Professional attitudes toward incident reporting: can we measure and compare improvements in patient safety culture?

Tricarico, P; Castriotta, Luigi; Battistella, Claudio; Bellomo, F; Cattani, G; Grillone, L; Degan, S; Corti, D.; Brusaferro, Silvio

doi:10.1093/intqhc/mzx004

Cited by 32 publications

(41 citation statements)

References 18 publications

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“…Consistent with our results, previous studies have found that nurses reported more incidents than other professions. [18][19][20][21] Some researchers have argued that doctors, in particular, are often skeptical and have not fully accepted the incident reporting system as an opportunity for improving quality of care. 19 Our results from the work units where incidents were reported were also consistent with other studies that reported that incident reports were primarily made within a clinical setting.…”

Section: Discussionmentioning

confidence: 99%

“…[18][19][20][21] Some researchers have argued that doctors, in particular, are often skeptical and have not fully accepted the incident reporting system as an opportunity for improving quality of care. 19 Our results from the work units where incidents were reported were also consistent with other studies that reported that incident reports were primarily made within a clinical setting. 22 Furthermore, consistent with our finding about training, participation in monthly quality or safety conferences in US hospitals has increased the reporting rate of trainees from 27.6% to 46.1%.…”

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: 99%

Section: Discussionmentioning

confidence: 99%

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

Dhamanti¹,

Leggat²,

Barraclough³

2020

JMDH

View full text Add to dashboard Cite

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“…Reporting practice errors or near misses are fundamental to quality improvement and patient safety [23]. Notifications of practice errors are important for: recording and communication of issues to management; assessment of risks and harm; rectification; and interventions and practical strategies to improve patient safety [20,[23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review

et al. 2020

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Patient safety is crucial for the sustainability of the healthcare system. However, this may be jeopardized by the high prevalence of practice errors, particularly in residential long-term care. Development of improvement initiatives depends on full reporting and disclosure of practice errors. This systematic review aimed to understand factors that influence disclosing and reporting practice errors by nurses in residential long-term care settings. A systematic review using an integrative design was conducted. Electronic databases including PubMed (including Medline), Scopus, CINAHL, Embase, and Nordic and Spanish databases were searched using keywords relating to reporting and disclosing practice errors by nurses in residential long-term care facilities to retrieve articles published between 2010 and 2019. The search identified five articles, including a survey, a prospective cohort, one mixed-methods and two qualitative studies. The review findings were presented under the categories of the theoretical domains of Vincent’s framework for analyzing risk and safety in clinical practice: ‘patient’, ‘healthcare provider’, ‘task’, ‘work environment’, and ‘organisation & management’. The review findings highlighted the roles of older people and their families, nurses’ individual responsibilities, knowledge and collaboration, workplace atmosphere, and support by nurse leaders for reporting and disclosing practice errors, which had implications for improving the quality of healthcare services in residential long-term care settings.

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“…Eighth, the data collection of this study was conducted in 2010. Considering both evolving and persistent trends in the safety culture of acute health care institutions in high‐income countries over the recent decades, the relevance of these findings need to be updated. Ninth, an analysis of convergent validity (Appendix S2) showed that the outcome, perception of safety in the OR, was weakly correlated with other items or scales related to safety.…”

Section: Discussionmentioning

confidence: 99%

Is team‐based perception of safety in the operating room associated with self‐reported wrong‐site surgery? An exploratory cross‐sectional survey among physicians

Cullati

Courvoisier

Francis

et al. 2018

Health Science Reports

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AimsParticipation in wrong‐site surgery may negatively influence the perception of safety by the health care professionals in the operating room (OR). The objective was to explore if perception of safety in the OR was seen as a team‐based or individualist concern and whether having participated in wrong‐site surgery was associated with perception of safety.Method and ResultsCross‐sectional survey at 2 annual meetings of surgery, in Switzerland, 2010. We used multivariate generalized models to assess the association of perception of safety in the OR (1 item) with self‐reported participation in wrong‐site surgery—overall, past (more than 3 y ago), or recent (last 3 y) participations—controlling for sociodemographic characteristics and opinion of the surgical safety checklist. One hundred ninety respondents answered the questionnaire (participation rate of 22.6%). Respondents mostly had a team‐based, rather than an individualistic, perception of safety in the OR. In multivariate analyses, the influence of ever participation in wrong‐site surgery was not significant. However, past participation in wrong‐site surgery (more than 3 y ago) was associated with perception of safety as team based, whereas recent participation (last 3 y) was associated—despite not significant at α ≤ 5%—with perception of safety as individualistic.ConclusionIn this sample, safety in the OR is most often seen as team based rather than individualistic. Perceiving safety in the OR as team based varies according to recent or past participation in wrong‐site surgery. Longitudinal research is needed to assess causality between participation in wrong‐site surgery and change in perception of safety.

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Professional attitudes toward incident reporting: can we measure and compare improvements in patient safety culture?

Cited by 32 publications

References 18 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>

Disclosing and Reporting Practice Errors by Nurses in Residential Long-Term Care Settings: A Systematic Review

Is team‐based perception of safety in the operating room associated with self‐reported wrong‐site surgery? An exploratory cross‐sectional survey among physicians

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