Abstract
ObjectivesThe Common Formats, published by the Agency for Healthcare Research and Quality, represent a standard for safety event reporting used by Patient Safety Organizations (PSOs). We evaluated its ability to capture patient-reported safety events.Materials and methodsWe formally evaluated gaps between the Common Formats and a safety concern reporting system for use by patients and their carepartners (ie friends/families) at Brigham and Women’s Hospital.ResultsOverall, we found large gaps between Common Formats (versions 1.2, 2.0) and our patient/carepartner reporting system, with only 22–30% of the data elements matching.DiscussionWe recommend extensions to the Common Formats, including concepts that capture greater detail about the submitter and safety categories relevant to unsafe conditions and near misses that patients and carepartners routinely observe.ConclusionExtensions to the Common Formats could enable more complete safety data sets and greater understanding of safety from key stakeholder perspectives, especially patients, and carepartners.
Highlights
Safety reporting systems are essential for understanding patient safety issues and supporting a “Just Culture” of learning from adverse events for continuous improvement.[1,2,3] Most safety data used for safety and quality improvements within health organizations and across Patient Safety Organizations (PSOs) are clinicianreported, and underestimate true harm rates.[4]
The revised v2.0 of the Common Formats resulted in a decrease in the number of data elements fields within MySafeCare that could be mapped using the standard from 30% in v1.2 to 22% in v2.0
Release of v2.0 of AHRQ Common Formats decreased the total number of data elements in the Common Formats significantly, and our analyzes indicated that this resulted in decreased capability to map MySafeCare data elements
Summary
Safety reporting systems are essential for understanding patient safety issues and supporting a “Just Culture” of learning from adverse events for continuous improvement.[1,2,3] Most safety data used for safety and quality improvements within health organizations and across Patient Safety Organizations (PSOs) are clinicianreported, and underestimate true harm rates.[4]. Patient-generated health data that captures patient-reported safety concerns could be useful to increase the completeness of patient safety event data by including the patient and carepartner (eg family members or friends involved in a patient’s care) perspective of what comprises an unsafe condition, near miss or incident, and how frequently those events are experienced.[6]
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