Barriers to Incident Reporting among Nurses: A Qualitative Systematic Review

Hamed, Moataz Mohamed Maamoun; Konstantinidis, Stathis

doi:10.1177/0193945921999449

Cited by 32 publications

(38 citation statements)

References 90 publications

(204 reference statements)

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“…The primary reason for not reporting errors was weaknesses in nursing training programs. Literature has consistently highlighted it (3,23,24). The lack of nurses' necessary training makes it more difficult to understand the importance of incident reporting.…”

Section: Discussionmentioning

confidence: 99%

Nurses' Decisions in Error Reporting and Disclosing Based on Error Scenarios: A Mixed-method Study

et al. 2021

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Background: It is ensured that nurses’ error reporting and disclosing improve services to patients and are considered a movement toward creating a culture of transparency in the healthcare system. Objectives: This study aimed to investigate the nurses' decisions on reporting and disclosing Medical Errors (MEs). Methods: This research followed a mixed-method embedded design that was performed in five hospitals in Iran in 2018. A total of 491 nurses participated in the quantitative phase of the study with stratified sampling, followed by a simple random sampling technique. Also, 22 nurses joined the qualitative phase. Data were collected using a researcher-made questionnaire and semi-structured interviews through a scenario-based method. Quantitative data analysis was performed using descriptive and analytical statistics by SPSS 21.0 and Expert Choice 10.0 software. The qualitative data were analyzed based on the content analysis approach. Results: The most important perceived barriers with the highest impact coincided with educational (57.17%) and motivational (56.77%) factors based on SEM analysis (ES: 1.33, SE: 0.16). Regression analysis showed that error-reporting mechanisms, educational factors, and reporting consequences were significantly associated with age, sex, and work experience (P-Value ≤0.05). Error scenarios were thematized into three categories: Error perception (including ambiguity and weakness in error definition, the severity of the error, unawareness of guidelines, deviation from standards, and untrained staff), error reporting (including ineffective reporting system, hesitation in reporting to a formal system, increased workload, improper reaction, punitive responses, and concerns about consequences), and error disclosure (including no disclosure, partial disclosure, and full disclosure). Conclusions: The obtained results contributed to a better understanding of the barriers to error reporting and disclosing. In addition, these results can help hospitals encourage error reporting and ultimately make organizational changes, which reduce the incidence of errors.

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Section: Discussionmentioning

confidence: 99%

Nurses' Decisions in Error Reporting and Disclosing Based on Error Scenarios: A Mixed-method Study

et al. 2021

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“…These concerns were prevalent among previous studies attempted to study IR behaviors. 6,14,16,[19][20][21] To help overcome this, the participants in our survey demanded promoting safe culture for reporting by maintaining anonymity (our local IRS system ensures anonymity), reassuring the nonpunitive nature, and stressing the role of leadership and senior role modeling.…”

Section: Discussionmentioning

confidence: 99%

Perceived Barriers of Incident Reporting Among Internists: Results from Hamad Medical Corporation in Qatar

et al. 2021

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Background Adverse events (AE) are responsible for annual deaths that exceed deaths due to motor vehicle accidents, breast cancer, and AIDS. Many AE are considered preventable. Thus, AE needs to be detected and analyzed. Incident reporting systems (IRS) are crucial in identifying AE. Nevertheless, the incident report (IR) process is flawed with underreporting, especially from the physicians' side. This limits its efficiency in detecting AE. Therefore, we aimed to assess the practice and identify the barriers associated with incident reporting among internal medicine physicians in a large tertiary hospital through a survey. Methods A cross-sectional descriptive study. We distributed an online survey to physicians working in the Internal Medicine Department of Qatar's largest tertiary academic institute. The questionnaire was validated and piloted ahead of the start of the trial. The response rate was 53%. Results A total of 115 physicians completed the survey; 59% acknowledged the availability of an institutional IRS. However, only 29% knew how to submit an online IR, and 20% have ever submitted an IR. The survey revealed that participants were less likely to submit an IR when they or a colleague is involved in the incident; 46% and 63%, respectively. The main barriers of reporting incidents were unawareness about the IRS (36%) and the perception that IR will not bring a system change (13%); moreover, there exists the fear of retaliation (13%). When asked about solutions, 57% recommended training and awareness, and 22% recommended sharing learnings and actions from previous IR. Conclusions IRS is underutilized by internal medicine physicians. The main barrier at the time of the survey is the lack of training and awareness. Promoting awareness and sharing previous learning and actions may improve the utilization of the IRS.

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“…Reporting incidents without analysis by professional persons, has no value in practice. Although several barriers were identified in this review,5 many factors such as nurses’ characteristics, decision-maker characteristics, hospital environment, training and research systems and organisational barriers4 could be discussed as other themes. Nursing managers must have strategies to create a situation that makes them feel more confident to present their mistakes without fears.…”

Section: Commentarymentioning

confidence: 99%

“…Healthcare-related organisations experience economic loss related to low quality and there could be numerous mistakes due to nurses’ performance as the largest group of professionals in healthcare,2 3 Hence learning from mistakes, improving the quality of services and patient safety are among the key priorities 1 4. Reporting incidents is the main tool for managers and it is the most commonly used method to identify patient safety incidents 5. By incident reporting, hospitals can educate nurses and implement changes to avoid or decrease the negative effects of recurring errors 4…”

Section: Contextmentioning

confidence: 99%