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CC BY-NC-ND 4.0 · Avicenna J Med 2021; 11(03): 139-144
DOI: 10.1055/s-0041-1734386
Original Article

Perceived Barriers of Incident Reporting Among Internists: Results from Hamad Medical Corporation in Qatar

Mouhand F.H. Mohamed
1   Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
,
Ibrahim Y. Abubeker
2   Department of Medicine, Brown Internal Medicine Residency, Brown University, Providence, Rhode Island, United States
,
Dabia Al-Mohanadi
1   Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
,
Ahmed Al-Mohammed
1   Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
,
Abdul-Badi Abou-Samra
1   Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
3   Department of Medicine, Weill Cornell Medical College, Doha, Qatar
,
Abdel-Naser Elzouki
1   Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar
3   Department of Medicine, Weill Cornell Medical College, Doha, Qatar
4   Department of Medicine, College of Medicine, Qatar University, Doha, Qatar
› Institutsangaben Funding None.
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Abstract

Background Adverse events (AE) are responsible for annual deaths that exceed deaths due to motor vehicle accidents, breast cancer, and AIDS. Many AE are considered preventable. Thus, AE needs to be detected and analyzed. Incident reporting systems (IRS) are crucial in identifying AE. Nevertheless, the incident report (IR) process is flawed with underreporting, especially from the physicians' side. This limits its efficiency in detecting AE. Therefore, we aimed to assess the practice and identify the barriers associated with incident reporting among internal medicine physicians in a large tertiary hospital through a survey.

Methods A cross-sectional descriptive study. We distributed an online survey to physicians working in the Internal Medicine Department of Qatar's largest tertiary academic institute. The questionnaire was validated and piloted ahead of the start of the trial. The response rate was 53%.

Results A total of 115 physicians completed the survey; 59% acknowledged the availability of an institutional IRS. However, only 29% knew how to submit an online IR, and 20% have ever submitted an IR. The survey revealed that participants were less likely to submit an IR when they or a colleague is involved in the incident; 46% and 63%, respectively. The main barriers of reporting incidents were unawareness about the IRS (36%) and the perception that IR will not bring a system change (13%); moreover, there exists the fear of retaliation (13%). When asked about solutions, 57% recommended training and awareness, and 22% recommended sharing learnings and actions from previous IR.

Conclusions IRS is underutilized by internal medicine physicians. The main barrier at the time of the survey is the lack of training and awareness. Promoting awareness and sharing previous learning and actions may improve the utilization of the IRS.

