Patient and healthcare worker safety risks and injuries. Learning from incident reporting

Wåhlin, Charlotte; Kvarnström, Susanne; Öhrn, Annica; Strid, Emma Nilsing

doi:10.1080/21679169.2018.1549594

Cited by 22 publications

(30 citation statements)

References 27 publications

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“…The question about perceived sleep quality was scored on a 10-point scale [1][2][3][4][5][6][7][8][9][10], with a lower score reflecting better sleep. The factors demand for precision, work posture, psychosocial demands, social support, and items for leadership and perceived sleep were then dichotomised (1-5 and 6-10), with the values 1-5 indicating the positive aspects of exposure at work and presented as percentages.…”

Section: Physical and Psychosocial Workplace Conditionsmentioning

confidence: 99%

“…There is consistent evidence that occupational health-related problems are prevalent among employees in dental organisations, and the risk of work related injuries is still a major concern [2,5]. A recent study reported the prevalence of injuries for both patients and employees in healthcare and dentistry indicating the need for prevention, assessments of risks, and tailored interventions at the workplace [6]. Work-related stress is reported to be prevalent also [2,7].…”

Section: Introductionmentioning

confidence: 99%

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Work and health characteristics of oral health providers who stay healthy at work – a prospective study in public dentistry

Wåhlin

Lindmark

Wagman

et al. 2021

European Journal of Physiotherapy

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Objectives: Research into work-related factors that positively influence Oral Health Providers (OHPs) health is scarce. This study aimed to analyse which OHPs in dental services remain healthy over time in relation to work-and health-related factors. Methods: OHPs took part in this prospective cohort study (n ¼ 168). In 2012 and 2014 they answered a questionnaire featuring questions about demographics, health indicators, work and organisational factors. Results: OHPs were classified into three subgroups; healthy group (n ¼ 66), semi-healthy group (n ¼ 45) and unhealthy group (n ¼ 57). The healthy group reported no sick leave or sickness presence in 2012 or 2014. Factors that explained a greater likelihood of belonging to the healthy group were: good work ability, not having neck pain, perceived low exertion at the end of the working day, not having sleeping problems. They scored higher on health indicators than OHPs in the unhealthy group. Conclusions: OHPs with no sick leave or sickness presence report much better salutogenic health, better physical work ability and lower perceived exertion at the end of their workday compared with unhealthy group of OHPs. Understanding the relationship between working conditions and well-being is crucial to target interventions for OHPs which improve work conditions and health.

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Section: Physical and Psychosocial Workplace Conditionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Work and health characteristics of oral health providers who stay healthy at work – a prospective study in public dentistry

Wåhlin

Lindmark

Wagman

et al. 2021

European Journal of Physiotherapy

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“…Threats and violence are in fact more frequently reported in Swedish health care than in other Swedish workplaces, and the percentage of those exposed has increased in the last years [6]. All of these exposures may lead to a variety of injuries such as musculoskeletal injury, wounds, infections or psychological symptoms [7,8]. The risk factors for occupational injury can be attributed to an interaction between characteristics of the worker and the patient, and the workplace [9,10].…”

Section: Introductionmentioning

confidence: 99%

Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis

Strid

Wåhlin

Ros

et al. 2021

BMC Health Serv Res

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Background Health care workers (HCWs) are at high risk of occupational injuries and approximately 10–15% of patients are affected by an adverse event during their hospital stay. There is scarce scientific literature about how HCWs manage these risks in practice and what support they need. This knowledge is needed to improve safety for patients and HCWs. This study explores HCWs’ experiences of workplace incidents that led to injury or posed a risk of patient and worker injury, with focus on HCWs’ emotions and actions. Methods This study employed a qualitative design using the critical incident technique. Semi-structured individual interviews were held with 34 HCWs from three regions in Sweden. Data were analysed using inductive category development. Results Altogether 71 workplace incidents were reported. The analysis of two dimensions – the emotions HCWs feel and the actions team members and managers take when a workplace incident occurs – yielded two categories each: Anxiety during the incident, Persistent distress after the incident, Team interplay for safety actions and Support and ratification from managers and colleagues. Health care workers risked their own safety and health to provide patient safety. Teamwork and trustful relationships were critical for patient and worker safety. Support and validation from colleagues and managers were important for closure; unsatisfactory manager response and insufficient opportunities to debrief the incident could lead to persistent negative emotions. Participants described insecurity and fear, sadness over being injured at work, and shame and self-regret when the patient or themselves were injured. When the workplace had not taken the expected action, they felt anger and resignation, often turning into long-term distress. Conclusions Work situations leading to injury or risk of patient and worker injury are emotionally distressing for HCWs. Team interplay may facilitate safe and dynamic practices and help HCWs overcome negative emotions. Organizational support is imperative for individual closure. For safety in health care, employers need to develop strategies for active management of risks, avoiding injuries and providing support after an injury.

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“…1 Systematic analyses of these reports is a good way to develop a safety culture in healthcare. 2 Although a single report does not necessarily lead to a change in healthcare systems, pooling and analysing reports can highlight gaps and faults in the environment. It is necessary to investigate what occurred and, why it occurred, and to determine the deficiencies in the system that allowed the incident to take place.…”

Section: Introductionmentioning

confidence: 99%

Adverse events due to unnecessary radiation exposure in medical imaging reported in Finland

et al. 2020

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Adverse events in radiology are quite rare, but they do occur. Radiation safety regulations and the law obligate organizations to report certain adverse events, harm and near misses, especially events related to patients' health and safety. The aim of this study was to describe and analyse incidents related to radiation safety issues reported in Finland. MethodsThe data were collected from incident reports documented by radiology personnel concerning notifications of abnormal events in medical imaging made to the Radiation and Nuclear Safety Authority between 2010 and 2017. During these eight years, 312 reports were submitted. Only events reported from radiology departments were included; nuclear medicine, radiotherapy and animal radiology cases were excluded. The final number of reports was 293 (94%). ResultsThe majority of the 293 approved reports were related to computed tomography (CT, 68.3%) and to X-ray examinations (27.6%). Altogether 82.9% of those irradiated were adults, most of whom were exposed to unnecessary radiation through CT (86.5%), 5.5% were children, and 4.4% pregnant women. The most common effective dose of unnecessary radiation was 1 mSv or less (89.7% of all examinations). The highest effective doses were reported in CT (from under 1 mSv-20 mSv and above). The reasons for the adverse events were incorrect identification (32%), incorrect procedure, site or side (30%); and human errors or errors of knowledge Data selection (20%). ConclusionAdverse events occurred especially in CT examinations. It is important to collect and analyse incident data, assess the harmful events, learn from them and aim to reduce adverse events.

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Patient and healthcare worker safety risks and injuries. Learning from incident reporting

Cited by 22 publications

References 27 publications

Work and health characteristics of oral health providers who stay healthy at work – a prospective study in public dentistry

Work and health characteristics of oral health providers who stay healthy at work – a prospective study in public dentistry

Health care workers’ experiences of workplace incidents that posed a risk of patient and worker injury: a critical incident technique analysis

Adverse events due to unnecessary radiation exposure in medical imaging reported in Finland

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