Central or local incident reporting? A comparative study in Dutch GP out-of-hours services

Zwart, Dorien; Rensen, Elizabeth L J van; Kalkman, Cor J.; Verheij, Theo

doi:10.3399/bjgp11x561168

Cited by 23 publications

(16 citation statements)

References 27 publications

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“… 37 The three remaining studies scored a moderate in-between rating. 22 29 35 Of the five articles with qualitative research, four had no or an unclear qualitative data analysis description (eg, omitting the types of analysis). Three qualitative studies failed to fully describe their qualitative data collection methods (eg, not mentioning an interview guide or the number of consensus rounds conducted in a Delphi study).…”

Section: Resultsmentioning

confidence: 99%

Improving the governance of patient safety in emergency care: a systematic review of interventions

et al. 2016

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ObjectivesTo systematically review interventions that aim to improve the governance of patient safety within emergency care on effectiveness, reliability, validity and feasibility.DesignA systematic review of the literature.MethodsPubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Database of Systematic Reviews and PsychInfo were searched for studies published between January 1990 and July 2014. We included studies evaluating interventions relevant for higher management to oversee and manage patient safety, in prehospital emergency medical service (EMS) organisations and hospital-based emergency departments (EDs). Two reviewers independently selected candidate studies, extracted data and assessed study quality. Studies were categorised according to study quality, setting, sample, intervention characteristics and findings.ResultsOf the 18 included studies, 13 (72%) were non-experimental. Nine studies (50%) reported data on the reliability and/or validity of the intervention. Eight studies (44%) reported on the feasibility of the intervention. Only 4 studies (22%) reported statistically significant effects. The use of a simulation-based training programme and well-designed incident reporting systems led to a statistically significant improvement of safety knowledge and attitudes by ED staff and an increase of incident reports within EDs, respectively.ConclusionsCharacteristics of the interventions included in this review (eg, anonymous incident reporting and validation of incident reports by an independent party) could provide useful input for the design of an effective tool to govern patient safety in EMS organisations and EDs. However, executives cannot rely on a robust set of evidence-based and feasible tools to govern patient safety within their emergency care organisation and in the chain of emergency care. Established strategies from other high-risk sectors need to be evaluated in emergency care settings, using an experimental design with valid outcome measures to strengthen the evidence base.

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Section: Resultsmentioning

confidence: 99%

Improving the governance of patient safety in emergency care: a systematic review of interventions

et al. 2016

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“…A Dutch study which evaluated local and central incident reporting systems suggested that a local incident reporting procedure motivates health professionals to report. Unlike local reporting systems, as described in the same study, the central incident reporting system was found to be useful in addressing generic and recurring patient safety concerns [13]. …”

Section: Introductionmentioning

confidence: 99%

Incident Reporting Behaviours and Associated Factors among Nurses Working in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia

Engeda

2016

Scientifica

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Background. A comprehensive and systematic approach to incident reporting would help learn from errors and adverse events within a healthcare facility. Objective. The aim of the study was to assess incident reporting behaviours and associated factors among nurses. Methods. An institution-based cross-sectional study was conducted from April 14 to 29, 2015. Simple random sampling technique was used to select the study participants. Data were coded, entered into Epi Info 7, and exported to SPSS version 20 software for analysis. A multivariate logistic regression model was fitted and adjusted odds ratio with 95% confidence interval was used to determine the strength of association. Results. The proportion of nurses who reported incidents was 25.4%. Training on incident reporting (Adjusted Odds Ratio (AOR) [95% CI] 2.96 [1.34–6.26]), reason to report (to help patient) (AOR [95% CI] 3.08 [1.70–5.59]), fear of administrative sanctions (AOR [95% CI] 0.27 [0.12–0.58]), fear of legal penalty (AOR [95% CI] 0.09 [0.03–0.21]), and fear of loss of prestige among colleagues (AOR [95% CI] 0.25 [0.12–0.53]) were significantly associated factors with the incident reporting behaviour of nurses. Conclusion and Recommendation. The proportion of nurses who reported incidents was very low. Establishing a system which promotes incident reporting is vital.

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“…[46][47][48][49][50][51][52][53][54][55][56][57][58][59][60][61][62] Several patient safety classifications were reviewed and considered for inclusion, 20,[63][64][65][66] including those developed for general practice. 7,65,[67][68][69][70] These classification systems provided considerable guidance for shaping the scope of the system needed; however, we did not judge that they would support detailed coding of patient safety incidents from general practice.…”

Section: Classification System and Reviewer Trainingmentioning

confidence: 99%

Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice

Carson‐Stevens

Hibbert

Williams

et al. 2016

Health Serv Deliv Res

119

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Central or local incident reporting? A comparative study in Dutch GP out-of-hours services

Abstract: BackgroundCentralised incident reporting in a Dutch collaboration of nine out-of-hours services yielded very few incident reports. To improve incident reporting and the awareness of primary caregivers about patient safety issues, a local incident-reporting procedure was implemented.

Cited by 23 publications

References 27 publications

Improving the governance of patient safety in emergency care: a systematic review of interventions

Improving the governance of patient safety in emergency care: a systematic review of interventions

Incident Reporting Behaviours and Associated Factors among Nurses Working in Gondar University Comprehensive Specialized Hospital, Northwest Ethiopia

Characterising the nature of primary care patient safety incident reports in the England and Wales National Reporting and Learning System: a mixed-methods agenda-setting study for general practice

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