Status of Incident Reporting System in Iranian Hospitals: A National Survey

Document Type : Original Research

Authors

1 Health Management and Economic Research Center, Medical Sciences University Of Isfahan. Iran.

2 Health Management and Economic Research Center, Medical Sciences University of Isfahan, Isfahan, Iran

3 Medicine school, Isfahan University of Medical Sciences

4 Damavand Guidance Nonprofit Higher Education Institute

Abstract

Background and Aim: Incident reporting systems are one possible way to learn from mistakes. One of the obstacles to this system are the deficit in common standards for collecting, classifying, analyzing and interpreting events. Therefore, in this study, the compliance of the content of incident reporting systems in Iranian hospitals with the minimal information Model for Patient Safety Incident Reporting Systems (MIMPS) of the World Health Organization (WHO) was compared.
Methods: This is a cross-sectional and applied study. Five out of 31 provinces of Iran were randomly selected by cluster sampling method. All 128 university hospitals in 5 provinces were investigated. To collect data, the incident reporting system of each hospital during the first quarter of 2019 was reviewed using the MIMPS of WHO.
Results: In the incident reporting system, Iranian hospitals have paid more attention to the topics of "incident identification and type of incident" with an average of 1.4 and 1.2 more than other topics in the MIMPS and the lowest level of compliance with the MIMPS were in "incident detection" and "measurements after the incident" with an average of 0.07 and 0.01. It seems that the incident reporting systems in Iranian hospitals do not collect and record these data at all. Among the provinces, the hospitals of Yazd province with a mean of 0.78 and a standard deviation of 0.25 (p = 0.003) had a better performance than other provinces in adapting to the MIMPS.
Conclusion: The incident reporting system in Iranian hospitals does not follow the global standard model of MIMPS and it seems that in order for the data to be reliable, it must move towards standardization. Using the MIMPS can be a coordinated model in the country to respond to this problem and facilitate better access and analysis of data.

Keywords

References

1. World Health Organization. World alliance for patient safety: WHO draft guidelines for adverse event reporting and learning systems: from information to action. World Health Organization; 2005. 2. Azarabad S, Zaman SS, Nouri B, Valiee S. Frequency, causes and reporting barriers of nursing errors in the operating room students. Research in Medical Education. 2018;10(2):18-27. doi:10.29252/rme.10.2.18 3. Kouhestani H, Baghcheghi N. Refusal in reporting medication errors from the viewpoints of nursing students in Arak University of Medical Sciences. Iranian Journal of Medical Education. 2008;8(2). 4. Uribe CL, Schweikhart SB, Pathak DS, Marsh GB, Fraley RR. Perceived barriers to medical-error reporting: an exploratory investigation. Journal of Healthcare Management. 2002;47(4):263. doi:10.1097/00115514-200207000-00009 5. Pfeffer J, Sutton RI. Evidence-based management. Harvard business review. 2006;84(1):62. 6. Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. Journal of nursing care quality. 2007;22(1):28-33. doi:10.1097/00001786-200701000-00007 7. Patrician PA, Brosch LR. Medication error reporting and the work environment in a military setting. Journal of nursing care quality. 2009;24(4): 277-86. doi:10.1097/NCQ.0b013e3181afa4cb 8. Aboshaiqah AE. Barriers in reporting medication administration errors as perceived by nurses in Saudi Arabia. Middle-East J Sci Res. 2013;17(2):130-6. 9. Harper ML, Helmreich RL. Identifying barriers to the success of a reporting system. Agency for Healthcare Research and Quality Rockville MD; 2005. 10. Nazari A, Masoudi Asl I. Comparison of undesirable events reported by nurses and hospital information systems in Tehran Hasheminejad Hospitals in 2013. Journal of Clinical Nursing and Midwifery. 2016;4(4):40-7.. 11. Westrum R. Cultures with requisite imagination. InVerification and validation of complex systems: Human factors issues 1993 (pp. 401-416). Springer, Berlin, Heidelberg. doi:10.1007/978-3-662-02933-6_25 12. Mitchell I, Schuster A, Smith K, Pronovost P, Wu A. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after ‘To Err is Human’. BMJ quality & safety. 2016; 25(2):92-9. doi:10.1136/bmjqs-2015-004405 13. World Health Organization. Preliminary version of minimal information model for patient safety. World Health Organization. 2014.. 14. Mahajan RP. Critical incident reporting and learning. British journal of anaesthesia. 2010;105(1): 69-75. doi:10.1093/bja/aeq133 15. Hasanpoor E, Bahadori M, Yaghoubi M, Haghgoshayie E, Mahboub-Ahari A. Evidence-based management as a basis for evidence-based medical consultation. BMJ evidence-based medicine. 2020; 25 (3):83-4. 16. World Health Organization. Minimal information model for patient safety incident reporting and learning systems: user guide. World Health Organization; 2016. 17. Safety WP, World Health Organization. Conceptual framework for the international classification for patient safety version 1.1: final technical report January 2009. World Health Organization; 2010. 18. Breeden DT, Viswanathan S. Why do firms hedge? An asymmetric information model. The Journal of Fixed Income. 2015;25(3):7-25. 19. World Health Organization. EU validation of a minimal information model for patient safety incident reporting and learning systems: executive summary. World Health Organization; 2016. 20. Poorolajal J, Rezaie S, Aghighi N. Barriers to medical error reporting. International journal of preventive medicine. 2015;6. doi:10.4103/2008-7802.166680 21. Askarian M, Ghoreishi M, Akbari Haghighinejad, H, Palenik CJ, Ghodsi M. Evaluation of a Web-based Error Reporting Surveillance System in a Large Iranian Hospital. Archives of Iranian Medicine. 2017; 20(8):511–517. 22. McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. The Joint Commission Journal on Quality and Patient Safety. 2014; 40(9):398-AP3. doi:10.1016/S1553-7250(14)40052-7 23. Savage SW, Schneider PJ, Pedersen CA. Utility of an online medication-error-reporting system. American journal of health-system pharmacy. 2005; 62(21):2265-70. doi:10.2146/ajhp040622 24. Groene O, World Health Organization. Implementing health promotion in hospitals: Manual and self-assessment forms. Copenhagen: WHO Regional Office for Europe; 2006. 25. Bahadori M, Abdi B, Teimourzadeh E, Ayoubian A, Yaghoubi M. Assessment of quality transportation services at a military medical center based on SERVQUAL model. J Military Med. 2013;15(3): 177-83.
Journal of Military Medicine
Volume 22, Issue 9 - Serial Number 94
November and December 2020
Pages 947-955

Files

Share

How to cite

Statistics