Pierfrancesco Tricarico1, Luigi Castriotta1,2, Claudio Battistella1, Fabrizio Bellomo3, Giovanni Cattani1, Lucrezia Grillone1, Stefania Degan3, Daniela De Corti3, Silvio Brusaferro1,3. 1. Dipartimento di Scienze Mediche e Biologiche (Department of Medical and Biological Sciences), Università degli Studi di Udine (University of Udine), Piazzale Kolbe 4, 33100 Udine, Italy. 2. Istituto di Igiene ed Epidemiologia Clinica (Institute of Hygiene and Clinical Epidemiology), Azienda Sanitaria Universitaria Integrata di Udine (Udine University Hospital), Via Colugna 50, 33100 Udine, Italy. 3. SOC Accreditamento, Gestione del Rischio Clinico e Valutazione delle Performance Sanitarie (Accreditation, Clinical Risk Management and Performance Assessment Unit) - Udine University Hospital, Udine, Italy.
Abstract
OBJECTIVE: To establish categories of professionals' attitudes toward incident reporting by analyzing the trends in incident reporting while accounting for general risk indicators. DESIGN: The incident reporting system was evaluated over 6 years. Reporting rates, stratified by year and profession, were estimated using the non-mandatory reported events/full-time equivalent (NM-IR/FTE) rate. Other indicators were collected using the hospital's official database. Staff attitudes toward self-reporting were analyzed. Univariate and multivariable analyses were performed. SETTING: A 1000-bed Italian academic hospital. PARTICIPANTS: Staff of the hospital (over 3200 professionals). INTERVENTIONS: None. MAIN OUTCOME MEASURES: NM-IT/FTE rates, self-reported rates, patient complaints/praises, work accidents among professionals and 30-day readmissions. RESULTS: The overall reporting rate was 0.44 (95% confidence interval [CI]: 0.42-0.46) among doctors and 0.40 (95% CI: 0.39-0.41) among nurses. Between 2010 and 2015, only the doctors' reporting rate increased significantly (P = 0.04), from 0.29 (95% CI: 0.25-0.34) to 0.67 (95% CI: 0.60-0.73). Patient complaints decreased from 384 to 224 (P < 0.001) and work accidents decreased from 296 to 235 (P = 0.01), while other indicators remained constant. Multivariable logistic regression showed that self-reporting was more likely among nurses than doctors (odds ratio: 1.51; 95% CI: 1.31-1.73) and for severe events than near misses (odds ratio: 1.78; 95% CI: 1.11-2.87). CONCLUSIONS: Because the doctors' reporting rates increased during the study period, doctors may be more likely to report adverse events than nurses, although nurses reported more events. Incident reporting trends and other routinely collected risk indicators may be useful to improve our understanding and measurement of patient safety issues.
OBJECTIVE: To establish categories of professionals' attitudes toward incident reporting by analyzing the trends in incident reporting while accounting for general risk indicators. DESIGN: The incident reporting system was evaluated over 6 years. Reporting rates, stratified by year and profession, were estimated using the non-mandatory reported events/full-time equivalent (NM-IR/FTE) rate. Other indicators were collected using the hospital's official database. Staff attitudes toward self-reporting were analyzed. Univariate and multivariable analyses were performed. SETTING: A 1000-bed Italian academic hospital. PARTICIPANTS: Staff of the hospital (over 3200 professionals). INTERVENTIONS: None. MAIN OUTCOME MEASURES: NM-IT/FTE rates, self-reported rates, patient complaints/praises, work accidents among professionals and 30-day readmissions. RESULTS: The overall reporting rate was 0.44 (95% confidence interval [CI]: 0.42-0.46) among doctors and 0.40 (95% CI: 0.39-0.41) among nurses. Between 2010 and 2015, only the doctors' reporting rate increased significantly (P = 0.04), from 0.29 (95% CI: 0.25-0.34) to 0.67 (95% CI: 0.60-0.73). Patient complaints decreased from 384 to 224 (P < 0.001) and work accidents decreased from 296 to 235 (P = 0.01), while other indicators remained constant. Multivariable logistic regression showed that self-reporting was more likely among nurses than doctors (odds ratio: 1.51; 95% CI: 1.31-1.73) and for severe events than near misses (odds ratio: 1.78; 95% CI: 1.11-2.87). CONCLUSIONS: Because the doctors' reporting rates increased during the study period, doctors may be more likely to report adverse events than nurses, although nurses reported more events. Incident reporting trends and other routinely collected risk indicators may be useful to improve our understanding and measurement of patient safety issues.
Authors: Samantha Machen; Yogini Jani; Simon Turner; Martin Marshall; Naomi J Fulop Journal: Int J Qual Health Care Date: 2019-12-31 Impact factor: 2.038
Authors: Kristen M Crandall; Ahmed Almuhanna; Rebecca Cady; Lisbeth Fahey; Tara Taylor Floyd; Debbie Freiburg; Mary Anne Hilliard; Sonal Kalburgi; Nafis I Khan; DiAnthia Patrick; Padmaja Pavuluri; Kelvin Potter; Lisa Scafidi; Laura Sigman; Rahul K Shah Journal: Pediatr Qual Saf Date: 2018-04-06