Acta Scientific Medical Sciences (ASMS)(ISSN: 2582-0931)

Research Article Volume 8 Issue 4

Attitudes and Barriers to Incident Reporting Among Health Care Workers in Wazarat PHC in Riyadh, Saudi Arabia

Bandar Alhumaidi Alharbi1*, Anas abdullah Alsalman2, Dakhel Fahad Almubarak1, Shorug Khalid AlWayili1, Bodoor Ghanem Alanazi3, Mostafa Kofi1 and Medhat Mohamed1

1Family Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
2Family Medicine Department, King Fahd Specialist Hospital, Buraydah, Saudi Arabia
3College of Pharmacy, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia

*Corresponding Author: Bandar Alhumaidi Alharbi, Family Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.

Received: February 26, 2024; Published: March 15, 2024

Abstract

Objectives: The issue of malpractice at the end of health care by providers is not new, but, in reality, how many incidents are reported is a big question. This study aimed to assess the utility and use of the current incident reporting system by primary health care physicians working in Riyadh, Saudi Arabia.

Methods: A cross-sectional, self-administered survey was conducted between October 2022 and December 2022. The research team designed the questionnaire using relevant literature and experience relevant to the existing health care system in Saudi Arabia. Questionnaire validated by two experts in the subject, pilot testing and Cronbach's alpha tests. Health care workers’ attitudes of doctors, pharmacists, nurses, and administrators toward the incident reporting system were examined.

Results: Our study showed that the majority of health care practitioners have positive attitudes toward the incident reporting system in Wazarrat PHC; a higher proportion of awareness was found among physicians and technicians, while a lower proportion was found between nurses and pharmacists. Saudis reported more incidents than non-Saudis per the last 12 months (P = 0.027). However, both have a similar awareness of the incident reporting system. Fear of the negative consequences of reporting was the main barrier limiting reporting.

Conclusions: Overall, the attitudes of most health care practitioners tended to lean toward positive. The nursing staff had less knowledge of the existing incident system than physicians. However, medical errors and incidents were underreported, mainly because of fear of the repercussions of incident reporting. Thus, health care workers should be encouraged to report with a blame-free teamwork environment as well as be trained and educated on using the incident reporting system in PHC settings.

 Keywords: Patient Safety; Incident Report; PHC; Knowledge

References

  1. World Health Organization, Safety WP. “Conceptual framework for the international classification for patient safety version 1.1: final technical report”. January 2009 (2010).
  2. O’Beirne M., et al. “Safety incidents in family medicine”. BMJ Quality and Safety12 (2011): 1005-1010.
  3. Howell AM., et al. “International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process”. BMJ Quality and Safety2 (2016): 150-163.
  4. Vincent C. “Patient Safety”. Second edition. Library Catalog (Capita Prism). Oxford: Wiley-Blackwell (2010).
  5. CURRIE G., et al. “The limits of knowledge management for uk public services modernization: the case of patient safety and service quality”. Public Administration2 (2008): 363-385.
  6. Verbakel NJ., et al. “Improving Patient Safety Culture in Primary Care”. Journal of Patient Safety3 (2016): 152-158.
  7. Sacco AY., et al. “Patients’ Perspectives of Diagnostic Error: A Qualitative Study”. Journal of Patient Safety8 (2021): e1759-1764.
  8. The Health Foundation. Evidence scan: Levels of Harm (2011).
  9. Esmail A. “Measuring and monitoring safety: a primary care perspective - The Health Foundation” (2013).
  10. The Health Foundation. “Evidence scan: Levels of Harm” (2011).
  11. Gambhir R., et al. “Patient safety in primary and outpatient health care”. Journal of Family Medicine and Primary Care1 (2020): 7.
  12. World Health Organisation. “Safer primary care” (2016).
  13. McEachan RRC., et al. “Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study”. BMJ Quality and Safety7 (2013): 565-573.
  14. Samra R., et al. “Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews: Table 1”. BMJ Open9 (2015): e008128.
  15. Ministry of Health. “Saudi Patient Safety Taxonomy” (2018).
  16. Mahrous MS. “Patient safety culture as a quality indicator for a safe health system: Experience from Almadinah Almunawwarah, KSA”. Journal of Taibah University Medical Sciences4 (2018): 377-383.
  17. Alahmadi HA. “Assessment of patient safety culture in Saudi Arabian hospitals”. BMJ Quality and Safety5 (2010): e17-17.
  18. Walston SL., et al. “Factors affecting the climate of hospital patient safety”. International Journal of Health Care Quality Assurance1 (2010): 35-50.
  19. N Zakari. “Attitude of Academic Ambulatory Nurses toward Patient Safety Culture in Saudi Arabia” (2017).
  20. Almaramhy H., et al. “Knowledge and attitude towards patient safety among a group of undergraduate medical students in saudi arabia”. International Journal of Health Sciences1 (2011): 59-67.
  21. El Shafei AMH and Zayed MA. “Patient safety attitude in primary health care settings in Giza, Egypt: Cross-sectional study”. The International Journal of Health Planning and Management2 (2019): 851-861.
  22. Kingston-Riecher Joann and Ospina M. “Patient Safety In Primary Care” (2010).
  23. Bagenal J., et al. “Comparing the Attitudes and Knowledge Toward Incident Reporting in Junior Physicians and Nurses in a District General Hospital”. Journal of Patient Safety1 (2016): 51-53.
  24. Gyllencreutz L., et al. “The experience of healthcare staff of incident reporting with respect to venous blood specimen collection practices’”. Policy and Practice in Health and Safety2 (2019): 146-155.
  25. Hamed MMM., et al. “Barriers to Incident Reporting among Nurses: A Qualitative Systematic Review”. Western Journal of Nursing Research 5 (2021): 019394592199944.
  26. Taylor JA. “Use of Incident Reports by Physicians and Nurses to Document Medical Errors in Pediatric Patients”. PEDIATRICS3 (2004): 729-735.
  27. Augustyns N., et al. “Safe incident reporting in out-of-hours primary care: an exploratory study”. Acta Clinica Belgica 6 (2016): 415-422.
  28. Rutledge DN., et al. “Barriers to medication error reporting among hospital nurses”. Journal of Clinical Nursing9-10 (2018): 1941-1949.
  29. Banakhar M., et al. “Barriers of Reporting Errors among Nurses in a Tertiary Hospital”. International Journal of Nursing and Clinical Practices1 (2017).
  30. Gong Y., et al. “Identifying barriers and benefits of patient safety event reporting toward user-centered design”. Safety in Health1 (2015).
  31. Kingston MJ., et al. “Attitudes of doctors and nurses towards incident reporting: a qualitative analysis”. Medical Journal of Australia1 (2004): 36-39.
  32. Alsafi E., et al. “Physicians’ Attitudes Toward Reporting Medical Errors-An Observational Study at a General Hospital in Saudi Arabia”. Journal of Patient Safety3 (2011): 143-146.

Citation

Citation: Bandar Alhumaidi Alharbi., et al. “Attitudes and Barriers to Incident Reporting Among Health Care Workers in Wazarat PHC in Riyadh, Saudi Arabia”.Acta Scientific Medical Sciences 8.4 (2024): 08-15.

Copyright

Copyright: © 2024 Bandar Alhumaidi Alharbi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.403

Indexed In





Contact US