Abstract
BackgroundUnderstanding the type and causes of errors are necessary for the prevention of occurrence or reoccurrence. Therefore addressing the behavior of health professionals on reporting clinical incidents is crucial to create spontaneous knowledge from mistakes and enhance patient safety.Method A mixed type institution-based cross-sectional study design was conducted from March 1 - 30, 2020 in Dessie comprehensive specialized hospital among 319 and 18 participants for the quantitative and qualitative study, respectively. The professions and participants with their assigned proportions were selected using a simple random sampling technique. For quantitative and qualitative data, semi structured questionnaires and interviewer-guided questions were used to collect data, respectively. Finally, qualitative findings were used to supplement the quantitative result.ResultThe finding showed that the proportion of clinical incident reporting behavior among health professionals was 12.4%. Having training (AOR=3.6, 95% CI, 1.15-11.45), incident reporting help to minimize errors (AOR=2.8, 95% CI, 1.29-6.02), fear of legal penalty (AOR= 0.3, 95% CI, 0.13-0.82), and lack of feedback (AOR=0.3, 95% CI, 0.11-0.90) were identified as significant factors for clinical incident reporting behavior of the health professionals.ConclusionsThis study showed that the clinical incident reporting behavior of the health professionals was very low. Therefore health professionals should get training on clinical incident reporting and the hospital should have an incident reporting system and guideline.
Highlights
Patient safety has attention internationally due to the rise of awareness on the occurrences of medical errors [1]
Having training (AOR=3.6, 95% CI, 1.15-11.45), incident reporting help to minimize errors (AOR=2.8, 95% CI, 1.29-6.02), fear of legal penalty (AOR= 0.3, 95% CI, 0.13-0.82), and lack of feedback (AOR=0.3, 95% CI, 0.11-0.90) were identified as significant factors for clinical incident reporting behavior of the health professionals
This study showed that the clinical incident reporting behavior of the health professionals was very low
Summary
Patient safety has attention internationally due to the rise of awareness on the occurrences of medical errors [1]. Throughout the world, incident reporting systems have been established, some at the health care facility or organizational level, some at the national health system level [7]. In a health care facility, a comprehensive and systematic approach to incident reporting would help in the learning from errors and adverse events [8, 9]. According to studies, reporting systems detect 7–15% of adverse events [10], and health care facilities, in general, need to change policies and procedures that encourage health workers to disclose incidents. The policies create the chance for health workers to learn from mistakes and this will further enhance patient safety [11]. Addressing the behavior of health professionals on reporting clinical incidents is crucial to create spontaneous knowledge from mistakes and enhance patient safety
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