Система идентификации рисков на основе отчета об инциденте в организации здравоохранения

Abstract

The aim: To assess the risk identification system based on the incident report, the existing incident reporting system, and factors affecting the structure of incidents in the healthcare organization. Methods. Within the framework of this study, personnel were questioned on the knowledge and use of the incident reporting system related to the provision of medical treatment and care. To collect primary information, a questionnaire was developed, statistical processing of the research results was carried out by the method of calculating the relative risk (RR) using the Stat Tech program, on the website "Medical statistics". Results. All employees (100%) are aware of the incident reporting system. Personnel were more likely to use the incident reporting system as a way to deal with business and organizational issues. The knowledge of events that must be reported were rated equally by the doctors and the nurse (70%; RR - 1.0; C1 0.83 - 1.19). The nurse was more afraid of criticism than doctors (56% versus 66%; RR - 1.18; CI 95%; C1 0.94 - 1.47). Doctors rated the priority of filling out a report lower than a nurse (52% versus 58%; RR - 0.89; CI 95%; C1 0.69 - 1.15). The value and convenience of filling out the report were assessed by the doctors and the nurse equally (64%; RR - 1.0; CI 95%; C1 0.82 - 1.23). Conclusion. Medical personnel have a positive view of the incident reporting system, however, lack of knowledge of specific reported events, poor safety culture, and lack of feedback are the main factors hindering the effectiveness of the system. Developing a list of specific health care events to be reported will enhance the effectiveness of incident reporting as a risk management tool. Keywords: healthcare system, risk management, patient safety, incident, incident report.