Incidents reporting: barriers and strategies to promote safety culture

Varallo, Fabiana Rossi; Passos, Aline; Nadai, Tales Rubens de; Mastroianni, Patrícia de Carvalho

doi:10.1590/s1980-220x2017026403346

Cited by 15 publications

(25 citation statements)

References 14 publications

(22 reference statements)

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“…This was consistent with a previous study noting that despite staff being aware of a reporting system in their hospital, they did not know how to access an incident form or what to do with it once it was completed. 24 A lack of knowledge and skills related to incident reporting, such as about what should be reported and how to report it, was also highlighted in another study, 25 and other studies in Indonesia have reported similar findings. 9,26,27 A previous study highlighted three essential stages of reporting incidents: awareness and knowledge of the system, the ability to recognize reportable incidents, and the ability to overcome any barriers to reporting.…”

Section: Discussionmentioning

confidence: 62%

“…A lack of feedback has been previously acknowledged as a weakness in incident reporting. 24,25,28 Conversely, properly conducted feedback results in specific improvements that are necessary to enhance incident reporting. 29 Most of the supervisorial and managerial level staff interviewed highlighted a lack of knowledge and lack of socialization as barriers; they must urgently be made aware of this discrepancy between their perspectives of barriers and the need for feedback reported by staff.…”

Section: Discussionmentioning

confidence: 99%

“…If no action is taken regarding the submitted reports and no measurable change by management occurs as a result, the staff may have reluctance in reporting further incidents. 25 Furthermore, by using the organizational learning framework, hospital management must also establish collaboration, cast no blame for human error, enact accountability for performance, and engage in situational mindfulness instead of focusing merely on lack of knowledge and socialization as the barriers for underreporting. 30 Fourth, there were conflicting findings about cultural barriers between the health workers surveyed and the supervisors and managers interviewed.…”

Section: Discussionmentioning

confidence: 99%

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<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

Dhamanti¹,

Leggat²,

Barraclough³

2020

JMDH

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This study investigated the practical and cultural barriers of reporting patient safety incidents in three accredited public hospitals in East Java, Indonesia. Methods: This study employed a mixed methods approach using a convergent parallel design. We surveyed 1121 health workers and interviewed 27 managerial staff members from the sampled hospitals. A chi-square analysis was performed to evaluate differences in demographic factors, barriers to reporting, and practices of reporting between those who had reported an incident and those who had witnessed an incident but had not reported it. NVivo 11 software was used to perform the qualitative data analysis. Results: This study had a 76.53% response rate. The quantitative evaluation identified significant differences in professions and work units and in participation in quality and safety training between the reporting group and the non-reporting group. The analysis of practical barriers displayed significant differences between the groups with the following responses: "did not know how to report," "did not know where to report," and "lack of feedback". For cultural barriers, a significant difference was shown only for the response "did not want conflict." In the qualitative assessment, most of the interview participants reported lack of knowledge and lack of socialization or training as practical barriers in reporting incidents. Furthermore, reluctance and fear to report were mentioned as cultural barriers by most of the interviewees. Conclusion: Because there were conflicting findings in the barriers of reporting incidents, these barriers must be identified, discussed, and resolved by health workers and their managers or supervisors to improve incident reporting. Managers must foster open communication and build positive connections with health workers. Further research is necessary to focus on possible ways of addressing the barriers to reporting.

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Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

Dhamanti¹,

Leggat²,

Barraclough³

2020

JMDH

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“…Lack of responsibility from HCWs is the other barrier in PSI reporting. To achieve goals in incidence reporting, leaders must address staff with educational interventions where knowledge is transferred actively (Varallo et al, 2018).…”

Section: Lack Of Supportmentioning

confidence: 99%

Barriers to Reporting Patient Safety Incident in Healthcare Workers: Integrative Literature Review

Nurdin

Wibowo

2021

JAKI

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Background: The patient safety incident reporting systems is designed to improve the health care by learning from mistakes to minimize the recurrence mistakes, however the reporting rate is low.Aims: Integrative literature review was chosen to identify and analyze the barriers of reporting patient safety incidents by Health Care Workers (HCWs) in hospital.Methods: Searching for articles in electronic database consisting of Medline, CINAHL and Scopus resulted in 11 relevant articles originating from 9 countries.Results: There are differences but similar in barriers to reporting patient safety incident among HCWs. The barriers that occur are the existence of shaming and blaming culture, lack of time to report, lack of knowledge of the reporting system, and lack of support from the management.Conclusion: Each hospital has different barriers in reporting incident and the interventions carried out must be in accordance with the existing barriers.Keywords: barrier of reporting, incident reporting, patient safety incident

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“…Diversos estudos investigam motivos e percepções de profissionais da saúde para a notificação e ou relato de incidentes, cujos resultados circundam: a preocupação com os relacionamentos de trabalho (Hammoudi et al, 2018;Levine et al, 2020;Varallo et al, 2018); a imprevisibilidade de reação da pessoa a ser questionada e a falta de clareza sobre riscos da situação (Schwappach et al, 2019). Desta forma, falar sobre a segurança do paciente, assim como em nossa pesquisa, nem sempre se caracteriza por um mecanismo simples e instintivo, sendo influenciada diretamente pelos relacionamentos interpessoais.…”

Section: Não Me Sinto Com O Mesmo Tipo De Liberdade Para Chegar E Contestar O Médico Do Que O Técnico (P24)unclassified

Falar ou calar: eis a questão para enfermeiros

Carús

Vieira

Botton

et al. 2021

RSD

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Introdução: A forma como as relações interprofissionais em saúde se estabelece, podem gerar erros e resultar em danos aos pacientes. Objetivos: examinar a capacidade dos enfermeiros para manifestarem-se frente às falhas de assistência ao paciente com potencial para eventos adversos; e, identificar os facilitadores capazes de potencializar a voz dos enfermeiros, frente aos atos inseguros em curso, praticados por profissionais da saúde em dois hospitais da região metropolitana de Porto Alegre/RS. Metodologia: realizado um estudo de caso múltiplo e incorporado. A coleta de dados entre julho a agosto de 2020, por meio de entrevista semiestruturada, virtual e gravada; para análise dos dados adotou-se o método de análise de Laurence Bardin. Resultados: a capacidade de enfermeiros manifestarem suas preocupações relacionadas à segurança do paciente dependeu de alguns fatores além da gravidade do dano, tais quais, o aspecto pessoal, a pessoa a ser contestada ou questionada, o profissional (onde, abordar a equipe médica foi mais difícil que a técnica de enfermagem), e a situação ou contexto. Os potenciadores da fala também emergiram, principalmente: pessoal, experiência, conhecimento, liderança, gestão e processos. Conclusão: características pessoais, tal qual a maturidade, e conhecimento, auxiliaram na tomada de decisão, enquanto a interdisciplinaridade apareceu discretamente nos discursos, reforçando a necessidade do trabalho em equipe com este foco, a fim do compartilhamento de conhecimento e apoio nas incertezas.

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Incidents reporting: barriers and strategies to promote safety culture

Cited by 15 publications

References 14 publications

<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

Barriers to Reporting Patient Safety Incident in Healthcare Workers: Integrative Literature Review

Falar ou calar: eis a questão para enfermeiros

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