ArticleBMC health services research2018
Experiences from ten years of incident reporting in health care: a qualitative study among department managers and coordinators.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis.BMJ open quality · 2025Pooled it
- Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis.BMJ open quality · 2023Pooled it
- Article
- Incidence and Characteristics of Hospital-Acquired Pressure Injuries in Acute Palliative Care Patients: A Four-Year Analysis.Journal of clinical nursing · 2026Article
- Understanding Engagement With Incident Reporting Systems Among NHS Healthcare Professionals: A Cross-Sectional Study.Cureus · 2025Article
- Is It Still Time for Safety Walkaround? Pilot Project Proposing a New Model and a Review of the Methodology.Medicina (Kaunas, Lithuania) · 2024Article
- Patient Safety Incidents in Primary Care: Comparing APEAS-2007 (Spanish Patient Safety Adverse Events Study in Primary Care) with Data from a Health Area in Catalonia (Spain) in 2019.Healthcare (Basel, Switzerland) · 2024Article
- Reporting of adverse events and the fundamental tasks of managers-A qualitative interview study.Nursing open · 2023Article
- Analysis of health care professionals' incident reports on medical devices in Croatia.Croatian medical journal · 2023Article
- Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events.BMJ open quality · 2023Article
- Nursing 12-Hour Shifts and Patient Incidents in Mental Health and Community Hospitals: A Longitudinal Study Using Routinely Collected Data.Journal of nursing management · 2023Article
- Electronic On-line Incident Reporting System (IRS) as a Tool for Risk Assessment in Radiation Therapy.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2023Article
- Staff Experiences in Managing Incidents in Nursing Homes: A Descriptive Qualitative Study.Journal of multidisciplinary healthcare · 2023Article
- Utilization of ChatGPT in Medical Education: Applications and Implications for Curriculum Enhancement.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2023Article
- Enhancement of infection prevention case review process to optimize learning from defects.Journal of infection prevention · 2022Article
- How do healthcare practitioners use incident data to improve patient safety in Japan? A qualitative study.BMC health services research · 2022Article
- Assessing the healthcare quality issues for digital incident reporting in Sweden: Incident reports analysis.Digital healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundIncident reporting (IR) in health care has been advocated as a means to improve patient safety. The purpose of IR is to identify safety hazards and develop interventions to mitigate these hazards in order to reduce harm in health care. Using qualitative methods is a way to reveal how IR is used and perceived in health care practice. The aim of the present study was to explore the experiences of IR from two different perspectives, including heads of departments and IR coordinators, to better understand how they value the practice and their thoughts regarding future application.
methodsData collection was performed in Östergötland County, Sweden, where an electronic IR system was implemented in 2004, and the authorities explicitly have advocated IR from that date. A purposive sample of nine heads of departments from three hospitals were interviewed, and two focus group discussions with IR coordinators took place. Data were analysed using qualitative content analysis.
resultsTwo main themes emerged from the data: "Incident reporting has come to stay" building on the categories entitled perceived advantages, observed changes and value of the IR system, and "Remaining challenges in incident reporting" including the categories entitled need for action, encouraged learning, continuous culture improvement, IR system development and proper use of IR.
conclusionsAfter 10 years, the practice of IR is widely accepted in the selected setting. IR has helped to put patient safety on the agenda, and a cultural change towards no blame has been observed. The informants suggest an increased focus on action, and further development of the tools for reporting and handling incidents.
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.