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Related Concept Videos

Types of Reports II: Incident or Occurrence Report01:21

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Organizational Factors That Promote Error Reporting in Healthcare: A Scoping Review.

Dawn Wawersik1, Janice Palaganas2

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This systematic review offers guidelines for healthcare organizations to foster psychological safety in error reporting. Understanding individual and organizational factors is crucial for enhancing patient safety through improved reporting systems.

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Area of Science:

  • Healthcare Management
  • Patient Safety Research
  • Organizational Psychology

Background:

  • Effective error reporting systems are vital for patient safety.
  • Psychological safety is a key determinant of open communication and error reporting in healthcare.
  • Existing literature highlights a need for clearer guidelines on fostering psychological safety in healthcare settings.

Purpose of the Study:

  • To provide guidelines for creating psychological safety in error reporting within healthcare organizations.
  • To identify organizational factors that promote or hinder psychological safety for error reporting.
  • To uncover research gaps and suggest future research directions in this area.

Main Methods:

  • A systematic review of peer-reviewed articles published between 2015 and 2021.
  • Online database search for organizational processes related to error reporting.
  • Eligibility screening of 52 full-text articles, with 29 included for quality appraisal using Joanna Briggs Institute tools.

Main Results:

  • A narrative review of 29 studies identified factors promoting or acting as barriers to error reporting.
  • Findings indicate that healthcare organizations may employ contradictory strategies to achieve reporting goals.
  • The review highlights the importance of considering cultural differences and personal biases among healthcare leaders and clinicians.

Conclusions:

  • Enhanced understanding of individual characteristics and organizational interests is needed to improve error reporting.
  • Implementing strategies to increase psychological safety is essential for healthcare teams and the overall workplace.
  • Strengthening psychological safety in error reporting directly contributes to enhanced patient safety outcomes.