Adverse event reporting in Czech long-term care facilities

Abstract

In-person interviews suggest that use of a written questionnaire to assess the adverse event-reporting process may have limited validity. Staff of the facilities we studied expressed an understanding of the importance of adverse event reporting and prevention, but interviews also suggested a lack of knowledge necessary for establishing a good institutional reporting system in long-term care.

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

“…Two of the five selected studies used quantitative designs [48,49], two used qualitative designs [50,51], and one was a mixed-methods study [52]. In total, the review's sample and setting consisted of 1299 nurses and 137 residential long-term care settings ( Table 2).…”

“…The focus of two studies was on the process of disclosing and reporting practice errors [48,52], and three studies focused on perceptions and experiences of disclosing and reporting practice errors [49][50][51]. One of the studies was conducted in Canada [49], one was conducted in the Czech Republic [48], two were conducted in Norway [50,51], and one was conducted in the USA [52].…”

“…The role of nurse leaders and reporting processes varied with severity of errors. Accordingly, with the increased severity of errors, nurse leaders would be considered directly responsible for reporting and disclosing practice errors, and nurses should report errors under the direct supervision of nurse managers [48,49]. Paper or electronic systems for internal reporting, and cause analyses, were available in some residential long-term care settings [48,49].…”

“…Accordingly, with the increased severity of errors, nurse leaders would be considered directly responsible for reporting and disclosing practice errors, and nurses should report errors under the direct supervision of nurse managers [48,49]. Paper or electronic systems for internal reporting, and cause analyses, were available in some residential long-term care settings [48,49]. However, variation in reporting routines, assignment of reporting tasks only to nurses and not to all healthcare providers, and the use of a less than systematic approach for reporting diminished the effectiveness of reporting for development of future initiatives aiming at the improvement of patient safety [48,50].…”

“…Paper or electronic systems for internal reporting, and cause analyses, were available in some residential long-term care settings [48,49]. However, variation in reporting routines, assignment of reporting tasks only to nurses and not to all healthcare providers, and the use of a less than systematic approach for reporting diminished the effectiveness of reporting for development of future initiatives aiming at the improvement of patient safety [48,50].…”