ReviewBMJ open2017
Development of a theoretical framework of factors affecting patient safety incident reporting: a theoretical review of the literature.
Review in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors influencing patient safety incident reporting in African healthcare organisations: a systematic integrative review.BMC health services research · 2025Pooled it
- Prevalence, contributory factors and severity of medication errors associated with direct-acting oral anticoagulants in adult patients: a systematic review and meta-analysis.European journal of clinical pharmacology · 2022Pooled it
- A multifaceted risk management program to improve the reporting rate of patient safety incidents in primary care: a cluster-randomised controlled trial.BMC primary care · 2024Trial
- Factors of the Nursing Practice Environment Shaping Nurses' Perceived Benefits of Adverse Event Reporting: A Cross-Sectional Study Among Primary Healthcare Nurses.Healthcare (Basel, Switzerland) · 2026Article
- The Safety Action Feedback and Engagement (SAFE) Loop: Initial Testing and Refinement of a Novel Intervention to Enhance Hospital Incident Reporting and Patient Safety.Journal of patient safety · 2026Article
- Beyond the report: a qualitative exploration of safety incidents in maternity services.BMJ open quality · 2026Article
- From observation to action: a qualitative interview study of factors that influence the reporting of observations of unprofessional conduct in healthcare settings.BMJ open quality · 2026Article
- The associated factors of root cause analysis of incident reporting in public primary healthcare in Malaysia.Scientific reports · 2026Article
- Generative Transformers for Pharmacovigilance Signal Detection using Electronic Health Records.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026Article
- Factors Influencing Patient Safety Incident Reporting and Evidence-Based Improvement Strategies Among Healthcare Professionals in Saudi Arabia: A Systematic Review Aligned with Vision 2030.Journal of multidisciplinary healthcare · 2026Review
- Explaining site-level fidelity within a national initiative to implement a VA patient safety guidebook: the difference-making role of networks & communications.Implementation science communications · 2025Article
- Barriers and enablers of adverse drug event reporting in South Africa: a cross-sectional survey of medicine users.BMC public health · 2025Article
- Quality issue management and disclosure in forensic science: A survey of practice and perceptions.Journal of forensic sciences · 2025Article
- Concern and credibility: a factorial survey experiment on nurse judgments and intent to report patient-expressed safety events.BMC nursing · 2025Article
- The Safety Action Feedback and Engagement (SAFE) Loop: Initial Testing and Refinement of a Novel Intervention to Enhance Hospital Incident Reporting and Patient Safety.medRxiv : the preprint server for health sciences · 2025Article
- Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: A factorial survey experiment.Journal of clinical nursing · 2025Article
- Exploring the development of safety culture among physicians with text mining of patient safety reports: a retrospective study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Decades of failure to prevent harm to patients-where are we going wrong? A mixed methods study of the perspectives of health services staff across Australia and internationally.Frontiers in health services · 2025Article
- Patient safety culture in resource-limited healthcare settings: A multicentre survey.PloS one · 2025Article
- Feasibility of prospective error reporting in home palliative care: A mixed methods study.Palliative medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe development and implementation of incident reporting systems within healthcare continues to be a fundamental strategy to reduce preventable patient harm and improve the quality and safety of healthcare. We sought to identify factors contributing to patient safety incident reporting.
designTo facilitate improvements in incident reporting, a theoretical framework, encompassing factors that act as barriers and enablers ofreporting, was developed. Embase, Ovid MEDLINE(R) and PsycINFO were searched to identify relevant articles published between January 1980 and May 2014. A comprehensive search strategy including MeSH terms and keywords was developed to identify relevant articles. Data were extracted by three independent researchers; to ensure the accuracy of data extraction, all studies eligible for inclusion were rescreened by two reviewers.
resultsThe literature search identified 3049 potentially eligible articles; of these, 110 articles, including >29 726 participants, met the inclusion criteria. In total, 748 barriers were identified (frequency count) across the 110 articles. In comparison, 372 facilitators to incident reporting and 118 negative cases were identified. The top two barriers cited were fear of adverse consequences (161, representing 21.52% of barriers) and process and systems of reporting (110, representing 14.71% of barriers). In comparison, the top two facilitators were organisational (97, representing 26.08% of facilitators) and process and systems of reporting (75, representing 20.16% of facilitators).
conclusionA wide range of factors contributing to engagement in incident reporting exist. Efforts that address the current tendency to under-report must consider the full range of factors in order to develop interventions as well as a strategic policy approach for improvement.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.