Premium
Using medicolegal data to support safe medical care: A contributing factor coding framework
Author(s) -
McCleery Adele,
Devenny Kirsten,
Ogilby Catherine,
Dunn Cynthia,
Steen Anne,
Whyte Eileen,
Darling Renee,
VanderHoek Robin,
MacIntyre Anna,
Carpenter Stephanie,
Wallace Gordon,
Calder Lisa
Publication year - 2018
Publication title -
journal of healthcare risk management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.221
H-Index - 16
eISSN - 2040-0861
pISSN - 1074-4797
DOI - 10.1002/jhrm.21348
Subject(s) - cognitive reframing , coding (social sciences) , patient safety , health care , knowledge management , risk analysis (engineering) , process management , medicine , nursing , psychology , business , computer science , social psychology , statistics , mathematics , economics , economic growth
Objective Traditional medicolegal data analysis focuses on physician care, without a full acknowledgment of the effects of team, organizational, and system factors. We developed a patient safety–informed contributing factor framework to strengthen the coding and analysis of medicolegal data. Materials and Methods We incorporated patient safety theory and human factors science into our medicolegal case coding practices to improve our understanding of the many factors that contribute to medicolegal events. Results and Discussion A new framework was developed that has at its core, patients and their experience, and looks beyond the provider factors that are often the focus of medicolegal analysis to give greater consideration to the influence of team, organizational, and system factors. We anticipate that this substantial shift will strengthen our knowledge translation efforts to help improve the safety of medical care. Conclusion We believe that reframing medicolegal case coding systems to better identify the influence of team, organizational, and system factors will increase the utility of this analysis in patient safety research, and health care quality improvement.