texas MD Anderson Canc Ctr, Dept Nursing, Div Nursing, Houston, TX 77030 USA
[6] Univ Texas MD Anderson Canc Ctr, Div Nursing, Houston, TX 77030 USA
来源
JOURNAL OF NURSING ADMINISTRATION | 2015年 / 45卷 / 04期
基金
美国国家卫生研究院;
关键词
PATIENT SAFETY; MEDICATION ERRORS; RELIABILITY; BARRIERS; PERCEPTIONS; INCIDENTS;
D O I
10.1097/NNA.0000000000000188
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
This quality improvement project evaluated the accuracy of harm scores entered into an event reporting system by inpatient nursing staff at a National Cancer Institute-designated comprehensive cancer center. Nurses scored 10 safety scenarios using 2 versions of the Agency for Healthcare Research and Quality scale to determine interrater reliability. Results indicated inconsistency in the way nurses scored the scenarios, suggesting that the event reporting system may not accurately portray the severity of harm in patient safety events. Nurse executives can use this information to guide the development and implementation of incident reporting systems.
引用
收藏
页码:218 / 225
页数:8
相关论文
共 36 条
[1]  
Agency for Healthcare Research and Quality, 2010, HOSP COMM FORM VERS
[2]  
Agency forHealthcare Research and Quality, 2012, HOSP COMM FORM VERS
[3]  
[Anonymous], 2014, SURV COMP PROGR PLAT
[4]  
[Anonymous], 1999, ERR IS HUMAN BUILDIN
[5]   Medication error reporting: A survey of nursing staff [J].
Antonow, JA ;
Smith, AB ;
Silver, MP .
JOURNAL OF NURSING CARE QUALITY, 2000, 15 (01) :42-48
[6]   Detection of patient risk by nurses: a theoretical framework [J].
Despins, Laurel A. ;
Scott-Cawiezell, Jill ;
Rouder, Jeffrey N. .
JOURNAL OF ADVANCED NURSING, 2010, 66 (02) :465-474
[7]   Are hospital incidents being reported? [J].
Elnitsky, C ;
Nichols, B ;
Palmer, K .
JOURNAL OF NURSING ADMINISTRATION, 1997, 27 (11) :40-46
[8]   Attitudes and barriers to incident reporting: a collaborative hospital study [J].
Evans, SM ;
Berry, JG ;
Smith, BJ ;
Esterman, A ;
Selim, P ;
O'Shaughnessy, J ;
DeWit, M .
QUALITY & SAFETY IN HEALTH CARE, 2006, 15 (01) :39-43
[9]   Commentary - Achieving a high-performance health system: High reliability organizations within a broader agenda [J].
Gauthier, Anne K. ;
Davis, Karen ;
Schoenbaum, Stephen C. .
HEALTH SERVICES RESEARCH, 2006, 41 (04) :1710-1720
[10]   An educational intervention to enhance nurse leaders' perceptions of patient safety culture [J].
Ginsburg, L ;
Norton, PG ;
Casebeer, A ;
Lewis, S .
HEALTH SERVICES RESEARCH, 2005, 40 (04) :997-1020