TY - JOUR
T1 - Impact of an event reporting system on resident complication reporting in plastic surgery training
T2 - Addressing an acgme and plastic surgery milestone project core competency
AU - Parikh, Rajiv P.
AU - Snyder-Warwick, Alison
AU - Naidoo, Sybill
AU - Skolnick, Gary B.
AU - Patel, Kamlesh B.
N1 - Funding Information:
Alison Snyder-Warwick, M.D., is supported in part by the American Association of Plastic Surgeons Academic Peer Scholarship. Rajiv P. Parikh, M.D., M.P.H.S., is supported by a National Institutes of Health Institutional National Research Service Award (T32CA190194). Research reported in this publication was supported by the Washington University Institute of Clinical and Translational Sciences grant UL1 TR000448 from the National Center for Advancing Translational Sciences of the National Institutes of Health and Children’s Discovery Institute.
Publisher Copyright:
Copyright © 2017 by the American Society of Plastic Surgeons
PY - 2017
Y1 - 2017
N2 - Background: The Accreditation Council for Graduate Medical Education and Plastic Surgery Milestone Project has identified practice-based learning and improvement, which involves systematically analyzing current practices and implementing changes, as a core competency in residency education. In surgical care, complication reporting is an essential component of practice-based learning and improvement as complications are analyzed in morbidity and mortality conference for quality improvement. Unfortunately, current methods for capturing a comprehensive profile of complications may significantly underestimate the true occurrence of complications. Therefore, the objectives of this study are to evaluate an intervention for complication reporting and compare this to current practice, in a plastic surgery training program. Methods: This is a preintervention and postintervention study evaluating resident reporting of complications on a plastic surgery service. The intervention was an online event reporting system developed by department leadership and patient safety experts. The cohorts consisted of all patients undergoing surgery during two separate 3-month blocks bridged by an implementation period. A trained reviewer recorded complications, and this served as the reference standard. Fisher’s exact test was used for binary comparisons. Results: There were 32 complications detected in 219 patients from June to August of 2015 and 35 complications in 202 patients from October to December of 2015. The proportion of complications reported in the preintervention group was nine of 32 (28.1 percent). After the intervention, this significantly increased to 32 of 35 (91.4 percent) (p < 0.001). Conclusion: An intervention using an event reporting system, supported by departmental leadership, led to significant improvements in complication reporting by plastic surgery residents.
AB - Background: The Accreditation Council for Graduate Medical Education and Plastic Surgery Milestone Project has identified practice-based learning and improvement, which involves systematically analyzing current practices and implementing changes, as a core competency in residency education. In surgical care, complication reporting is an essential component of practice-based learning and improvement as complications are analyzed in morbidity and mortality conference for quality improvement. Unfortunately, current methods for capturing a comprehensive profile of complications may significantly underestimate the true occurrence of complications. Therefore, the objectives of this study are to evaluate an intervention for complication reporting and compare this to current practice, in a plastic surgery training program. Methods: This is a preintervention and postintervention study evaluating resident reporting of complications on a plastic surgery service. The intervention was an online event reporting system developed by department leadership and patient safety experts. The cohorts consisted of all patients undergoing surgery during two separate 3-month blocks bridged by an implementation period. A trained reviewer recorded complications, and this served as the reference standard. Fisher’s exact test was used for binary comparisons. Results: There were 32 complications detected in 219 patients from June to August of 2015 and 35 complications in 202 patients from October to December of 2015. The proportion of complications reported in the preintervention group was nine of 32 (28.1 percent). After the intervention, this significantly increased to 32 of 35 (91.4 percent) (p < 0.001). Conclusion: An intervention using an event reporting system, supported by departmental leadership, led to significant improvements in complication reporting by plastic surgery residents.
UR - http://www.scopus.com/inward/record.url?scp=85033379632&partnerID=8YFLogxK
U2 - 10.1097/PRS.0000000000003771
DO - 10.1097/PRS.0000000000003771
M3 - Article
C2 - 29068945
AN - SCOPUS:85033379632
SN - 0032-1052
VL - 140
SP - 736e-745e
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 5
ER -