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Nationwide survey on Japanese residents’ experience with and barriers to incident reporting

The ability of any incident reporting system to improve patient care is dependent upon robust reporting practices. However, under-reporting is still a problem worldwide. We aimed to reveal the barriers experienced while reporting an incident through a nationwide survey in Japan. We conducted a cross...

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Autores principales: Kurihara, Masaru, Watari, Takashi, Rohde, Jeffrey M., Gupta, Ashwin, Tokuda, Yasuharu, Nagao, Yoshimasa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714900/
https://www.ncbi.nlm.nih.gov/pubmed/36455042
http://dx.doi.org/10.1371/journal.pone.0278615
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author Kurihara, Masaru
Watari, Takashi
Rohde, Jeffrey M.
Gupta, Ashwin
Tokuda, Yasuharu
Nagao, Yoshimasa
author_facet Kurihara, Masaru
Watari, Takashi
Rohde, Jeffrey M.
Gupta, Ashwin
Tokuda, Yasuharu
Nagao, Yoshimasa
author_sort Kurihara, Masaru
collection PubMed
description The ability of any incident reporting system to improve patient care is dependent upon robust reporting practices. However, under-reporting is still a problem worldwide. We aimed to reveal the barriers experienced while reporting an incident through a nationwide survey in Japan. We conducted a cross-sectional survey. All first- and second-year residents who took the General Medicine In-Training Examination (GM-ITE) from February to March 2021 in Japan were selected for the study. The voluntary questionnaire asked participants regarding the number of safety incidents encountered and reported within the previous year and the barriers to reporting incidents. Demographics were obtained from the GM-ITE. The answers of respondents who indicated they had never previously reported an incident (non-reporting group) were compared to those of respondents who had reported at least one incident in the previous year (reporting group). Of 5810 respondents, the vast majority indicated they had encountered at least one safety incident in the past year (n = 4449, 76.5%). However, only 2724 (46.9%) had submitted an incident report. Under-reporting (more safety incidents compared to the number of reports) was evident in 1523 (26.2%) respondents. The most frequently mentioned barrier to reporting an incident was the time required to file the report (n = 2622, 45.1%). The barriers to incident reporting were significantly different between resident physicians who had previously reported and those who had never previously reported an incident. Our study revealed that resident physicians in Japan commonly encounter patient safety incidents but under-report them. Numerous perceived and experienced barriers to reporting remain, which should be addressed if incident reporting systems are to have an optimal impact on improving patient safety. Incident reporting is essential for improving patient safety in an institution, and this study recommends establishing appropriate interventions according to each learner’s barriers for reporting.
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spelling pubmed-97149002022-12-02 Nationwide survey on Japanese residents’ experience with and barriers to incident reporting Kurihara, Masaru Watari, Takashi Rohde, Jeffrey M. Gupta, Ashwin Tokuda, Yasuharu Nagao, Yoshimasa PLoS One Research Article The ability of any incident reporting system to improve patient care is dependent upon robust reporting practices. However, under-reporting is still a problem worldwide. We aimed to reveal the barriers experienced while reporting an incident through a nationwide survey in Japan. We conducted a cross-sectional survey. All first- and second-year residents who took the General Medicine In-Training Examination (GM-ITE) from February to March 2021 in Japan were selected for the study. The voluntary questionnaire asked participants regarding the number of safety incidents encountered and reported within the previous year and the barriers to reporting incidents. Demographics were obtained from the GM-ITE. The answers of respondents who indicated they had never previously reported an incident (non-reporting group) were compared to those of respondents who had reported at least one incident in the previous year (reporting group). Of 5810 respondents, the vast majority indicated they had encountered at least one safety incident in the past year (n = 4449, 76.5%). However, only 2724 (46.9%) had submitted an incident report. Under-reporting (more safety incidents compared to the number of reports) was evident in 1523 (26.2%) respondents. The most frequently mentioned barrier to reporting an incident was the time required to file the report (n = 2622, 45.1%). The barriers to incident reporting were significantly different between resident physicians who had previously reported and those who had never previously reported an incident. Our study revealed that resident physicians in Japan commonly encounter patient safety incidents but under-report them. Numerous perceived and experienced barriers to reporting remain, which should be addressed if incident reporting systems are to have an optimal impact on improving patient safety. Incident reporting is essential for improving patient safety in an institution, and this study recommends establishing appropriate interventions according to each learner’s barriers for reporting. Public Library of Science 2022-12-01 /pmc/articles/PMC9714900/ /pubmed/36455042 http://dx.doi.org/10.1371/journal.pone.0278615 Text en https://creativecommons.org/publicdomain/zero/1.0/This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication.
spellingShingle Research Article
Kurihara, Masaru
Watari, Takashi
Rohde, Jeffrey M.
Gupta, Ashwin
Tokuda, Yasuharu
Nagao, Yoshimasa
Nationwide survey on Japanese residents’ experience with and barriers to incident reporting
title Nationwide survey on Japanese residents’ experience with and barriers to incident reporting
title_full Nationwide survey on Japanese residents’ experience with and barriers to incident reporting
title_fullStr Nationwide survey on Japanese residents’ experience with and barriers to incident reporting
title_full_unstemmed Nationwide survey on Japanese residents’ experience with and barriers to incident reporting
title_short Nationwide survey on Japanese residents’ experience with and barriers to incident reporting
title_sort nationwide survey on japanese residents’ experience with and barriers to incident reporting
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9714900/
https://www.ncbi.nlm.nih.gov/pubmed/36455042
http://dx.doi.org/10.1371/journal.pone.0278615
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