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dc.contributor.authorArcher, S
dc.contributor.authorHull, L
dc.contributor.authorSoukup, T
dc.contributor.authorMayer, E
dc.contributor.authorAthanasiou, T
dc.contributor.authorSevdalis, N
dc.contributor.authorDarzi, A
dc.date.accessioned2020-12-09T23:18:50Z
dc.date.available2020-12-09T23:18:50Z
dc.date.issued2017-12-01
dc.identifierpii: bmjopen-2017-017155
dc.identifier.citationArcher, S., Hull, L., Soukup, T., Mayer, E., Athanasiou, T., Sevdalis, N. & Darzi, A. (2017). Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature. BMJ OPEN, 7 (12), https://doi.org/10.1136/bmjopen-2017-017155.
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/11343/253190
dc.description.abstractOBJECTIVES: The development and implementation of incident reporting systems within healthcare continues to be a fundamental strategy to reduce preventable patient harm and improve the quality and safety of healthcare. We sought to identify factors contributing to patient safety incident reporting. DESIGN: To facilitate improvements in incident reporting, a theoretical framework, encompassing factors that act as barriers and enablers ofreporting, was developed. Embase, Ovid MEDLINE(R) and PsycINFO were searched to identify relevant articles published between January 1980 and May 2014. A comprehensive search strategy including MeSH terms and keywords was developed to identify relevant articles. Data were extracted by three independent researchers; to ensure the accuracy of data extraction, all studies eligible for inclusion were rescreened by two reviewers. RESULTS: The literature search identified 3049 potentially eligible articles; of these, 110 articles, including >29 726 participants, met the inclusion criteria. In total, 748 barriers were identified (frequency count) across the 110 articles. In comparison, 372 facilitators to incident reporting and 118 negative cases were identified. The top two barriers cited were fear of adverse consequences (161, representing 21.52% of barriers) and process and systems of reporting (110, representing 14.71% of barriers). In comparison, the top two facilitators were organisational (97, representing 26.08% of facilitators) and process and systems of reporting (75, representing 20.16% of facilitators). CONCLUSION: A wide range of factors contributing to engagement in incident reporting exist. Efforts that address the current tendency to under-report must consider the full range of factors in order to develop interventions as well as a strategic policy approach for improvement.
dc.languageEnglish
dc.publisherBMJ PUBLISHING GROUP
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleDevelopment of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature
dc.typeJournal Article
dc.identifier.doi10.1136/bmjopen-2017-017155
melbourne.affiliation.departmentSurgery (Austin & Northern Health)
melbourne.source.titleBMJ Open
melbourne.source.volume7
melbourne.source.issue12
dc.rights.licenseCC BY
melbourne.elementsid1306031
melbourne.contributor.authorSevdalis, Nick
dc.identifier.eissn2044-6055
melbourne.accessrightsOpen Access


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