Imperial College London
Dr Elaine Burns

DrElaineBurns

Faculty of Medicine, Department of Surgery & Cancer

Honorary Clinical Senior Lecturer
 
 
 
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Contact

 

+44 (0)20 3312 1947e.burns

 
 
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Location

 

Rm. 1029Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Howell:2015:10.1371/journal.pone.0144107,
author = {Howell, AR and burns, EM and Bouras, G and Athanasiou, T and Donaldson, LJ and Darzi, A},
doi = {10.1371/journal.pone.0144107},
journal = {PLOS One},
title = {Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quantitative Analysis of the English National Reporting and Learning System Data.},
url = {http://dx.doi.org/10.1371/journal.pone.0144107},
volume = {10},
year = {2015}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundThe National Reporting and Learning System (NRLS) collects reports about patient safety incidents in England. Government regulators use NRLS data to assess the safety of hospitals.This study aims to examine whether annual hospital incident reporting rates can be used as a surrogate indicator of individual hospital safety. Secondly assesses which hospital characteristics are correlated with high incident reporting rates and whether a high reporting hospital is safer than those lower reporting hospitals. Finally, it assesses whichhealth-care professionals report more incidents of patient harm, which report more near miss incidents and what hospital factors encourage reporting. These findings may suggest methods for increasing the utility of reporting systems.MethodsThis study used a mix methods approach for assessing NRLS data. The data were investigated using Pareto analysis and regression models to establish which patients are most vulnerable to reported harm. Hospital factors were correlated with institutional reporting rates over one year to examine what factors influenced reporting. Staff survey findings regardinghospital safety culture were correlated with reported rates of incidents causing harm; no harm and death to understand what barriers influence error disclosure.Findings5,879,954 incident reports were collected from acute hospitals over the decade. 70.3%of incidents produced no harm to the patient and 0.9% were judged by the reporter to have caused severe harm or death. Obstetrics and Gynaecology reported the most no harmevents [OR 1.61(95%CI: 1.12 to 2.27), p<0.01] and pharmacy was the hospital location where most near-misses were captured [OR 3.03(95%CI: 2.04 to 4.55), p<0.01]. Clinicians were significantly more likely to report death than other staff [OR 3.04(95%CI: 2.43 to 3.80)p<0.01]. A higher ratio of clinicians to beds correlated with reduced rate of harm reported [RR = -1.78(95%Cl: -3.33 to -0.23), p = 0.03]. Litigation claims
AU  - Howell,AR
AU  - burns,EM
AU  - Bouras,G
AU  - Athanasiou,T
AU  - Donaldson,LJ
AU  - Darzi,A
DO  - 10.1371/journal.pone.0144107
PY  - 2015///
SN  - 1932-6203
TI  - Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quantitative Analysis of the English National Reporting and Learning System Data.
T2  - PLOS One
UR  - http://dx.doi.org/10.1371/journal.pone.0144107
UR  - http://hdl.handle.net/10044/1/29146
VL  - 10
ER  -
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