The Safety Action Feedback and Engagement (SAFE) Loop: Initial Testing and Refinement of a Novel Intervention to Enhance Hospital Incident Reporting and Patient Safety.
Objectives: Voluntary incident reporting has improved safety in many high-risk industries, but barriers limit its effectiveness in hospitals. To overcome these, we designed the Safety Action Feedback and Engagement (SAFE) Loop to obtain input from nurses about and prioritize patient safety problems,...
| Publicado en: | Journal of Patient Safety Vol. 22; no. 3; pp. 215 - 225 |
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| Autores principales: | , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
May2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193137638&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193137638 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15498417 1WYD jtl: Journal of Patient Safety issn: 15498417 maglogo: N pubinfo: dt: May2026 vid: 22 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 193137638 193137638 193137638 10.1097/PTS.0000000000001451 193137638 ppf: 215 ppct: 10 formats: tig: atl: The Safety Action Feedback and Engagement (SAFE) Loop: Initial Testing and Refinement of a Novel Intervention to Enhance Hospital Incident Reporting and Patient Safety. aug: au: Seferian, Edward Berdahl, Carl T. Coleman, Bernice Leang, Donna Cohen, Tara Qureshi, Nabeel McCleskey, Sara G. Kaiser, Karen Grissinger, Matthew Kanji, Falisha Henreid, Andrew J. Carrascoza-Bolanos, Johan Daniels, Laura Abarca Jr, Oscar De La Cruz, Pamela Truong, Brandon T. Nuckols, Teryl K. affil: Cedars-Sinai Medical Center, Los Angeles, CA sug: subj: Hospitals Patient Safety Incident Reports Voluntary Reporting Hospital Programs Evaluation Human California Questionnaires Semi-Structured Interview Academic Medical Centers Adverse Health Care Event Education Nurses Education Program Development Feedback Medication Errors Nurse Attitudes ab: Objectives: Voluntary incident reporting has improved safety in many high-risk industries, but barriers limit its effectiveness in hospitals. To overcome these, we designed the Safety Action Feedback and Engagement (SAFE) Loop to obtain input from nurses about and prioritize patient safety problems, teach nurses to write more informative reports and report priority incidents, standardize investigations, and provide feedback to nurses about mitigation plans. The present work sought to iteratively test and refine the nascent intervention. Methods: Set at a large US academic hospital, this work had 3 phases: (A) proof-of-concept testing on 2 nursing units, exploring potential feasibility and acceptability; (B) iterative refinements to intervention design and implementation plans; and (C) structured pilot testing on one nursing unit to produce descriptive and qualitative data related to the feasibility and acceptability of the refined intervention, and feasibility of future outcome measures. Results: Proof-of-concept testing demonstrated the feasibility of intervention elements and nurses' enthusiasm. Incorporating iterative refinements, the structured pilot testing reaffirmed the feasibility of implementing the full SAFE Loop intervention and of collecting outcome data. Qualitative interviews after the pilot reaffirmed intervention acceptability. Conclusions: The SAFE Loop shows promise as an approach to enhancing hospital incident reporting systems. The present work illustrates how patient safety leaders can build from an initial intervention design toward a refined design and implementation plan, with demonstrated acceptability to stakeholders and feasible implementation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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