TY - GEN
T1 - The incident reporting systems and organizational learning in indonesian public hospitals
AU - Dhamanti, I.
AU - Leggat, S.
AU - Barraclough, S.
N1 - Publisher Copyright:
© 2015 Taylor & Francis Group, London.
PY - 2015
Y1 - 2015
N2 - Hospital incident reporting has become one of the most important tools to capture errors, and within incident reporting, learning from errors can be applied and potentially disseminated across staff at all levels. The aim of this study is to investigate the implementation of patient safety incident reporting in Indonesia and to see how public hospitals have implemented the organizational learning arising from incidents. Three public hospitals were purposively selected from three regions in East Java. Hospital directors or managers, patient safety teams, and ward supervisors were interviewed.We applied thematic analysis to analyze the transcripts. Issues found included delays in reporting, unwritten or incomplete reports, lack of staff training, lack of leadership, absence of feedback, and inadequate management supports. Accordingly, we recommend that hospitals conduct and allocate resources for Root Cause Analysis, follow up the corrective actions for an agreed time, conduct further analysis on their data, standardize feedback and dissemination mechanisms, and improve the leadership and organizational factors preventing satisfactory incident reporting.
AB - Hospital incident reporting has become one of the most important tools to capture errors, and within incident reporting, learning from errors can be applied and potentially disseminated across staff at all levels. The aim of this study is to investigate the implementation of patient safety incident reporting in Indonesia and to see how public hospitals have implemented the organizational learning arising from incidents. Three public hospitals were purposively selected from three regions in East Java. Hospital directors or managers, patient safety teams, and ward supervisors were interviewed.We applied thematic analysis to analyze the transcripts. Issues found included delays in reporting, unwritten or incomplete reports, lack of staff training, lack of leadership, absence of feedback, and inadequate management supports. Accordingly, we recommend that hospitals conduct and allocate resources for Root Cause Analysis, follow up the corrective actions for an agreed time, conduct further analysis on their data, standardize feedback and dissemination mechanisms, and improve the leadership and organizational factors preventing satisfactory incident reporting.
KW - Incident reporting system
KW - Organizational learning
KW - Patient safety
KW - Public hospital
UR - http://www.scopus.com/inward/record.url?scp=84940565028&partnerID=8YFLogxK
M3 - Conference contribution
AN - SCOPUS:84940565028
SN - 9781138027169
T3 - Bridging Research and Good Practices towards Patient Welfare - Proceedings of the 4th International Conference on HealthCare Systems Ergonomics and Patient Safety, HEPS 2014
SP - 27
EP - 35
BT - Bridging Research and Good Practices towards Patient Welfare - Proceedings of the 4th International Conference on HealthCare Systems Ergonomics and Patient Safety, HEPS 2014
A2 - Shih, Yuh-Chuan
A2 - Liang, Sheau-Farn Max
PB - CRC Press/Balkema
T2 - 4th International Conference on HealthCare Systems Ergonomics and Patient Safety, HEPS 2014
Y2 - 23 June 2014 through 26 June 2014
ER -