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Barriers and enablers in implementing an electronic incident reporting system in a teaching hospital: A case study from Saudi Arabia.

Authors :
Abu Alrub AM
Amer YS
Titi MA
May ACA
Shaikh F
Baksh MM
El-Jardali F
Source :
The International journal of health planning and management [Int J Health Plann Manage] 2022 Mar; Vol. 37 (2), pp. 854-872. Date of Electronic Publication: 2021 Nov 02.
Publication Year :
2022

Abstract

Background: Widespread recognition of the impact of healthcare adverse events has triggered incident reporting system implementation to promote patient safety. The aim was to assess the effectiveness, usability, enablers, and barriers of the Electronic Occurrence Variance Reporting System (eOVR) in addition to end user satisfaction.<br />Methods: This study comprised a cross-sectional survey two years after implementation of the eOVR. Secondary data analysis evaluated the volume of incident reporting before and after implementing the eOVR.<br />Outcome Measures: Primary outcome measures: satisfaction and system usability, system security, workplace safety culture, training, and reporting trends. An overall satisfaction was collected.<br />Secondary Outcome: rate of reported OVRs per 1000 admissions. Furthermore, barriers and enablers to the reporting process were explored.<br />Results: Study findings indicate that the eOVR has been successful in terms of high satisfaction according to respondents. Most of the respondents found the system easy to access, maintained patient confidentiality and reporting anonymity. Around half the respondents indicated having a non-punitive culture of reporting in their hospital. Physicians had significantly lower scores in all primary outcomes Incident reporting increased by 33.6% (p < 0.0001) after implementing the eOVR.<br />Conclusion: Successful incident reporting systems should be easy and simple to use, accessible and include features that guarantee anonymity and confidentiality. End-users should be trained prior to launching such a system. The implementation of such systems needs to be combined with promoting a just culture in the organization, timely feedback, more involvement and focus on physicians and junior staff which will improve user satisfaction and reporting rates.<br /> (© 2021 John Wiley & Sons, Ltd.)

Details

Language :
English
ISSN :
1099-1751
Volume :
37
Issue :
2
Database :
MEDLINE
Journal :
The International journal of health planning and management
Publication Type :
Academic Journal
Accession number :
34727405
Full Text :
https://doi.org/10.1002/hpm.3374