Barriers to Incident Reporting by Physicians: A Survey of Surgical Residents and Attending Physicians.

Autor:	Anderson MJ; General Surgery, University of Kentucky, Lexington, USA.; Surgery, Lexington VA (Veterans Affairs) Medical Center, Lexington, USA., Stephens WA; General Surgery, University of Kentucky, Lexington, USA., Levy BE; General Surgery, University of Kentucky, Lexington, USA., Newcomb MR; Surgery, Lexington VA (Veterans Affairs) Medical Center, Lexington, USA., Harris AM; Surgery, Lexington VA (Veterans Affairs) Medical Center, Lexington, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jun 21; Vol. 16 (6), pp. e62850. Date of Electronic Publication: 2024 Jun 21 (Print Publication: 2024).
DOI:	10.7759/cureus.62850
Abstrakt:	Objectives Incident reporting is vital to a culture of safety; however, physicians report at an alarmingly low rate. This study aimed to identify barriers to incident reporting among surgeons at a quaternary care center. Methods A survey was created utilizing components of the Agency for Healthcare Research and Quality (AHRQ) validated survey on patient safety culture. This tool was distributed to residents and attending physicians in general surgery and urology at a single academic medical center. Responses were de-identified and recorded for data analysis using REDCap (Research Electronic Data Capture) database tool (Vanderbilt University, Nashville, Tennessee, United States). Results We received 39 survey responses from 116 residents and attending physicians (34% response rate), including nine urologists and 30 general surgeons (24 attendings, 15 residents). Residents and attendings feel the person is being written up and not the issue (67%) and that there is a lack of feedback after changes are implemented (64%), though most believe adequate action is taken to address patient safety concerns (72%). Most do not report near-misses (64%), only significant adverse events (59%). Residents are likely to stay silent when patient safety events involve those in authority (60%). Faculty feel those in authority are open to patient safety concerns (67%), though residents feel neutral (47%) or disagree (33%). Conclusion Underreporting of incidents among physicians remains multifaceted and complex, from fear of retaliation to lack of feedback. Residents tend to feel less comfortable addressing authority figures when concerned about patient safety. While misunderstanding still exists about the applications and utility of incident reporting, a focus on quality over quantity could afford more meaningful progress toward high reliability in healthcare. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. University of Kentucky Nonmedical Institutional Review Board issued approval 63280. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Anderson et al.)
Databáze:	MEDLINE
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