Mobile Physician Reporting of Clinically Significant Events—A Novel Way to Improve Handoff Communication and Supervision of Resident on Call Activities

Nabors, Christopher; Peterson, Stephen J.; Aronow, Wilbert S.; Sule, Sachin; Mumtaz, Arif; Shah, Tushar; Eskridge, Etta; Wold, Eric A.; Stallings, Gary W.; Burak, Kathleen Kelly; Goldberg, Randy; Guo, Gary; Sekhri, Arunabh; Mathew, George; Khera, Sahil; Montoya, Jessica L.; Sharma, Mala; Paudel, Raju; Frishman, William H.

doi:10.1097/pts.0b013e31829952ff

Cited by 12 publications

(6 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In intensive care practice, 70% of adverse events related to mechanical ventilation are related to human errors 46 . As there are reports that adverse events are underreported among active physicians and residents in clinical practice 47 , 48 , it is likely that this value is even higher in the field of emergency service. In our sample, 29.9% of respondents had never handled an artificial ventilator, and 60.9% thought they would have difficulty even turning such a device on.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians

Tallo

Abib

Negri

et al. 2017

Clinics

View full text Add to dashboard Cite

OBJECTIVE:To present self-assessments of knowledge about mechanical ventilation made by final-year medical students, residents, and physicians taking qualifying courses at the Brazilian Society of Internal Medicine who work in urgent and emergency settings.METHODS:A 34-item questionnaire comprising different areas of knowledge and training in mechanical ventilation was given to 806 medical students, residents, and participants in qualifying courses at 11 medical schools in Brazil. The questionnaire’s self-assessment items for knowledge were transformed into scores.RESULTS:The average score among all participants was 21% (0-100%). Of the total, 85% respondents felt they did not receive sufficient information about mechanical ventilation during medical training. Additionally, 77% of the group reported that they would not know when to start noninvasive ventilation in a patient, and 81%, 81%, and 89% would not know how to start volume control, pressure control and pressure support ventilation modes, respectively. Furthermore, 86.4% and 94% of the participants believed they would not identify the basic principles of mechanical ventilation in patients with obstructive pulmonary disease and acute respiratory distress syndrome, respectively, and would feel insecure beginning ventilation. Finally, 77% said they would fear for the safety of a patient requiring invasive mechanical ventilation under their care.CONCLUSION:Self-assessment of knowledge and self-perception of safety for managing mechanical ventilation were deficient among residents, students and emergency physicians from a sample in Brazil.

show abstract

Section: Discussionmentioning

confidence: 99%

Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians

Tallo

Abib

Negri

et al. 2017

Clinics

View full text Add to dashboard Cite

show abstract

“…References 6,9,11,12,[14][15][16]18,19,21,22,24,30, 41-44, 47-68. †References 6, 18, 44, 51, 56, 57, 62, 69-72.…”

mentioning

confidence: 99%

A Narrative Review of Strategies to Increase Patient Safety Event Reporting by Residents

Aaron

Webb

Luhanga

2020

Journal of Graduate Medical Education

View full text Add to dashboard Cite

Background Because residents are often on the frontlines of patient care and are likely to witness adverse events firsthand, it is critical they report patient safety events. They may, however, be underreporting. Objective We examined the current literature to identify strategies to increase patient safety event reporting by residents. Methods We used CINAHL (EBSCO Information Services, Ipswich, MA), EMBASE (Elsevier, Amsterdam, the Netherlands), PsycINFO (APA Publishing, Washington, DC), and PubMed (National Center for Biotechnology Information, Bethesda, MD) databases. The search was limited to English-language articles published in peer-reviewed journals through March 2020. Key terms included “residents, trainees, fellows, interns, graduate medical education, house staff, event reporting, patient safety reporting, incident reporting, adverse event, and medical error.” To organize findings, we adapted a published framework of strategies for encouraging self-protective behavior. Results We identified 68 articles that described strategies used to increase event reporting. The most sustainable interventions used a combination of 3 of the 5 strategies: behavior modeling, surveys and messaging, and required limited financial support. The survey creates awareness; the behavior modeling is critical for educational purposes, and the reminders help to reinforce the new behavior and embed it into routine patient care activities. We noted a dearth of studies involving trainees in root cause analysis following submission of event reports. Conclusions The most successful sustainable interventions were those that combined strategies that minimized time for busy physicians, incorporated accessible event reporting in already existing medical records, and became part of a normal workflow in patient care.

show abstract

“…For anesthesiologists, smartphone apps are a convenient and accessible way to improve patient safety and quality of care [ 41 , 42 ] through medication safety, adverse event rates, guideline adherence, and responsiveness to emergencies.…”

Section: Discussionmentioning

confidence: 99%

Mobile Applications in Clinical and Perioperative Care for Anesthesia: Narrative Review

Pan¹,

Rong²

2021

J Med Internet Res

View full text Add to dashboard Cite

Background The increasing use of smartphones by providers and patients alike demonstrates that digital health utilizing mobile applications has the potential to transform perioperative care and education in anesthesia. Objective This literature review describes the current scope of the use of mobile applications in anesthesiology. Methods Literature was searched using PubMed, Scopus, and clinicaltrials.gov for articles published from January 1, 2010, through April 1, 2020. Only English language studies were included. Articles were included if they examined the use of a mobile health application in the setting of anesthesia or the perioperative (immediate preoperative, intraoperative, and postoperative) period. Studies were excluded if they explored video interventions or did not examine the feasibility or efficacy of the mobile app. Results We included 29 articles, and three areas of clinical functionality were identified: patient-centered care (preoperative, intraoperative, and postoperative), systems-based improvement, and medical education. Several studies demonstrate the feasibility and reliability of mobile apps in these areas, but many are only tested for efficacy in simulated environments or with small patient samples Conclusions Mobile health applications show promise in improving communication between anesthesiologists, improving workflow efficiency, enhancing medical education, and reducing hospital costs. However, there is a need for validation and improvement before full implementation by the provider, patients, and hospital systems. Future studies are needed to demonstrate meaningful health outcomes to create guidelines and recommendations specific to the application of mobile technology to health care.

show abstract

Mobile Physician Reporting of Clinically Significant Events—A Novel Way to Improve Handoff Communication and Supervision of Resident on Call Activities

Cited by 12 publications

References 6 publications

Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians

Evaluation of self-perception of mechanical ventilation knowledge among Brazilian final-year medical students, residents and emergency physicians

A Narrative Review of Strategies to Increase Patient Safety Event Reporting by Residents

Mobile Applications in Clinical and Perioperative Care for Anesthesia: Narrative Review

Contact Info

Product

Resources

About