Development and Implementation of a Safety Incident Report System for Health Care Discipline Students During Clinical Internships: Observational Study

• Published in: JMIR medical education 2024-07, Vol.10, p.e56879
• Main Authors: Gil-Hernández, Eva, Carrillo, Irene, Guilabert, Mercedes, Bohomol, Elena, Serpa, Piedad C, Ribeiro Neves, Vanessa, Maluenda Martínez, Maria, Martin-Delgado, Jimmy, Pérez-Esteve, Clara, Fernández, César, Mira, José Joaquín
• Format: Article
• Language: English
• Subjects: Argentina; Brazil; Clinical medicine; Colombia; Curricula; Ecuador; Female; Gamification; Humans; Internship and Residency; Internships; Learning; Male; Nursing education; Observational studies; Patient Safety; Registration; Risk Management - methods; Spain; Students; Students, Medical - statistics & numerical data
• ISSN: 2369-3762; 2369-3762
• DOI: 10.2196/56879

Patient safety is a fundamental aspect of health care practice across global health systems. Safe practices, which include incident reporting systems, have proven valuable in preventing the recurrence of safety incidents. However, the accessibility of this tool for health care discipline students is not consistent, limiting their acquisition of competencies. In addition, there is no tools to familiarize students with analyzing safety incidents. Gamification has emerged as an effective strategy in health care education. This study aims to develop an incident reporting system tailored to the specific needs of health care discipline students, named Safety Incident Report System for Students. Secondary objectives included studying the performance of different groups of students in the use of the platform and training them on the correct procedures for reporting. This was an observational study carried out in 3 phases. Phase 1 consisted of the development of the web-based platform and the incident registration form. For this purpose, systems already developed and in use in Spain were taken as a basis. During phase 2, a total of 223 students in medicine and nursing with clinical internships from universities in Argentina, Brazil, Colombia, Ecuador, and Spain received an introductory seminar and were given access to the platform. Phase 3 ran in parallel and involved evaluation and feedback of the reports received as well as the opportunity to submit the students' opinion on the process. Descriptive statistics were obtained to gain information about the incidents, and mean comparisons by groups were performed to analyze the scores obtained. The final form was divided into 9 sections and consisted of 48 questions that allowed for introducing data about the incident, its causes, and proposals for an improvement plan. The platform included a personal dashboard displaying submitted reports, average scores, progression, and score rankings. A total of 105 students participated, submitting 147 reports. Incidents were mainly reported in the hospital setting, with complications of care (87/346, 25.1%) and effects of medication or medical products (82/346, 23.7%) being predominant. The most repeated causes were related confusion, oversight, or distractions (49/147, 33.3%) and absence of process verification (44/147, 29.9%). Statistically significant differences were observed between the mean final scores received by country (P