Background
Preventable medical harm is a leading cause of death in the United States. Incident reporting systems have been identified as the primary method to capture medical error and harm. Incident underreporting remains common, particularly among physician trainees.
Methods
We conducted a single-center, quasi-experimental study to examine how incident reporting education and weekly Patient Safety Rounds would affect incident reporting among trainees.
Results
Over 6 months, 73 resident physicians participated in the study. Median incident reports entered by trainees increased from 1 report per month during the pre-intervention period to 10 reports per month after the intervention, p=0.005. Residents reported not knowing how and why to file incident reports, which improved with the intervention.
Conclusion
Real-time education and regular reinforcement increased incident reporting among resident physicians. This educational approach may increase incidence reporting in other institutions.