Reasons for not reporting patient safety incidents in general practice: A qualitative study

Kousgaard, Marius Brostrøm; Joensen, Anne Sofie Kjær; Thorsen, Thorkil

doi:10.3109/02813432.2012.732469

Cited by 27 publications

(36 citation statements)

References 19 publications

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“…This implies that a health worker would never report an incident when he/she is not sure of its consequences which can include a legal punishment, being terminated from the job and putting a copy of a letter in one's file. These are in agreement with previous reports [12,14,21,28,31,34]. Although this study was conducted in a single regional referral hospital, its results could to some degree be generalizable to the other settings considering the fact that the healthcare system and curriculum of healthcare professionals is similar across the country.…”

Section: Discussionsupporting

confidence: 93%

Practice, perceived barriers and motivating factors to medical-incident reporting: a cross-section survey of health care providers at Mbarara regional referral hospital, southwestern Uganda

Turyahabwe

Metcalfe

Atuhairwe

et al. 2020

BMC Health Serv Res

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Background: Medical-incident reporting (MIR) ensures patient safety and delivery of quality of care by minimizing unintentional harm among health care providers. We explored medical-incident reporting practices, perceived barriers and motivating factors among health care providers at Mbarara Regional Referral Hospital (MRRH). Methods: We conducted a cross-sectional descriptive study on 158 health provider at Mbarara Regional Referral Hospital (MRRH), Western Uganda. Data was gathered using a structured questionnaire and analyzed with SPSS. The chi-square was used to determine factors associated with MIR at MRRH. Results: The results showed that there was no formal incident reporting structure. However the medical-incidences identified were: medication errors (89.9%), diagnostic errors (71.5%), surgical errors (52.5%) and preventive error (47.7%). The motivating factors of MIR were: establishment of a good communication system, instituting corrective action on the reported incidents and reinforcing health workers knowledge on MIR (p-value 0.004); presence of effective organizational systems like: written guidelines, practices of open door policy, no blame approach, and team work were significantly associated with MIR (p-value 0.000). On the other hand, perceived barriers to MIR were: lack of knowledge on incidents and their reporting, non-existence of an incident reporting team and fear of being punished (p-value 0.669). Conclusion: Medical Incident Reporting at MRRH was sub-optimal. Therefore setting up an incident management team and conducting routine training MIR among health care workers will increase patient safety.

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Section: Discussionsupporting

confidence: 93%

Practice, perceived barriers and motivating factors to medical-incident reporting: a cross-section survey of health care providers at Mbarara regional referral hospital, southwestern Uganda

Turyahabwe

Metcalfe

Atuhairwe

et al. 2020

BMC Health Serv Res

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“…Several studies have explored the barriers to incident reporting in healthcare settings [3-11]. These barriers are associated with various characteristics at the organizational and individual levels [8].…”

Section: Introductionmentioning

confidence: 99%

“…Braithwaite et al [4] suggested that the most frequently encountered barriers to reporting incidents are culturally embedded. Kousgaard et al [3] found that the major reasons for low reporting rates were related to a perceived lack of practical usefulness, issues of time and effort in busy situations, and consideration of other professionals involved.…”

Section: Introductionmentioning

confidence: 99%

Barriers to the Operation of Patient Safety Incident Reporting Systems in Korean General Hospitals

2012

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ObjectivesThis study aimed to explore the barriers to and factors facilitating the operation of patient safety incident reporting systems.MethodsA qualitative study that used a methodological triangulation method was conducted. Participants were those who were involved in or responsible for managing incident reporting at hospitals, and they were recruited via a snowballing sampling method. Data were collected via interviews or emails from 42 nurses at 42 general hospitals. A qualitative content analysis was performed to derive the major themes related to barriers to and factors facilitating incident reporting.ResultsParticipants suggested 96 barriers to incident reporting in their hospitals at the organizational and individual levels. Low reporting rates, especially for near misses, were the most commonly reported issue, followed by poorly designed incident reporting systems and a lack of adequate patient safety leadership by mid-level managers. To resolve and overcome these barriers, 104 recommendations were suggested. The high-priority recommendations included introducing reward systems; improving incident reporting systems, by for instance implementing a variety of reporting channels and ensuring reporter anonymity; and creating a strong safety culture.ConclusionsThe barriers to and factors facilitating incident reporting include various organizational and individual factors. As an important way to address these challenging issues and to improve the incident reporting systems in hospitals, we suggest several feasible methods of doing so.

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“…A study exploring the reasons for poor reporting of patient safety incidents in the Danish Primary Healthcare (PHC) setting13 established that the main deterrents were time constraints and a perceived sense of futility. This was despite the process of reporting patient safety incidents having been made mandatory in Denmark's PHC sector 2 years previously 13.…”

Section: Introductionmentioning

confidence: 99%

“…This was despite the process of reporting patient safety incidents having been made mandatory in Denmark's PHC sector 2 years previously 13. This lack of understanding as to how the process can, if effectively undertaken, reduce the likelihood of an error or injury being repeated was also alluded to in a qualitative investigation of subject matter experts from a range of high-risk professions, including healthcare, in the UK 14.…”

Section: Introductionmentioning

confidence: 99%

Automating patient safety incident reporting to improve healthcare quality in the defence medical services

Lamb

Piper

2015

J R Army Med Corps

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There are many reasons for poor compliance with patient safety incident reporting in the UK. The Defence Medical Services has made a significant investment to address the culture and process by which risk to patient safety is managed within its organisation. This paper describes the decision process and technical considerations in the design of an automated reporting system together with the implementation procedure aimed to maximise compliance. The elimination of inherent weaknesses in feedback mechanisms from the three Armed Forces, which had been uniquely different, ensured the quality of data improved, which enabled resources to be prioritised that would also have a direct impact upon the quality of patient care.

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Reasons for not reporting patient safety incidents in general practice: A qualitative study

Cited by 27 publications

References 19 publications

Practice, perceived barriers and motivating factors to medical-incident reporting: a cross-section survey of health care providers at Mbarara regional referral hospital, southwestern Uganda

Practice, perceived barriers and motivating factors to medical-incident reporting: a cross-section survey of health care providers at Mbarara regional referral hospital, southwestern Uganda

Barriers to the Operation of Patient Safety Incident Reporting Systems in Korean General Hospitals

Automating patient safety incident reporting to improve healthcare quality in the defence medical services

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