APPLICATION OF PATIENT SAFETY INCIDENT REPORTING SYSTEM IN HOSPITALS: LITERATURE REVIEW

Rumini, Justina Purwarini
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Abstract

Patient Safety Incident Reporting for improvement of the service system and prevention of recurring patient safety incidents is a very important part and affects the quality of service, so it is necessary to evaluate the implementation of the ICP reporting system at the hospital. Objective: To ascertain the elements that impact hospital patient safety event reporting.  Method: This article was written utilizing a literature review methodology. Data was gathered from database sources, and 20 articles between 2018 and 2023 were examined for PICOT analysis using the keywords patient safety incident, reporting, and health service. Results: There are three elements that affect the reporting of patient safety incidents that take place in hospitals: government, organizational, and human factors. It can be observed from features of nurse skills and patient safety culture in addition to environmental influences (individuals, organizations, and government). Cultural barriers (avoidance of conflict and fear of being blamed and penalized) and practical barriers (lack of expertise, so officers do not know how to report occurrences, lack of feedback, and lack of socialization connected to reporting incidents). Discussion: As a result of the existing literature review, no one has discussed the existence of organizational/hospital and government targets in efforts to achieve the target percentage (%) of PSI reporting. In order to improve employee motivation and involvement in reporting patient safety incidents and, ultimately, raise the standard of care provided to hospital patients, more research is required regarding the implementation of patient safety incident reporting in hospitals. Conclusion: The reporting of patient safety incidents in hospitals is influenced by three factors: personal, organizational, and governmental. Lack of feedback has been recognized as one of the weaknesses in incident reporting.
病人安全事故报告系统在医院中的应用:文献综述
患者安全事件报告对于改善服务体系、预防患者安全事件再次发生是非常重要的一环,影响着服务质量,因此有必要对医院的 ICP 报告系统实施情况进行评估。目的确定影响医院患者安全事件报告的因素。 方法本文采用文献综述法撰写。从数据库来源收集数据,以患者安全事件、报告、医疗服务为关键词,对2018年至2023年间的20篇文章进行PICOT分析研究。结果显示影响医院发生的患者安全事件报告有三个要素:政府因素、组织因素和人为因素。除了环境影响因素(个人、组织和政府)外,还可以从护士技能和患者安全文化的特点中观察到。文化障碍(避免冲突、害怕受到指责和惩罚)和实际障碍(缺乏专业知识,因此人员不知道如何报告事件、缺乏反馈以及缺乏与报告事件相关的社会化)。讨论:在现有的文献综述中,没有人讨论过组织/医院和政府在努力实现 PSI 报告目标百分比(%)方面是否存在目标。为了提高员工报告患者安全事件的积极性和参与度,并最终提高医院为患者提供的医疗服务水平,需要对医院实施患者安全事件报告的情况进行更多研究。结论医院中患者安全事件的上报受三个因素的影响:个人因素、组织因素和政府因素。缺乏反馈被认为是事故报告中的一个薄弱环节。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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