Attitudes and barriers to incident reporting: A collaborative hospital study

Quality and Safety in Health Care

Volumn 15, Issue 1, 2006, Pages 39-43

  Evans, S M ^a,b   Berry, J G ^c   Smith, B J ^d   Esterman, A ^e   Selim, P ^d   O'Shaughnessy, J ^d   DeWit, M ^d  

^a MONASH UNIVERSITY   (Australia)

^b UNIVERSITY OF ADELAIDE   (Australia)

^c FLINDERS UNIVERSITY   (Australia)

^d QUEEN ELIZABETH HOSPITAL   (Australia)

^e UNIVERSITY OF SOUTH AUSTRALIA   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATTITUDE; AUSTRALIA; AWARENESS; CLINICAL PRACTICE; CONTROLLED STUDY; DECUBITUS; DEEP VEIN THROMBOSIS; HEALTH SURVEY; HUMAN; HUMAN EXPERIMENT; INCIDENT REPORT; MEDICAL STAFF; MEDICATION ERROR; NURSE; PHYSICIAN ATTITUDE;

ACCIDENTAL FALLS; ATTITUDE OF HEALTH PERSONNEL; CROSS-OVER STUDIES; DATA INTERPRETATION, STATISTICAL; HEALTH CARE SURVEYS; HUMANS; MEDICATION ERRORS; NURSES; OUTCOME ASSESSMENT (HEALTH CARE); PHYSICIANS; PRESSURE ULCER; QUESTIONNAIRES; RISK; RISK MANAGEMENT; SAFETY MANAGEMENT; SOUTH AUSTRALIA;

EID: 33244493122     PISSN: 14753898     EISSN: None     Source Type: Journal    
DOI: 10.1136/qshc.2004.012559     Document Type: Article

References (29)

1. Leape LL. Error in medicine. JAMA 1994;272:1851-7.
2. Shojania KG, Duncan BW, McDonald KM, et al. Making health care safer: a critical analysis of patient safety practices. Evid Rep Technol Assess (Summ) 2001;43:1-668.
3. Evans SM, Berry JG, Smith BJ, et al. Anonymity or transparency in reporting of medical error: a community-based survey in South Australia. Med J Aust 2004;180:577-80.
4. Australian Council for Safety and Quality in Health Care. Safety in numbers. A technical options paper for a national approach to the use of data for safer health care. Canberra: Commonwealth of Australia, 2001.
5. Department of Health. An organisation with a memory. London: Stationery Office, 2000.
6. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington, DC: National Academy Press, 2000:1-16.
7. Runciman WB, Moller J. Iatrogenic injury in Australia, A report prepared by the Australian Patient Safety Foundation for the National Health Priorities and Quality Branch of the Department of Health and Aged Care of the Commonwealth Government of Australia. Adelaide, South Australia: Australian Patient Safety Foundation, 2001.
8. Runciman WB, Merry A. A tragic death: a time to blame or a time to learn? Qual Saf Health Care 2003;12:321-2.
9. Beckmann U, Bohringer C, Carless R, et al. Evaluation of two methods for quality improvement in intensive care: facilitated incident monitoring and retrospective medical chart review. Crit Care Med 2003;31:1006-11.
10. O'Neil AC, Petersen LA, Cook EF, et al. Physician reporting compared with medical record review to identify adverse medical events. Ann Intern Med 1993;119:370-6.
11. Neale G, Woloshynowych M. Retrospective case record review: a blunt instrument that needs sharpening. Qual Saf Health Care 2003;12:2-3.
12. Barach P, Small SD. Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ 2000;320:759-63.
13. Cullen DJ, Bates DW, Small SD, et al. The incident reporting system does not detect adverse drug events: a problem for quality improvement. Jt Comm J Qual Improv 1995;21:541-8.
14. Johnson CW. How will we get the data and what will we do with it then? Issues in the reporting of adverse healthcare events. Qual Saf Health Care 2003;12(Suppl II):ii64-7.
15. Kingston MJ, Evans SM, Smith BJ, et al. Attitudes of doctors and nurses towards incident reporting: a qualitative analysis. Med J Aust 2004;181:36-9.
16. Welsh CH, Pedot R, Anderson RJ. Use of morning report to enhance adverse event detection. J Gen Intern Med 1996;11:454-60.
17. Vincent C, Stanhope N, Crowley-Murphy M. Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract 1999;5:13-21.
18. Wilson RM, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust 1995;163:458-71.
19. Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 2000;38:261-71.
20. Uribe CL, Schweikhart SB, Pathak DS, et al. Perceived barriers to medical-error reporting: an exploratory investigation. J Healthc Manag 2002;47:263-79.
21. Lawton R, Parker D. Barriers to incident reporting in a healthcare system. Qual Saf Health Care 2002;11:15-8.
22. Eland IA, Belton KJ, van Grootheest AC, et al. Attitudinal survey of voluntary reporting of adverse drug reactions. Br J Clin Pharmacol 1999;48:623-7.
23. Firth-Cozens J. Barriers to incident reporting. Qual Health Care 2002;11:7.
24. Elnitsky C, Nichols B, Palmer K. Are hospital incidents being reported? J Nurs Admin 1997;27:40-6.
25. Creswell J. Research design: qualitative, quantitative and mixed methods approaches, 2nd edition. California, US: Sage Publications, 2003.
26. Richardson S, Allen J. Casualization of the nursing workforce: a New Zealand perspective on an international phenomenon. Int J Nurs Prac 2001;7:104-8.
27. Bent PD, Bolsin SN, Creati BJ, et al. Professional monitoring and critical incident reporting using personal digital assistants. Med J Aust 2002;177:496-9.
28. Evans S. Evaluation of an incident reporting to improve hospital systems (IRIS) project, April 2003. Available at http://www.saretyandqualily.sa.gov.au/ site/page.cfm?area_id=10&nav_id=506 (accessed 25 October 2005).
29. New South Wales Department of Health. Patient Safety and Clinical Quality Program: First Report on Incident Management in the NSW Public Health System 2003-2004. NSW, Australia: NSW Department of Health, 2005, Available at http://www.health.nsw.gov.au/pubs/2005/incident_mgmnt.html (accessed 25 October 2005).