Attitudes and Barriers to Incident Reporting for Doctors and Nurses in a University Hospital’s Surgery Departments

Kaya, Sıdıka; Karaman, Sevilay; Demir, İpek; Ürek, Duygu; Kandemir, Aysun; Yiğit, Dilek

doi:10.30621/jbachs.2020.930

Cited by 4 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although a well-functioning reporting system is central to patient safety (Archer et al , 2017; Radhakrishna, 2015), health-care employees tend to avoid reporting for a multitude of reasons, such as fear of punishment, damage to reputation, humiliation, malpractice lawsuits, disciplinary action by a licencing board, limited follow up after reporting or loss of job. Furthermore, it is well documented that many health-care employees lack an understanding of what should be reported and how the reported incidents will be analysed or lead to changes that will improve patient safety (Archer et al , 2017; Flott et al , 2018; Kaya et al , 2020; Krouss et al , 2019; Naome et al , 2020); indeed, health-care employees in Kuwait and the wider Arab region are not exceptions in this regard. A recent study from Kuwait (Ali et al , 2018) and a systematic review from the Arab countries (Elmontsri et al , 2017) concluded that non-punitive responses to error, reporting of events and open communication are poorly practised within organisations.…”

Section: Discussionmentioning

confidence: 99%

“…Although there are many ways to enhance reporting systems, the selection of improvement strategies should address what is lacking. Health-care employees should be provided with high-level information on the types of incidents, the results of the analysis and what actions have been taken in response to the incidents reported (Archer et al , 2017; Kaya et al , 2020). One could claim that this strategy might not be of high impact in Kuwait, considering that “feedback and communication about error” was identified as an area of strength (Ali et al , 2018).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Patient safety and leadership style in the government general hospitals in Kuwait: a multi-method study

ALFadhalah

Elamir

2021

LHS

View full text Add to dashboard Cite

Purpose This study aims to evaluate the relationships between leadership style and reported incidents, reporting practices and patient safety initiatives in Kuwaiti hospitals. Design/methodology/approach This cross-sectional and retrospective quantitative multi-centre study was conducted in a secondary care setting. The multifactor leadership questionnaire and the patient safety questionnaire were distributed in six general hospitals to a sample of physicians, nurses and pharmacists. Incident reports were reviewed in each hospital to assess reporting practices. Findings The hospital with the most safety incident reports scored the highest on good reporting practices, whereas the hospital with the lowest score of poor reporting practices had reported fewer incidents. Reporting was better if an error reached the patient but caused no harm. Overall, reporting practices and implementation of patient safety initiatives in the hospitals were suboptimal. Nevertheless, a transformational leadership style had a positive effect on patient safety and reporting practices. Practical implications This study represents a baseline for researchers to assess the relationship between leadership style and patient safety. Moreover, it highlights significant considerations to be addressed when planning patient safety improvement programmes. More investment is needed to understand how to raise transformational leaders who are more effective on patient safety. Further studies that include primary and tertiary health-care settings and the private sector are required. Originality/value To the best of the authors’ knowledge, this study is the first in Kuwait to report on the relationship between transformational leadership and safety practices.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Patient safety and leadership style in the government general hospitals in Kuwait: a multi-method study

ALFadhalah

Elamir

2021

LHS

View full text Add to dashboard Cite

show abstract

“…These responsibilities are mere add-ons to their already brimming schedules, and the meager budget, if any, further hinders program implementation and their engagement in essential training.Inadequate time dedicated to engaging in patient safety-focused activities of frontline healthcare personnel 12 could also explain why some patient and direct care indicators receive lower reporting than others like falls, medication errors, adverse drug events, and missed care. Reporting and contributing to learning systems can become a burden for nurses and physicians with inhumane workloads, [13][14][15] further exacerbating the issue.Inconsistencies in available data can be attributed to the lack of a mature patient safety culture, resulting in reluctance to report indicators. These indicators are often regarded as a reflection of poor performance or incompetence.…”

mentioning

confidence: 99%

“…Inadequate time dedicated to engaging in patient safety-focused activities of frontline healthcare personnel 12 could also explain why some patient and direct care indicators receive lower reporting than others like falls, medication errors, adverse drug events, and missed care. Reporting and contributing to learning systems can become a burden for nurses and physicians with inhumane workloads, [13][14][15] further exacerbating the issue.…”

