scholarly journals Patient safety incidents are common in primary care: A national prospective active incident reporting survey

PLoS ONE ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. e0165455 ◽  
Author(s):  
Philippe Michel ◽  
Jean Brami ◽  
Marc Chanelière ◽  
Marion Kret ◽  
Anne Mosnier ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Incident Reporting ◽  
Patient Safety Incidents

scholarly journals Physician factors associated with increased risk for complaints in primary care emergency services: a case – control study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Svein Zander Bratland ◽  
Valborg Baste ◽  
Knut Steen ◽  
Esperanza Diaz ◽  
Svein Gjelstad ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Patient Safety ◽  
Emergency Services ◽  
Medical Training ◽  
Organizational Factors ◽  
Case Control ◽  
Study Patient ◽  
Increased Risk ◽  
Patient Safety Incidents

Abstract Background Patient safety incidents defined as any unintended or unexpected incident that could have or were judged to have led to patient harm, are reported as relatively common. In this study patient complaints have been used as an indicator to uncover the occurrence of patient safety incidents in primary care emergency units (PCEUs) in Norway. Methods Ten PCEUs in major cities and rural parts of Norway participated. These units cover one third of the Norwegian population. A case-control design was applied. The case was the physician that evoked a complaint. The controls were three randomly chosen physicians from the same PCEU as the physician having evoked the complaint. The following variables regarding the physicians were chosen: gender, citizenship at, and years after authorization as physician, and specialty in general practice. The magnitude of patient contact was defined as the workload at the PCEU. The physicians’ characteristics and workload were extracted from the medical records from the fourteen-day period prior to the consultation that elicited the complaint. The rest of the variables were then obtained from the Norwegian physician position register. Logistic regression was used to estimate odds ratio for complaints both unadjusted and adjusted for the independent variables. The data were analyzed using SPSS (Version25) and STATA. Results A total of 78 cases and 217 controls were included during 18 months (September 1st 2015 till March 1st 2017). The risk of evoking a complaint was significantly higher for physicians without specialty in general practice, and lower for those with medium low and medium high workload compared to physicians with no duty during the fourteen-day period prior to the index consultation. The limited strength of the study did not make it possible to assess any correlation between workload and the other variables (physician’s gender, seniority and citizenship at time of authorization). Conclusions Continuous medical training and achieving the specialty in general practice were decisively associated with a reduced risk for complaints in primary care emergency services. Future research should focus on elements promoting quality of care such as continuing education, duty rosters and other structural and organizational factors.

scholarly journals Analisis Faktor yang Mempengaruhi Pelaporan Insiden Keselamatan Pasien pada Perawat

2020 ◽  
Vol 3 (1) ◽  
pp. 15
Author(s):  
Maria Yuventa Wanda ◽  
Nursalam Nursalam ◽  
Andri Setiya Wahyudi
Keyword(s):  
Patient Safety ◽  
Work Experience ◽  
Care Facility ◽  
Incident Reporting ◽  
Cross Sectional ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Experience Education ◽  
Patient Safety Incidents ◽  
Safety Incident Reporting

Introduction: Patient Safety Incident Report hereinafter referred to as incident reporting, is a system of documenting patient safety incident reports, analyzing and obtaining recommendations and solutions from the health care facility patient safety team. This study aims to analyze the factors of work experience, education, perceptions, attitudes, motivation, leadership towards reporting patient safety incidents to nurses in the inpatient room of Prof. Dr. W. Z. Johannes Kupang.Method: The design of this study was cross-sectional. The sample size of the study was 143 respondents who met the inclusion criteria. The dependent variable is the reporting of patient safety incidents, while the independent variables are work experience, education, perception, attitude, motivation,  leadership. Data were collected using a questionnaire and observation on nurses. Data were then analyzed using multiple logistic regression with a significant value < 0.05.Results:  The results show that there is a perception effect on patient safety incident reporting (p = 0.05) and leadership influence on patient safety incident reporting (p = 0.02).Conclusion: The concludes is that there is an influence of perception and leadership on reporting patient safety incidents. Further researchers are advised to research the effect of training on improving patient safety incident reporting.

scholarly journals Patient Safety Incidents in Primary Care Dentistry in England and Wales