Keywords

occurrence variance accident - OVA - health care - quality - patient safety


Publikationsverlauf

Artikel online veröffentlicht:
31. August 2021

© 2021. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 GLOSSARY - ICH GCP. Available at: https://ichgcp.net/1-glossary/. Accessed February 11, 2020
  • 2 de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 2008; 17 (03) 216-223
    CrossrefPubMedGoogle Scholar
  • 3 Havens DH, Boroughs L. “To err is human”: a report from the Institute of Medicine. J Pediatr Health Care 2000; 14 (02) 77-80
    PubMedGoogle Scholar
  • 4 WHO Draft GuiDelines fOr ADverse Event RepOrtinG anD LearninG Systems.; 2005 . Available at: https://apps.who.int/iris/handle/10665/69797. Accessed April 5, 2021
  • 5 Morag I, Gopher D, Spillinger A. et al. Human factors-focused reporting system for improving care quality and safety in hospital wards. Hum Factors 2012; 54 (02) 195-213
    CrossrefPubMedGoogle Scholar
  • 6 Harper ML, Helmreich RL. Identifying barriers to the success of a reporting system. agency for healthcare research and quality (US). Availabe at: http://www.ncbi.nlm.nih.gov/pubmed/21249983. Accessed December 24, 2018
  • 7 Vincent C, Stanhope N, Crowley-Murphy M. Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract 1999; 5 (01) 13-21
    CrossrefPubMedGoogle Scholar
  • 8 Barach P, Small SD. Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ 2000; 320 (7237) 759-763
    CrossrefPubMedGoogle Scholar
  • 9 Nguyen Q-T, Weinberg J, Hilborne LH. Physician event reporting: training the next generation of physicians. Available at: http://www.ncbi.nlm.nih.gov/pubmed/21250010. Accessed December 30, 2018
  • 10 Tuttle D, Holloway R, Baird T, Sheehan B, Skelton WK. Electronic reporting to improve patient safety. Qual Saf Health Care 2004; 13 (04) 281-286
    CrossrefPubMedGoogle Scholar
  • 11 Bagenal J, Sahnan K, Shantikumar S. Comparing the attitudes and knowledge toward incident reporting in junior physicians and nurses in a district general hospital. J Patient Saf 2016; 12 (01) 51-53
    CrossrefPubMedGoogle Scholar
  • 12 Mitchell I, Schuster A, Smith K, Pronovost P, Wu A. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after ‘To Err is Human’. BMJ Qual Saf 2016; 25 (02) 92-99
    CrossrefPubMedGoogle Scholar
  • 13 Perez B, Knych SA, Weaver SJ. et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. J Patient Saf 2014; 10 (01) 45-51
    CrossrefPubMedGoogle Scholar
  • 14 Nabors C, Peterson SJ, Aronow WS. et al. Physician reporting of clinically significant events through a computerized patient sign-out system. J Patient Saf 2011; 7 (03) 155-161
    CrossrefPubMedGoogle Scholar
  • 15 Espin S, Carter C, Janes N, McAllister M. Exploring health care professionals’ perceptions of incidents and incident reporting in rehabilitation settings. J Patient Saf 2019; 15 (02) 154-160
    CrossrefPubMedGoogle Scholar
  • 16 Naome T, James M, Christine A, Mugisha TI. Practice, perceived barriers and motivating factors to medical-incident reporting: a cross-section survey of health care providers at Mbarara regional referral hospital, southwestern Uganda. BMC Health Serv Res 2020; 20 (01) 276
    CrossrefPubMedGoogle Scholar
  • 17 Hatoun J, Suen W, Liu C. et al. Elucidating reasons for resident underutilization of electronic adverse event reporting. Am J Med Qual 2016; 31 (04) 308-314
    CrossrefPubMedGoogle Scholar
  • 18 Valery J, Helmi H, Spaulding A. et al. Video intervention to improve incident reporting among medical trainees. BMJ Open Qual 2019; 8 (04) e000706
    CrossrefPubMedGoogle Scholar
  • 19 Bovis JL, Edwin JP, Bano CP, Tyraskis A, Baskaran D, Karuppaiah K. Barriers to staff reporting adverse incidents in NHS hospitals. Future Healthc J 2018; 5 (02) 117-120
    CrossrefPubMedGoogle Scholar
  • 20 Hamed MM, Konstantinidis S. Barriers to incident reporting among nurses: a qualitative systematic review. Western Journal of Nursing Research 2021; (e-pub ahead of print) DOI: 10.1177/0193945921999449.
    CrossrefPubMedGoogle Scholar
  • 21 Alves MFT, Carvalho DS, Albuquerque GSC. Barriers to patient safety incident reporting by Brazilian health professionals: an integrative review. Cien Saude Colet 2019; 24 (08) 2895-2908
    CrossrefPubMedGoogle Scholar
  • 22 Home. Available at: https://www.hamad.qa/EN/About-Us/Pages/default.aspx. Accessed February 15, 2019
  • 23 Rashed A, Hamdan M. Physiciansʼ and nursesʼ perceptions of and attitudes toward incident reporting in Palestinian hospitals. J Patient Saf 2019; 15 (03) 212-217
    CrossrefPubMedGoogle Scholar
  • 24 Hammoudi BM, Ismaile S, Abu Yahya O. Factors associated with medication administration errors and why nurses fail to report them. Scand J Caring Sci 2018; 32 (03) 1038-1046
    CrossrefPubMedGoogle Scholar