Implementation of Incident Report as Risk Managing Tool in Assiut University Hospitals

Document Type : Original Article

Authors

1 Lecturer of Nursing Administration Department, Faculty of Nursing, South Valley University, Quena, Egypt.

2 Lecturer of Geriatric Nursing Department, Faculty of Nursing, South Valley University, Quena, Egypt.

3 Lecturer of Pediatric Nursing Department, Faculty of Nursing, South Valley University, Quena, Egypt.

Abstract

Background: The health environment contains many hazards that can be prevented. Development
of a culture of safety is crucial in presence of quality assurance requirements. Incident report could
enhance patient safety especially vulnerable group (children and elderly patients) by pointing the
vulnerabilities and guide the corrective actions. Aims: 1) Examine the effects of incident reporting
education program on nurses’ knowledge, intentions, and behavior. Subject and Methods: A
convenient sample of 126 nurses. The incident report was implemented in the selected setting
(Cardiology and Urology hospitals) based on the pre-assessment survey. The implementation phase
proceeded by education program held by the researcher about the incident report. Six months after
implementation, a follow-up survey starts to assess nurses’ views and personal experience with the
incidents that were reported. Results: The vast majority of nurses did not hear about the incident
report either in Cardiology or Urology hospitals (100%, 96.6% respectively). Which gain more
information after attending the education program about incident report (87.2% & 84.6% and 94.3%
& 98.9% respectively). Follow-up survey results show that nurses felt that incident report enhance
patient care, find the causal factors of the incident, but more concern about blames directed toward
the reported nurse. Conclusions: The education program improved the participants knowledge and
behavior about incident report. Thus, help to implement the incident report and start errors reporting
system in the included hospitals. The incident reports improve patient care and safety, more efforts
need to establish error reporting culture without fearing of blame or disciplinary issues.
Recommendations: Continuous training about the incident report and to reduce fear of reporting
and reduce reporting burden and improving feedback system

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