<p>Practical and Cultural Barriers to Reporting Incidents Among Health Workers in Indonesian Public Hospitals</p>

Abstract

This study investigated the practical and cultural barriers of reporting patient safety incidents in three accredited public hospitals in East Java, Indonesia. Methods: This study employed a mixed methods approach using a convergent parallel design. We surveyed 1121 health workers and interviewed 27 managerial staff members from the sampled hospitals. A chi-square analysis was performed to evaluate differences in demographic factors, barriers to reporting, and practices of reporting between those who had reported an incident and those who had witnessed an incident but had not reported it. NVivo 11 software was used to perform the qualitative data analysis. Results: This study had a 76.53% response rate. The quantitative evaluation identified significant differences in professions and work units and in participation in quality and safety training between the reporting group and the non-reporting group. The analysis of practical barriers displayed significant differences between the groups with the following responses: "did not know how to report," "did not know where to report," and "lack of feedback". For cultural barriers, a significant difference was shown only for the response "did not want conflict." In the qualitative assessment, most of the interview participants reported lack of knowledge and lack of socialization or training as practical barriers in reporting incidents. Furthermore, reluctance and fear to report were mentioned as cultural barriers by most of the interviewees. Conclusion: Because there were conflicting findings in the barriers of reporting incidents, these barriers must be identified, discussed, and resolved by health workers and their managers or supervisors to improve incident reporting. Managers must foster open communication and build positive connections with health workers. Further research is necessary to focus on possible ways of addressing the barriers to reporting.

Factors contributing to under-reporting of patient safety incidents in Indonesia: leaders’ perspectives

“…Several studies have identified the barriers that contribute to low incident reporting rates in Indonesian hospitals. [7][8][9] The high prevalence of under-reporting severely undermines the capacity of incident reporting systems to promote learning and improve patient safety. We used previous framework in identifying the factors that lead to patient safety incident reporting that consisted of organizational factors, work environment, process and system of reporting, factors related to patient safety team at hospital level, knowledge and skills of reporting personnel, individual characteristics of health care professionals, professional ethics, fear of adverse consequences, and incident characteristics.…”

Barriers to Reporting Patient Safety Incident in Healthcare Workers: Integrative Literature Review

“…The patient safety incident reporting system is the monitoring and prevention of injury to patients. The purpose of the reporting system is to learn from mistakes so as to minimize the recurrence of the same mistakes (Samsiah et al, 2016) (M. Christopher, 2016) (Dhamanti, et al, 2020) HCWs play an important role in PSI reporting, but the information is not fully understood. In Malaysia, the number of reported incidents is lower than the actual number of incidents.…”

“…In Iran, even though the reporting system has been made anonymously, around 45% of nurses are still reluctant to report it (Fathi et al, 2017). In Indonesia, a total of 1,227 hospitals have been accredited, but only 668 incidents were reported in 2016, whereas when compared to Taiwan, every year there are 50.000 incidents reported (Dhamanti, et al, 2020).…”

Faktor yang Menghambat Pelaporan Insiden Keselamatan Pasien di Rumah Sakit: Literature Review

“…20 Perasan takut dihukum, disalahkan, di intimidasi dan dinilai tidak kompeten apabila melaporkan insiden merupakan faktor individu yang menghambat pelaporan insiden di rumah sakit. 10,13,15,17,11,18,19…”

“…10 Sampel terkecil terdapat pada penelitianPeyrovi et al (2016) yang dilakukan di Rumah Sakit Pendidikan di Provinsi Kurdistan dan Teheran, Iran, dengan total sampel sebanyak 16. 11 Sebagian besar artikel diterbitkan dalam jurnal internasional yang terindeks PubMed dan ScienceDirect.…”