2018 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eduardo Ensaldo-Carrasco ◽  
Asiyah Sheikh ◽  
Kathrin Cresswell ◽  
Raman Bedi ◽  
Andrew Carson-Stevens ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
England And Wales ◽  
Patient Safety Incidents

scholarly journals Tip of the iceberg: patient safety incidents in primary care

2015 ◽  
Vol 25 (7) ◽  
pp. 477-479 ◽  
Author(s):  
Urmimala Sarkar
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Patient Safety Incidents

scholarly journals Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis

PLoS Medicine ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. e1002217 ◽  
Author(s):  
Philippa Rees ◽  
Adrian Edwards ◽  
Colin Powell ◽  
Peter Hibbert ◽  
Huw Williams ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Mixed Methods ◽  
England And Wales ◽  
Sick Children ◽  
Patient Safety Incidents

scholarly journals Contributory factors to patient safety incidents in primary care: protocol for a systematic review

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Sally Giles ◽  
Maria Panagioti ◽  
Andrea Hernan ◽  
Sudeh Cheraghi-Sohi ◽  
Rebecca Lawton
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Patient Safety ◽  
Contributory Factors ◽  
Care Protocol ◽  
Patient Safety Incidents

scholarly journals A mixed methods analysis of lithium-related patient safety incidents in primary care

2020 ◽  
Vol 11 ◽  
pp. 204209862092274
Author(s):  
Richard Simon Young ◽  
Paul Deslandes ◽  
Jennifer Cooper ◽  
Huw Williams ◽  
Joyce Kenkre ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Safety ◽  
Mixed Methods ◽  
Improve Patient Safety ◽  
Descriptive Analysis ◽  
Learning System ◽  
Contributory Factors ◽  
Safety Incident ◽  
Patient Safety Incidents ◽  
Dispensing Errors

Background: Lithium is a drug with a narrow therapeutic range and has been associated with a number of serious adverse effects. This study aimed to characterise primary care lithium-related patient safety incidents submitted to the National Reporting and Learning System (NRLS) database with respect to incident origin, type, contributory factors and outcome. The intention was to identify ways to minimise risk to future patients by examining incidents with a range of harm outcomes. Methods: A mixed methods analysis of patient safety incident reports related to lithium was conducted. Data from healthcare organisations in England and Wales were extracted from the NRLS database. An exploratory descriptive analysis was undertaken to characterise the most frequent incident types, the associated chain of events and other contributory factors. Results: A total of 174 reports containing the term ‘lithium’ were identified. Of these, 41 were excluded and, from the remaining 133 reports, 138 incidents were identified and coded. Community pharmacies reported 100 incidents (96 dispensing related, two administration, two other), general practitioner (GP) practices filed 22 reports and 16 reports originated from other sources. A total of 99 dispensing-related incidents were recorded, 39 resulted from the wrong medication dispensed, 31 the wrong strength, 8 the wrong quantity and 21 other. A total of 128 contributory factors were identified overall; for dispensing incidents, the most common related to medication storage/packaging ( n = 41), and ‘mistakes’ ( n = 22), whereas no information regarding contributory factors was provided in 41 reports. Conclusion: Despite the established link between medication packaging and the risk of dispensing errors, our study highlighted storage and packaging as the most commonly described contributory factors to dispensing errors. The absence of certain relevant data limited the ability to fully characterise a number of reports. This highlighted the need to include clear and complete information when submitting reports. This, in turn, may help to better inform the further development of interventions designed to reduce the risk of incidents and improve patient safety.

scholarly journals BARRIERS TO REPORTING PATIENT SAFETY INCIDENT IN HEALTHCARE WORKERS: INTEGRATIVE LITERATURE REVIEW

2021 ◽  
Vol 9 (2) ◽  
pp. 210
Author(s):  
Deasy Amelia Nurdin ◽  
Adik Wibowo
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Literature Review ◽  
Reporting Rate ◽  
Incident Reporting ◽  
Incident Reporting Systems ◽  
Care Workers ◽  
Safety Incident ◽  
Patient Safety Incident ◽  
Patient Safety Incidents

Background: The patient safety incident reporting systems is designed to improve the health care by learning from mistakes to minimize the recurrence mistakes, however the reporting rate is low.Aims: Integrative literature review was chosen to identify and analyze the barriers of reporting patient safety incidents by Health Care Workers (HCWs) in hospital.Methods: Searching for articles in electronic database consisting of Medline, CINAHL and Scopus resulted in 11 relevant articles originating from 9 countries.Results: There are differences but similar in barriers to reporting patient safety incident among HCWs. The barriers that occur are the existence of shaming and blaming culture, lack of time to report, lack of knowledge of the reporting system, and lack of support from the management.Conclusion: Each hospital has different barriers in reporting incident and the interventions carried out must be in accordance with the existing barriers.Keywords: barrier of reporting, incident reporting, patient safety incident

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