The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 `near-misses¿ and adverse events

Heideveld-Chevalking, Anita J; Calsbeek, Hiske; Damen, Johan; Gooszen, Hein G.; Wolff, André

doi:10.1186/preaccept-1149944930147258

Cited by 8 publications

(9 citation statements)

References 25 publications

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“…They are reported to be between 1 and 4 % of safety incidents in radiology [5,36]. The percentage varied from 3 % to 36 % in medicine [32,42,43,45,46]. Our study revealed a rate of 0.003 % for environment/equipment incidents which was 1.5 % of reports examined ( Table 2).…”

Section: Discussioncontrasting

confidence: 42%

How often are Patients Harmed When They Visit the Computed Tomography Suite? A Multi-year Experience, in Incident Reporting, in a Large Academic Medical Center

et al. 2015

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Section: Discussioncontrasting

confidence: 42%

How often are Patients Harmed When They Visit the Computed Tomography Suite? A Multi-year Experience, in Incident Reporting, in a Large Academic Medical Center

et al. 2015

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“…An incident is defined as an unexpected event that occurs in a patient, causing harm to the patient during hospitalization [16]. Management of incident reports at Regional Hospitals in Yogyakarta, Indonesia, is conducted by applying the Indonesian Hospital Accreditation Committee guidelines.…”

Section: Discussionmentioning

confidence: 99%

Incident Report: Between the Shadows of Obligation and Formality

Budi

Hapsara

Tetra

et al. 2021

Open Access Maced J Med Sci

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BACKGROUND: Incident reports are the primary data source for monitoring patient safety in the hospital. Monitoring of these reports determines the success of managing safety-related incidents as an effort to improve patient care. Hospital staff plays an essential role in the management of incident reports. Each staff member has a role in managing incident reports. AIM: This article aimed to explore the role of hospital staff in the incident reporting process. METHODS: This qualitative research used an exploratory approach. The research informants were three doctors, 21 nurses, one pharmacist, and two computer administrators. Data were collected using interviews and observations of incident reporting implementation. The research data were analyzed with the qualitative analysis software Atlas.ti. RESULTS: Report management is not done solely for the formality of achieving the target. Implementation of regulations for report management is also done by all hospital staff to prioritize discipline, honesty, and responsibility according to their roles. Staff is expected to report adverse or dangerous events (incidents) that could affect patient safety. The reporting coordinator is responsible for the report’s completeness. Heads of participation room are expected to validate reports. The patient safety team is in charge of analyzing and providing feedback. Supportive attitudes from the board of directors are needed to create a reporting culture. There are several barriers to reporting management, including management support factors, facilities, and an effective feedback system. CONCLUSION: Leaders need to develop staff who focus on discipline, honesty, and responsibility in providing services to patients by prioritizing patient safety. All staff is involved in managing incident reports by playing an active role in following their duties.

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“…In the international context, Canadian researchers, analyzing 212 cases of patients submitted to emergency abdominal surgery, found that 51.9% had a non-fatal complication, 22.6% lost independence and 6.6% died at the hospital 15 . In the Netherlands, from the investigation of 67,630 surgical procedures, 2,563 incidents were identified, of which 34% (n = 877) resulted from non-compliance with institutional protocols by professionals 16 .…”

Section: Discussionmentioning

confidence: 99%

Adherence to the objectives of the Safe Surgery Saves Lives Initiative: perspective of nurses

Gutierres¹,

Santos

Barbosa

et al. 2019

Rev. Latino-Am. Enfermagem

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Objective:to measure the adherence to the objectives of the Safe Surgery Saves Lives Initiative in surgical centers from the perspective of nurses. Method:cross-sectional study, developed through an online survey via the Google Forms® platform. The study participants were 220 nurses from surgical centers in different regions of Brazil. The data were collected through a socio-professional characterization form and a questionnaire in which the participants indicated their level of agreement in relation to the fulfillment of the objectives of the Safe Surgery Saves Lives Initiative. Data analysis was performed using descriptive statistics. Results:objective 1, The team will operate on the correct patient at the correct site, presented the highest levels of total agreement (n = 144; 65.5%) and partial agreement (n = 52; 23.6%). Objective 10, Hospitals and the public health systems will establish routine surveillance of surgical capacity, volume and results, obtained the lowest percentages of total (n = 69, 31.4%) and partial agreement (n = 81, 36.8%). Conclusion:adherence to the objectives of the Initiative is adequate, but there are weaknesses, especially in relation to the prevention of never events.

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The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 `near-misses¿ and adverse events

Cited by 8 publications

References 25 publications

How often are Patients Harmed When They Visit the Computed Tomography Suite? A Multi-year Experience, in Incident Reporting, in a Large Academic Medical Center

How often are Patients Harmed When They Visit the Computed Tomography Suite? A Multi-year Experience, in Incident Reporting, in a Large Academic Medical Center

Incident Report: Between the Shadows of Obligation and Formality

Adherence to the objectives of the Safe Surgery Saves Lives Initiative: perspective of nurses

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