The incident reporting systems and organizational learning in indonesian public hospitals

I. Dhamanti, S. Leggat, S. Barraclough

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

1 Citation (Scopus)

Abstract

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.

Original languageEnglish
Title of host publicationBridging Research and Good Practices towards Patient Welfare - Proceedings of the 4th International Conference on HealthCare Systems Ergonomics and Patient Safety, HEPS 2014
EditorsYuh-Chuan Shih, Sheau-Farn Max Liang
PublisherCRC Press/Balkema
Pages27-35
Number of pages9
ISBN (Print)9781138027169
Publication statusPublished - 2015
Event4th International Conference on HealthCare Systems Ergonomics and Patient Safety, HEPS 2014 - Taipei, Taiwan, Province of China
Duration: 23 Jun 201426 Jun 2014

Publication series

NameBridging Research and Good Practices towards Patient Welfare - Proceedings of the 4th International Conference on HealthCare Systems Ergonomics and Patient Safety, HEPS 2014

Conference

Conference4th International Conference on HealthCare Systems Ergonomics and Patient Safety, HEPS 2014
Country/TerritoryTaiwan, Province of China
CityTaipei
Period23/06/1426/06/14

Keywords

  • Incident reporting system
  • Organizational learning
  • Patient safety
  • Public hospital

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