Hospital Climate and Peer Report Intention on Adverse Medical Events: Role of Attribution and Rewards

Abstract

Adverse medical events (AMEs) often occur in the healthcare workplace, and studies have shown that a positive atmosphere can reduce their incidence by increasing peer report intention. However, few studies have investigated the effect and action mechanism therein. We aimed to extend upon these studies by probing into the relationship between hospital climate and peer report intention, along with the mediating effect of attribution tendency and moderating effects of rewards. For this purpose, a cross-sectional survey was administered in a hospital among health professionals. We collected 503 valid questionnaires from health professionals in China and verified the hypothesis after sorting the questionnaires. The results of empirical analysis show that a positive hospital climate significantly induces individual internal attribution tendency, which in turn exerts a positive effect on peer report intention. Contract reward also helps to increase peer report intention, especially for health professionals with an internal attribution tendency. The findings contribute to the literature regarding AME management in hospitals by providing empirical evidence of the necessity for hospital climate and contract reward, and by providing insights to improve their integrated application.

Global trends and partial forecast of adverse effects of medical treatment from 1990 to 2019: an epidemiological analysis based on the global burden of disease study 2019

“…In contrast to regions with high SDI levels, other SDI regions exhibited a downward then upward trend, as did China. Due to the lack of a complete reporting system in rural medical models, the statistics of the incidence of AEMT are overdependent on the personal behaviors of medical staff [24]. This further leads to large errors and uncertainties in the statistics of AEMT, which are possible reasons why the incidence rate of AEMT decreased dramatically between 1990 and 2010.…”