000			03272nam a22004937a 4500
008			220124s20212021 xxu||||| |||| 00| 0 eng d
022			_a1549-8417
024			_a01209203-202112000-00127 [pii]
024			_a10.1097/PTS.0000000000000864 [doi]
040			_aOvid MEDLINE(R)
099			_a34852418
245			_aRace Differences in Reported "Near Miss" Patient Safety Events in Health Care System High Reliability Organizations.
251			_aJournal of patient safety. 17(8):e1605-e1608, 2021 Dec 01.
252			_aJ Patient Saf. 17(8):e1605-e1608, 2021 Dec 01.
252			_zJ Patient Saf. 17(8):e1605-e1608, 2021 Dec 01.
253			_aJournal of patient safety
260			_c2021
260			_fFY2022
260			_p2021 Dec 01
265			_sppublish
266			_d2022-01-25
268			_aJournal of patient safety. 17(8):e1605-e1608, 2021 Dec 01.
501			_aAvailable online through MWHC library: March 2005 - present
520			_aCONCLUSIONS: Race differences in near-miss patient safety events exist in voluntary reporting systems by type. Health care organizations, particularly health care high reliability organizations, can use these findings to help to identify areas of further study and investigation. Further study and investigation should include efforts to understand the root cause of the differences found in this study, including the role of reporting bias by race. Copyright (c) 2021 Wolters Kluwer Health, Inc. All rights reserved.
520			_aMETHODS: From July 1, 2015, to June 30, 2017, employees in a mid-Atlantic health care system voluntarily reported near-miss events by type using an occurrence reporting system referred to as the Patient Safety Event Management System. Inpatients, outpatients, and observation patients were identified as "Black," "White," or "other" (n = 39,390). Using retrospective analysis and chi2 goodness of fit, comparisons of race proportions were conducted to determine differences at the health system level, by hospital, and by event type.
520			_aOBJECTIVES: This study aimed to determine if race differences exist in voluntarily reported near-miss patient safety events in a large integrated, 10-hospital health care system on its journey to become a high reliability organization.
520			_aRESULTS: Significant race differences existed: (1) overall across the health care system with higher proportions of events reported for Whites and lower proportions of events reported for Blacks in the Patient Safety Event Management System, (2) by site in 9 of 10 hospitals, and (3) by type. All differences were significant at P < 0.05.
546			_aEnglish
650			_a*High Reliability Organizations
650			_a*Patient Safety
650			_aDelivery of Health Care
650			_aHumans
650			_aRace Factors
650			_aReproducibility of Results
650			_aRetrospective Studies
651			_aMedStar Health Research Institute
657			_aJournal Article
700			_aKrevat, Seth A
700			_aPandit, Chinmay
700			_aThomas, Angela D
790			_aKrevat SA, Pandit C, Thomas AD
856			_uhttps://dx.doi.org/10.1097/PTS.0000000000000864 _zhttps://dx.doi.org/10.1097/PTS.0000000000000864
942			_cART _dArticle
999			_c922 _d922