Kontakt 2021, 23(2):97-103 | DOI: 10.32725/kont.2020.033
How adverse event reporting in the Slovak Republic is influenced by nurse characteristics and working arrangements: a cross-sectional studyNursing - Original article
- 1 Comenius University in Bratislava, Jessenius Faculty of Medicine, Department of Nursing, Martin, Slovak Republic
- 2 Dublin City University, School of Nursing and Human Sciences, Dublin, Ireland
- 3 Palacký University in Olomouc, Faculty of Health Sciences, Department of Nursing, Olomouc, Czech Republic
Objective: To examine the adverse events reporting practices of nurses in Slovakia.
Design: A cross-sectional study.
Methods: Data were collected using the Hospital Survey on Patient Safety Culture between December 2017 and July 2018. Registered nurses (n = 1073) from both public and private hospitals across the Slovak Republic were included in the sample. Data were analyzed through descriptive and inductive statistics using SPSS 25.0.
Results: A relationship was established between nurse-reported patient safety levels and different unit types, along with nurse overtime levels. A significant relationship was confirmed between the number of events reported by a nurse and nurse education levels, length of clinical practice, hospital size, and both hospital and unit type. Likewise, a significant relationship was verified between the reporting of near-misses and the hospital type, the hospital size and overtime hours.
Conclusions: Nurses have a responsibility to advance patient safety, and this includes adverse event and near-miss reporting. Particular nurse and organizational factors have been identified which enhance reporting patterns and patient safety. Consideration of these factors when planning the nurse workforce can affect overall patient safety.
Keywords: Adverse events; Hospital; Hospital Survey on Patient Safety Culture; Nurse; Report
Received: June 11, 2020; Revised: June 11, 2020; Accepted: September 1, 2020; Prepublished online: September 2, 2020; Published: May 5, 2021 Show citation
| ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
References
- Aiken LH, Sermeus W, Van den Heede K, Sloane DM, Busse R, McKee M, et al. (2012). Patient safety, satisfaction and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ 344: e1717. DOI: 10.1136/bmj.e1717.
Go to original source...
Go to PubMed... - Andersson Å, Frank C, Willman AML, Sandman P-O, Hansebo G (2018). Factors contributing to serious adverse events in nursing homes. J Clin Nurs 27(1-2): e354-e362. DOI: 10.1111/jocn.13914.
Go to original source...
Go to PubMed... - Council Recommendation 2009/C 151/01 on patient safety, including prevention and control of healthcare associated infections (2009). Official Journal of the European Union 52: 1-7.
- de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ, Boermeester MA (2008). The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 17(3): 216-223. DOI: 10.1136/qshc.2007.023622.
Go to original source...
Go to PubMed... - Espin S, Wickson-Griffiths A, Wilson M, Lingard L (2010). To report or not to report: A descriptive study exploring ICU nurses' perceptions of error and error reporting. Intensive and Critical Care Nursing 26: 1-9. DOI: 10.1016/j.iccn.2009.10.002.
Go to original source...
Go to PubMed... - Griffiths P, Maruotti A, Saucedo AR, Redfern OC, Ball JE, Briggs J, et al. (2019). Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study. BMJ Quality and Safety 28: 609-617. DOI: 10.1136/bmjqs-2018-008043.
Go to original source...
Go to PubMed... - Hammer A, Ernstmann N, Ommen O, Wirtz M, Manser T, Pfeiffer Y, et al. (2011). Psychometric properties of the Hospital Survey on Patient Safety Culture for hospitalmanagement (HSOPS_M). BMC Health Serv Res 11(165): 1-10. DOI: 10.1186/1472-6963-11-165.
Go to original source...
Go to PubMed... - Kim MY, Kim YM, Kang S-W (2016). A survey and multilevel analysis of nursing unit tenure diversity and medication errors. J Nurs Manag 24(5): 634-645. DOI: 10.1111/jonm.12366.
Go to original source...
Go to PubMed... - Kirwan M, Matthews A, Scott A (2013). The impact of the work environment of nurses on patient safety outcomes: A multi-level modelling approach. Int J Nurs Stud 50(2): 253-263. DOI: 10.1016/j.ijnurstu.2012.08.020.
Go to original source...
