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Problems with incident reporting: Reports lead rarely to recommendations
Author(s) -
Liukka Mari,
Hupli Markku,
Turunen Hannele
Publication year - 2019
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.14765
Subject(s) - incident report , checklist , relevance (law) , medicine , health care , patient safety , action (physics) , medline , medical emergency , family medicine , nursing , psychology , engineering , forensic engineering , law , economics , physics , quantum mechanics , political science , cognitive psychology , economic growth
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.