mentioning

confidence: 99%

Metrics Matter

Paguio, PhD, MA, RN

2024

Acta Med Philipp

View full text Add to dashboard Cite

There is limited evidence to substantially describe the state of Patient Safety (PS) in the Philippines.1,2 With most publications reflecting respondent-based assessments of institutional patient safety culture, patient-sensitive and records-based indicators are scarce. 3 Despite the Institute of Medicine’s4 call to action to address preventable errors and the publication of patient safety indicators5 , there has been slow progress in patient safety in the country. The Department of Health’s release of the National Policy on Patient Safety (Administrative Order 2008-0023) 6 and the creation of the National Patient Safety Committee (NPSC) were pivotal in elevating patient safety as priority in Philippine healthcare facilities. The creation of PS committees across hospitals and the mainstreaming of patient safety through campaigns and conferences helped push institution-level research and design programs to reduce events.7,8 The National Policy on Patient Safety in Health Facilities (Administrative Order 2020-0007) 9 presented specific guidelines and strategies for the full implementation of PS programs, including directives on the roles and responsibilities of patient safety officers, strategies to address patient safety issues, and indicators for monitoring. The above national and institutional efforts to promote patient safety strategies are gaining momentum, but without metrics, it is impossible to determine if these initiatives result in real-world changes. Accurate, reliable, and timely patient safety-sensitive indicators feed learning systems. 10,11 Metrics for patient safety allow for accurate analysis that translate to responsive actions to mitigate risks, ensure continuous improvement, monitor progress, and impact patient-, organization-, and health worker-related outcomes. However, the findings of incapacitated patientsafety committees, missing risk management and patient-centered initiatives, and inconsistent reporting systems are highly concerning. While hospitals have complied with the activities stipulated in the national policies, the superficial compliance reflects the lack of investment in patient safety architecture. The committee chairs and members are burdened with competing priorities, leaving them with little time to fulfil their roles in policy development, data analysis, and system improvements. These responsibilities are mere add-ons to their already brimming schedules, and the meager budget, if any, further hinders program implementation and their engagement in essential training. Inadequate time dedicated to engaging in patient safety-focused activities of frontline healthcare personnel 12 could also explain why some patient and direct care indicators receive lower reporting than others like falls, medication errors, adverse drug events, and missed care. Reporting and contributing to learning systems can become a burden for nurses and physicians with inhumane workloads, 13-15 further exacerbating the issue. Inconsistencies in available data can be attributed to the lack of a mature patient safety culture, resulting in reluctance to report indicators. These indicators are often regarded as a reflection of poor performance or incompetence.16,17 Moreover, commendations for low adverse event reports and high patient satisfaction ratings perpetuate the practice of not disclosing an organization’s shortcomings. A reliable baseline that indicates the severity of the situation is crucial for good results to have any significance. Without a balanced system that encourages reporting, feedback, and actionable practice changes, reports will continue to be inconsistent. The study makes sound recommendations to use a unified set of patient safety indicators and protocols for regular measurement, analysis, and improvements integrated into a national reporting system. This system would guide collection, collation, classification, and analysis of patient safety problems that will guide improvements.10 It starts with investing in reliable structures (personnel, funding, policies) and clear processes at the country and facility level. A culture and mindset shift are also essential to optimize patient safety structures and processes that includes a blame-free environment, the practice of enhanced feedback, champions and role models, and education and training 12,18 on core concepts in patient safety and how to analyze data to generate meaningful outcomes. Our goal of establishing a comprehensive patient safety learning system is an arduous and complex undertaking. Achieving a high-reliability learning system necessitates the cultivation of a safety-oriented culture, which takes time to develop. However, implementing a metric for reporting and monitoring patient safety issues in hospitals would be a vital initial step toward this goal. Ultimately, the establishment of a patient safety learning system that addresses the needs of patients and healthcare workers would result in a significant improvement in patient safety outcomes.

show abstract

Knowledge, attitude, practice and barriers towards pharmacovigilance and adverse drug reactions reporting among healthcare professionals in Turkey: a systematic review

Khan

Karataş

Martins

et al. 2021

Current Medical Research and Opinion

View full text Add to dashboard Cite

Attitudes and Barriers to Incident Reporting for Doctors and Nurses in a University Hospital’s Surgery Departments

Cited by 4 publications

References 24 publications

Patient safety and leadership style in the government general hospitals in Kuwait: a multi-method study

Patient safety and leadership style in the government general hospitals in Kuwait: a multi-method study

Metrics Matter

Knowledge, attitude, practice and barriers towards pharmacovigilance and adverse drug reactions reporting among healthcare professionals in Turkey: a systematic review

Contact Info

Product

Resources

About