MSS 2020 FALL ePOSTER
MALE, FOREIGN CITIZEN, AND SURGICAL TRAINEES ARE INDEPENDENTLY ASSOCIATED WITH PATIENT SAFETY REPORT (PSR) CITATIONS
M Bobel, S Kemp, V Vakayil, M Jurich, C Branson, J Chipman, M Brunsvold
University of Minnesota
Poster Presenter: Matthew Bobel, MD
University of Minnesota
Background: Patient safety reporting systems are nearly universally used in hospitals around the country and provide important quality metrics that improve patient care. A pilot study we conducted identified four groups of trainees that were more likely to be cited in a patient safety report (PSR) at our hospital: surgical trainees, male trainees, non-white trainees, and foreign-born trainees.
Objective: We aim to determine which demographic and educational factors are associated with PSR citation, including associations between reporter/reportee characteristics and report type to detect bias against groups of trainees at our hospital.
Methods: We retrospectively analyzed PSRs from a tertiary academic hospital from 2018-2019. Deidentified trainee demographics, educational data, and reporter characteristics were linked to PSRs. We stratified PSRs into three categories: errors in clinical care; errors in communication (Comm); and unprofessional behavior (Prof). We performed a bi-variate analysis on demographic and educational variables and constructed multivariate models to identify trainee characteristics independently associated with increased odds of citation.
Results: Out of 876 total trainees, 142 trainees were cited in 205 PSRs. There were 95 error in clinical care citations, 79 error in communication citations, and 17 unprofessional behavior citations. On multivariate analysis, surgical trainees were more likely to be cited in any PSR (Estimate=0.13) and in specific PSRs: Comm (OR=2.3) and Prof (OR=4.0). Self-reported duty hour violations were associated with increased odds of any PSR citation (OR=1.03). Foreign citizens were more likely to be cited in a Comm PSR (OR=2.1) and male trainees were more likely to be cited in a Prof PSR (OR=3.6) (Table 1).
Conclusion: Surgical trainees were independently associated with PSR citation and particularly Comm and Prof citations. Self-reported duty hour violations were associated with increased odds of any PSR citation. Foreign citizen and male trainees were more likely to be cited in a Comm or Prof PSR, respectively. These data support our prior findings of bias and point to areas of future intervention: interprofessional communication training for foreign citizen surgical trainees and hospital staff, and professionalism training for male surgical trainees. We did not find an association based on race that was independent of other variables.
- Author(s) M Bobel, S Kemp, V Vakayil, M Jurich, C Branson, J Chipman, M Brunsvold
- Program University of Minnesota
- Category Education | Education Science
- Presentation Type ePoster