Problems with incident reporting: Reports lead rarely to recommendations

Mari Liukka, Markku Hupli and Hannele Turunen

Journal of Clinical Nursing, 2019, vol. 28, issue 9-10, 1607-1613

Abstract: Aim and objective To analyse trends in incident reporting over the last 5 years and determine how many reports led to recommendations? Background Patient safety incident reporting systems have been used in health care for years. However, they have a significant weakness in that reports often do not lead to any visible action. Design The study is a retrospective register study. STROBE checklist was applied in the preparation of the paper. Methods Data were collected from a web‐based incident reporting database (HaiPro) for a social‐ and healthcare organisation in Finland, covering the period from 2011–2015. Results In total, 16,019 incident reports were analysed. In 2.7% (n = 426) of all reports, there was written recommendation to develop action that such incidents would not happen again. Those reports were classified into seven categories: education, introduction and information, introduction to work, patient care, guidelines, instruments and IT programmes, and the physical environment. Conclusions Managers get major amount incident reports. There should be (a) a definition what kind of events should be reported, (b) a definition for how serious events managers have to make a recommendation and (c) control that recommendations are implemented. Relevance to clinical practice There is a need for more action to promote patient safety based on incident reports.

Date: 2019
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https://doi.org/10.1111/jocn.14765

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Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:28:y:2019:i:9-10:p:1607-1613

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