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Published on: February 19, 2021
Attitudes toward the large-scale implementation of an incident reporting system
Jeffrey Braithwaite1, Mary Westbrook, Joanne Travaglia
1Centre for Clinical Governance Research, University of New South Wales, Sydney, NSW 2052, Australia.
Summary
Health professionals generally supported the new electronic Incident Information Management System, with nurses showing more favorable attitudes and usage than doctors. System implementation was successful but highlighted areas for improvement in reporting quality and feedback.
Area of Science:
- Health Informatics
- Healthcare Management
- Patient Safety
Background:
- The Department of Health, New South Wales, Australia, implemented a system-wide electronic Incident Information Management System (IIMS).
- Evaluating the adoption and impact of health IT systems is crucial for improving healthcare delivery and patient safety.
Purpose of the Study:
- To evaluate the system-wide implementation of an electronic Incident Information Management System (IIMS).
- To assess health professionals' utilization and attitudes towards the IIMS.
- To determine if usage and attitudes vary by profession, hypothesizing nurses would be most favorable and doctors least.
Main Methods:
- An anonymous online questionnaire survey was distributed to 2185 health practitioners.
- Data collected included training completion and satisfaction, incident reporting behavior, and attitudes towards system use, security, and workplace safety.
Main Results:
- The majority of health professionals completed training and reported incidents, maintaining previous reporting rates.
- Favorable attitudes towards system use and security were common, but attitudes toward workplace safety culture and system value were mixed.
- Nurses reported higher training uptake, incident reporting, and more favorable attitudes compared to doctors, with allied health professionals falling in between.
Conclusions:
- The electronic Incident Information Management System (IIMS) implementation was relatively successful, demonstrating varying levels of acceptance across different health professions.
- Identified issues in reporting quality, feedback mechanisms, and data analysis resources suggest that initial implementation goals may have been overly optimistic.
- Planned interventions can address identified deficiencies to further optimize the system's effectiveness and achieve desired outcomes.
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