Patient Safety Incident Reporting Behavior and Its Associated Factors among Healthcare Professionals in Hadiya Zone, Ethiopia: A Facility Based Cross-Sectional Study

Abstract

Background: Incidents affecting patient safety can cause unnecessary injury to a patient. It is generally accepted that incident reporting can improve patient safety. In Ethiopian public hospitals, especially in the Hadiya zone, patient safety-related incidents are commonly witnessed, but there is no evidence of reporting behavior among healthcare professionals. Purpose: This study aimed to assess patient safety incident reporting behavior and its associated factors among healthcare professionals working in public hospitals in the Hadiya zone, South Nation's, Nationalities, and Peoples’ Region, Ethiopia, in 2021. Method: A cross-sectional study design was employed, among 345 healthcare professionals working in public hospitals in the Hadiya zone from August 1–30, 2021. A simple random sampling technique was used to select study participants, and a structured self-administered questionnaire which is adapted from a Hospital survey on patient safety survey and literature was used to collect the data. The data were entered into a data attraction template prepared using the Epi data software and then exported to the SPSS version 25 software for analysis. Descriptive analyses were conducted to determine the general characteristics and distributions of the data collected. An inferential statistical analysis was conducted using the logistic regression model to identify associations between outcome and predictor variables. The odds ratio with the 95% confidence interval was used to test the associations between the outcome variable and predictor variables. Finally, statistical significance was set at p-value < 0.05. Results: From the total of 354 healthcare professionals expected, 334 participants, which gave a response rate of 94.4%, had completed and returned the questionnaire. The result shows that overall patient safety incident reporting behavior among healthcare professionals was 28.7% (95% Confidence Interval (CI): (24.6, 33.2). Being a nurse professional [Adjusted Odd Ratio (AOR): 5.48, 95% CI: (1.67, 17.80)], having job training [AOR: 2.87, 95% CI: (1.46, 6.28)], having a team within the units [AOR=2.79, 95%CI: (1.23, 6.28)], communication openness [AOR=2.78, 95%CI: (1.44, 5.37)], and management support [AOR=2.8, 95%CI; (1.40, 5.60)] were found to factor significantly associated with patient safety incident reporting behaviour. Conclusion: This study revealed that the incident-reporting behavior among healthcare professionals was low compared to previous studies. Being a nurse professional, having an on -job training, having a team within the unit, communication openness, perception of the time reporting takes, fear of administration sanction and management support were factors associated with their patient safety incident reporting behavior. Managers should focus on patient safety incidents, prepare continuous training programs, and provide open communication to improve patient safety incident reporting.