Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting

Janet E. Anderson, Naonori Kodate, Rhiannon Walters, Anneliese Dodds

Research output: Contribution to journalArticle

Abstract

OBJECTIVE: Recent critiques of incident reporting suggest that its role in managing safety has been over emphasized. The objective of this study was to examine the perceived effectiveness of incident reporting in improving safety in mental health and acute hospital settings by asking staff about their perceptions and experiences. DESIGN: /st>Qualitative research design using documentary analysis and semi-structured interviews. SETTING: /st>Two large teaching hospitals in London; one providing acute and the other mental healthcare. PARTICIPANTS: /st>Sixty-two healthcare practitioners with experience of reporting and analysing incidents. RESULTS: /st>Incident reporting was perceived as having a positive effect on safety, not only by leading to changes in care processes but also by changing staff attitudes and knowledge. Staff discussed examples of both instrumental and conceptual uses of the knowledge generated by incident reports. There are difficulties in using incident reports to improve safety in healthcare at all stages of the incident reporting process. Differences in the risks encountered and the organizational systems developed in the two hospitals to review reported incidents could be linked to the differences we found in attitudes to incident reporting between the two hospitals. CONCLUSION: /st>Incident reporting can be a powerful tool for developing and maintaining an awareness of risks in healthcare practice. Using incident reports to improve care is challenging and the study highlighted the complexities involved and the difficulties faced by staff in learning from incident data.
Original languageEnglish
Article numbermzs081
Pages (from-to)141-150
Number of pages10
JournalInternational Journal for Quality in Health Care
Volume25
Issue number2
Early online date18 Jan 2013
DOIs
Publication statusPublished - Apr 2013

Fingerprint

Risk Management
Delivery of Health Care
Safety
Attitude of Health Personnel
Qualitative Research
Teaching Hospitals
Mental Health
Research Design
Learning
Interviews

Keywords

  • risk management
  • incident reporting and analysis
  • adverse events
  • quality culture
  • medical error

Cite this

Anderson, Janet E. ; Kodate, Naonori ; Walters, Rhiannon ; Dodds, Anneliese. / Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. In: International Journal for Quality in Health Care. 2013 ; Vol. 25, No. 2. pp. 141-150.
@article{c7ce121c7c7e4faab144fee94e1e3e0d,
title = "Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting",
abstract = "OBJECTIVE: Recent critiques of incident reporting suggest that its role in managing safety has been over emphasized. The objective of this study was to examine the perceived effectiveness of incident reporting in improving safety in mental health and acute hospital settings by asking staff about their perceptions and experiences. DESIGN: /st>Qualitative research design using documentary analysis and semi-structured interviews. SETTING: /st>Two large teaching hospitals in London; one providing acute and the other mental healthcare. PARTICIPANTS: /st>Sixty-two healthcare practitioners with experience of reporting and analysing incidents. RESULTS: /st>Incident reporting was perceived as having a positive effect on safety, not only by leading to changes in care processes but also by changing staff attitudes and knowledge. Staff discussed examples of both instrumental and conceptual uses of the knowledge generated by incident reports. There are difficulties in using incident reports to improve safety in healthcare at all stages of the incident reporting process. Differences in the risks encountered and the organizational systems developed in the two hospitals to review reported incidents could be linked to the differences we found in attitudes to incident reporting between the two hospitals. CONCLUSION: /st>Incident reporting can be a powerful tool for developing and maintaining an awareness of risks in healthcare practice. Using incident reports to improve care is challenging and the study highlighted the complexities involved and the difficulties faced by staff in learning from incident data.",
keywords = "risk management, incident reporting and analysis, adverse events, quality culture, medical error",
author = "Anderson, {Janet E.} and Naonori Kodate and Rhiannon Walters and Anneliese Dodds",
year = "2013",
month = "4",
doi = "10.1093/intqhc/mzs081",
language = "English",
volume = "25",
pages = "141--150",
journal = "International Journal for Quality in Health Care",
issn = "1353-4505",
publisher = "Oxford University Press",
number = "2",

}

Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. / Anderson, Janet E.; Kodate, Naonori; Walters, Rhiannon; Dodds, Anneliese.

In: International Journal for Quality in Health Care, Vol. 25, No. 2, mzs081, 04.2013, p. 141-150.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting

AU - Anderson, Janet E.

AU - Kodate, Naonori

AU - Walters, Rhiannon

AU - Dodds, Anneliese

PY - 2013/4

Y1 - 2013/4

N2 - OBJECTIVE: Recent critiques of incident reporting suggest that its role in managing safety has been over emphasized. The objective of this study was to examine the perceived effectiveness of incident reporting in improving safety in mental health and acute hospital settings by asking staff about their perceptions and experiences. DESIGN: /st>Qualitative research design using documentary analysis and semi-structured interviews. SETTING: /st>Two large teaching hospitals in London; one providing acute and the other mental healthcare. PARTICIPANTS: /st>Sixty-two healthcare practitioners with experience of reporting and analysing incidents. RESULTS: /st>Incident reporting was perceived as having a positive effect on safety, not only by leading to changes in care processes but also by changing staff attitudes and knowledge. Staff discussed examples of both instrumental and conceptual uses of the knowledge generated by incident reports. There are difficulties in using incident reports to improve safety in healthcare at all stages of the incident reporting process. Differences in the risks encountered and the organizational systems developed in the two hospitals to review reported incidents could be linked to the differences we found in attitudes to incident reporting between the two hospitals. CONCLUSION: /st>Incident reporting can be a powerful tool for developing and maintaining an awareness of risks in healthcare practice. Using incident reports to improve care is challenging and the study highlighted the complexities involved and the difficulties faced by staff in learning from incident data.

AB - OBJECTIVE: Recent critiques of incident reporting suggest that its role in managing safety has been over emphasized. The objective of this study was to examine the perceived effectiveness of incident reporting in improving safety in mental health and acute hospital settings by asking staff about their perceptions and experiences. DESIGN: /st>Qualitative research design using documentary analysis and semi-structured interviews. SETTING: /st>Two large teaching hospitals in London; one providing acute and the other mental healthcare. PARTICIPANTS: /st>Sixty-two healthcare practitioners with experience of reporting and analysing incidents. RESULTS: /st>Incident reporting was perceived as having a positive effect on safety, not only by leading to changes in care processes but also by changing staff attitudes and knowledge. Staff discussed examples of both instrumental and conceptual uses of the knowledge generated by incident reports. There are difficulties in using incident reports to improve safety in healthcare at all stages of the incident reporting process. Differences in the risks encountered and the organizational systems developed in the two hospitals to review reported incidents could be linked to the differences we found in attitudes to incident reporting between the two hospitals. CONCLUSION: /st>Incident reporting can be a powerful tool for developing and maintaining an awareness of risks in healthcare practice. Using incident reports to improve care is challenging and the study highlighted the complexities involved and the difficulties faced by staff in learning from incident data.

KW - risk management

KW - incident reporting and analysis

KW - adverse events

KW - quality culture

KW - medical error

UR - http://www.scopus.com/inward/record.url?scp=84875776679&partnerID=8YFLogxK

UR - http://intqhc.oxfordjournals.org/content/25/2/141

U2 - 10.1093/intqhc/mzs081

DO - 10.1093/intqhc/mzs081

M3 - Article

C2 - 23335058

VL - 25

SP - 141

EP - 150

JO - International Journal for Quality in Health Care

JF - International Journal for Quality in Health Care

SN - 1353-4505

IS - 2

M1 - mzs081

ER -