Incident reporting in surgery: a review of the literature

Hossain, Tanvir; Hossain, Naveed

doi:10.5455/2349-2902.isj20150506

Cited by 5 publications

(6 citation statements)

References 14 publications

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“…Studies recommend that reoccurrence of errors can be prevented by the incident reporting system. However, lack of reporting of incidents by nurses as well as health facility leaders increases incidents in an alarming rate which affects patient safety throughout the world [ 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Critical Incident Disclosing Behaviors and Associated Factors among Nurses Working in Amhara Region Referral Hospitals, Northwest Ethiopia: A Cross-Sectional Study

Eshete

Tesfaye

Dagnew

et al. 2021

Critical Care Research and Practice

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Background. Though the goal of healthcare institutions is patient safety, errors have been committed by healthcare providers. Incident reporting behavior enhances patient safety by reducing the repeated occurrence of errors in the health facility. Therefore, this study aims to identify incident disclosing behaviors and associated factors among nurses working in referral hospitals, Northwest Ethiopia. Methods. Institution-based cross-sectional study design was conducted among randomly selected 319 nurses working in referral hospitals of Amhara region from March 1–30, 2019. Data were collected using a self-administered structured questionnaire. Data were coded and entered into EpiData 4.2 software and exported to Statistical Package for Social Sciences version 25 for analysis. All variables with p value <0.25 during bivariable binary logistic regression analysis were considered for multivariable binary logistic regression analysis. Odds ratio along with 95% CI was estimated to measure the strength of the association. Level of statistical significance was declared at p value ≤0.05. Results. The proportion of nurses who reported incidents was 31.9% (95% confidence interval (CI), 27, 3)). Fear of administrative sanctions (adjusted odd ratio (AOR) = 0.45; 95% CI, 0.22, 0.90), fear of legal penalty (AOR = 0.27; 95% CI, 0.14, 0.50), lack of feedback (AOR = 0.29; 95% CI, 0.13, 0.66), nonsupportive environment (AOR = 0.27; 95% CI, 0.14, 0.52), and feel that reporting to colleague is easier (AOR = 2.65; 95% CI, 1.35, 5.20) were all found to be significant factors. Conclusions. The proportion of nurses who reported incidents was low. Fear of administrative sanctions, fear of legal penalty, lack of feedback, nonsupportive environment, and felling that reporting to colleagues was easier are found to be significant factors. Developing a system that encourages critical incident reporting behavior and provide protection from penalties for nurses to report incidents for the enhancement of patient safety and quality of care at each health facility and regional level is crucial.

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Section: Introductionmentioning

confidence: 99%

Critical Incident Disclosing Behaviors and Associated Factors among Nurses Working in Amhara Region Referral Hospitals, Northwest Ethiopia: A Cross-Sectional Study

Eshete

Tesfaye

Dagnew

et al. 2021

Critical Care Research and Practice

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“…This fact indicates the possibility of physical adsorption, since the heat of chemisorption generally falls into a range of 80-200 kJ/mol. 41 The low value of ΔS° may imply that no remarcable change in enthropy occurred during the MG adsorption onto WGT. In addition, the positive value of ΔS reflects the incresed of randomness at the solid-solution interface during adsorption.…”

Section: 37mentioning

confidence: 99%

Adsorptive Removal of Malachite Green from Model Aqueous Solutions by Chemically Modified Waste Green Tea Biomass

Indolean

Burcă²,

Măicăneanu³

2017

ACSi

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The adsorption of malachite green (MG) from aqueous solution by waste green tea (WGT) biomass was investigated. A series of experiments in batch conditions were conducted in order to assess the MG removal on WGT, following adsorbent quantity and temperature influences. Maximum removal efficiency for untreated WGT was 89% (4 g biomass, 100 mL solution of 94 mg/L, 316 K). It was found that the adsorption of MG increased by increasing temperature from 296 to 316 K. Thermodynamic parameters (ΔH°, ΔS°, ΔG°) were calculated, and indicated that dye adsorption onto the studied biomass was endothermic and non-spontaneous. Six chemical treatments were tested (four acidic -H 3 PO 4 , H 2 SO 4 , HCl, and tartaric acid, one oxidant -H 2 O 2 , and one basic -NaOH) in order to study the chemical groups responsible for MG adsorption onto WGT biomass. The alkali and acidic treatments led to an increase of adsorption efficiency up to 92% and 95% (H 2 SO 4 ) respectively. The FTIR spectroscopy results emphasized the modifications of the biomass surface and how these are influencing the adsorption process.

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“…There remains significant potential for sub-standard practice, despite researchers' best intentions and efforts, which the community must address head-on. A mechanism for sharing practical experience and flagging potential concerns, akin to the processes used for reporting surgical ‘near miss’ incidents [108,109], would help avoid unnecessary repetition of suboptimal protocols, minimize impact on animals and contribute to refining physiological research on wild-animals.…”

Section: Important Ethical Considerationsmentioning

confidence: 99%

“…R. Soc. B 376: 20200230 experience and flagging potential concerns, akin to the processes used for reporting surgical 'near miss' incidents [108,109], would help avoid unnecessary repetition of suboptimal protocols, minimize impact on animals and contribute to refining physiological research on wild-animals.…”

Section: Important Ethical Considerationsmentioning

confidence: 99%

Future trends in measuring physiology in free-living animals

Williams

Shipley

Rutz

et al. 2021

Phil. Trans. R. Soc. B

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Thus far, ecophysiology research has predominantly been conducted within controlled laboratory-based environments, owing to a mismatch between the recording technologies available for physiological monitoring in wild animals and the suite of behaviours and environments they need to withstand, without unduly affecting subjects. While it is possible to record some physiological variables for free-living animals using animal-attached logging devices, including inertial-measurement, heart-rate and temperature loggers, the field is still in its infancy. In this opinion piece, we review the most important future research directions for advancing the field of ‘physiologging’ in wild animals, including the technological development that we anticipate will be required, and the fiscal and ethical challenges that must be overcome. Non-invasive, multi-sensor miniature devices are ubiquitous in the world of human health and fitness monitoring, creating invaluable opportunities for animal and human physiologging to drive synergistic advances. We argue that by capitalizing on the research efforts and advancements made in the development of human wearables, it will be possible to design the non-invasive loggers needed by ecophysiologists to collect accurate physiological data from free-ranging animals ethically and with an absolute minimum of impact. In turn, findings have the capacity to foster transformative advances in human health monitoring. Thus, we invite biomedical engineers and researchers to collaborate with the animal-tagging community to drive forward the advancements necessary to realize the full potential of both fields. This article is part of the theme issue ‘Measuring physiology in free-living animals (Part II)’.

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Incident reporting in surgery: a review of the literature

Cited by 5 publications

References 14 publications

Critical Incident Disclosing Behaviors and Associated Factors among Nurses Working in Amhara Region Referral Hospitals, Northwest Ethiopia: A Cross-Sectional Study

Critical Incident Disclosing Behaviors and Associated Factors among Nurses Working in Amhara Region Referral Hospitals, Northwest Ethiopia: A Cross-Sectional Study

Adsorptive Removal of Malachite Green from Model Aqueous Solutions by Chemically Modified Waste Green Tea Biomass

Future trends in measuring physiology in free-living animals

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