Go to PubMed... - Ko Y, Yu S (2017). The relationship among perceived patients' safety culture, intention to report errors, and leader coaching behaviour of nurses in Korea: A pilot study. J Patient Saf 13(3): 175-183. DOI: 10.1097/PTS.0000000000000224.
Go to original source...
Go to PubMed... - Lederman R, Dreyfus S, Matchan J, Knott JC, Milton SK (2013). Electronic error-reporting systems: A case study into the impact on nurse reporting of medical errors. Nurs Outlook 61(6): 417-426. DOI: 10.1016/j.outlook.2013.04.008.
Go to original source...
Go to PubMed... - Lee CT-S, Doran DM (2017). The role of interpersonal relations in healthcare team communication and patient safety: A proposed model of interpersonal process in teamwork. Can J Nurs Res 49(2): 75-93. DOI: 10.1177/0844562117699349.
Go to original source...
Go to PubMed... - Lipsitz LA (2012). Understanding health care as a complex system: The foundation for unintended consequences. JAMA 308(3): 243-244. DOI: 10.1001/jama.2012.7551.
Go to original source...
Go to PubMed... - Makary MA, Daniel M (2016). Medical error - the third leading cause of death in the US. BMJ 353: i2139. DOI: 10.1136/bmj.i2139.
Go to original source...
Go to PubMed... - McLennan SR, Diebold M, Rich LE, Elger BS (2016). Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud 54: 16-22. DOI: 10.1016/j.ijnurstu.2014.10.001.
Go to original source...
Go to PubMed... - Methodological guidance no. 3/2014 focusing on the system of the implementation of reporting of errors, mistakes and adverse events in institutional healthcare (2014). Health Care Surveillance Authority in the Slovak Republic. [online] [cit. 2020-01-22]. Available at: http://www.udzs-sk.sk/metodicke-usmernenia
- Needleman J, Buerhaus P, Mattke S, Stewart M, Zelevinsky K (2002). Nurse-Staffing Levels and the Quality of Care inHospitals. New England Journal of Medicine 346(22): 1715-1722. DOI: 10.1056/NEJMsa012247.
Go to original source...
Go to PubMed... - Nie Y, Mao X, Cui H, He S, Li J, Zhang M (2013). Hospital survey on patient safety culture in China. BMC Health Serv Res 13(1): 228-238. DOI: 10.1186/1472-6963-13-228.
Go to original source...
Go to PubMed... - Office of the Inspector General (2014). Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. Department of Health and Human Services, National Institutes of Health. [online] [cit. 2020-01-22]. Available at: https://oig.hhs.gov/oei/reports/oei-06-11-00370.pdf
- Pham JC, Girard T, Pronovost PJ (2013). What to do with healthcare incident reporting systems. J Pub Health Res 2(3): 154-159. DOI: 10.4081/jphr.2013.e27.
Go to original source...
Go to PubMed... - Prang IW, Jelsness-Jørgensen L-P (2014). Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing home. Geriatr Nurs 35(6): 441-447. DOI: 1016/j.gerinurse.2014.07.003.
Go to original source...
Go to PubMed... - Regulation No 95/2018 (2018). Ministry of Health of the Slovak Republic. [online] [cit. 2020-01-22]. Available at: http://www.epi.sk/zz/2018-95/znenie-20180401#Share
- Shin S, Park J-H, Bae S-H (2018). Nurse staffing and nurse outcomes: a systematic review and meta-analysis. Nurs Outlook 66(3): 273-282. DOI: 10.1016/j.outlook.2017.12.002.
Go to original source...
Go to PubMed... - Sorra JS, Nieva VF (2004) Hospital Survey on Patient Safety Culture (Prepared by Westat, under Contract No.290-96-0004). [online] [cit. 2020-01-22]. Available at: http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/hospcult.pdf
- Sováriová Soósová M, Zamboriová M, Murgová A (2017). Hospital patient safety culture in Slovakia. Ošetrovateľstvo: teória, výskum, vzdelávanie 1(1): 12-19.
- Zarea K, Mohammadi A, Beiranvand S, Hassani F, Baraz S (2018). Iranian nurses' medication errors: A survey of the types, causes, and the related factors. International Journal of African Nursing Sciences 8: 112-116. DOI: 10.1016/j.ijans.2018.05.001.
Go to original source...
This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


