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Overcoming Human Barriers to Safety Event Reporting in Radiology
Bettina Siewert1, Olga R Brook1, Suzanne Swedeen1
1From the Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02115.
Summary
Human factors impede safety event reporting in healthcare. Addressing barriers like liability concerns and fear requires multi-level interventions to foster a strong safety culture.
Area of Science:
- Healthcare safety
- Human factors in medicine
- Organizational behavior
Background:
- Safety event reporting is crucial for improvement in high-reliability industries.
- Human factors frequently present significant barriers to consistent safety event reporting.
Purpose of the Study:
- To review human factors that impede safety event reporting in healthcare.
- To discuss countermeasures for establishing a robust safety culture.
Main Methods:
- Review of common human factors acting as barriers to safety event reporting.
- Analysis of countermeasures at various organizational levels.
Main Results:
- Identified barriers include liability concerns, time constraints, physician autonomy, lack of feedback, unclear roles, and fear of retribution.
- Countermeasures must be implemented at frontline, leadership, and organizational levels.
Conclusions:
- Creating a culture of safety necessitates addressing human factors and implementing multi-level interventions.
- Empowering all employees to raise safety concerns is essential for continuous improvement.
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