Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: May 2, 2023
Date Accepted: Jul 23, 2024
Patient Safety Incident Reporting and Learning guidelines implemented by the health care professionals in specialized care units: A Scoping Review
ABSTRACT
Background:
Implementing PSIs reporting guidelines is critical in guiding clinical practice and improving clinical outcomes in specialized units. Limited research on evidence looks at the implemented PSIs reporting in specialized units at the global level.
Objective:
This review aims to map the evidence of Patient Safety Incident Reporting and Learning guidelines implemented by healthcare professionals in specialized care units globally.
Methods:
A scoping review methodology, according to Joanna Briggs Institute, was adopted. The eligibility criteria were guided by the Population (Healthcare professionals), Concept (Patient Safety Incident Reporting and Learning guidelines), and Context (Specialised units; Global). Articles written in English were searched from relevant databases and search engines. The report was per the Preferred Reporting Items for scoping reviews (PRISMA-ScR) checklist.
Results:
The thirteen (13) selected articles were published from 2003 to 2020. Most articles are from Netherlands and Switzerland (n=3), followed by South Africa (n=2). The nature of implemented incident reporting guidelines was computer online based (n=9) and paper-based incident reporting (n=4). The reporting system was for all the healthcare professionals within the specialized units, focusing on patients, staff members, and families. The outcomes of implemented incident reporting guidelines were positive, as evidenced by improved reporting of incidents, including medication errors (n=7) and decreased rate of incidents and errors (3). Other studies showed no change (n=3) in implementing the incident reporting guidelines.
Conclusions:
Discussion: The implementation of reporting of PSIs in specialized units started to be reported around 2002, however, the frequency of yearly publications remains very low. Although some specialized units are still using multifaceted paper reporting systems in reporting Patient Safety Incidents, the implementation of electronic and computer-based reporting systems is gaining momentum. Conclusion: Implementing a simplified electronic-based reporting system effectively should extend into other units beyond critical care units. Clinical Trial: No
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