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Barriers to incident reporting among doctors and nurses in a Specialist Government Hospital in the state of Kedah, Malaysia

National Symposium on Advancements in Ergonomics and Safety (ERGOSYM2009), 1st – 2nd December 2009, Perlis, Malaysia

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Bibliographic Details
Main Author: Mithali, Abdullah @ Jacquline Sapen
Other Authors: drjackie@ehsmapis.com
Format: Article
Language:English
Published: Universiti Malaysia Perlis (UniMAP) 2014
Subjects:
Adverse event
Incident reporting
Barriers
Blame culture
Hierarchy
Effort
Online Access:http://dspace.unimap.edu.my:80/xmlui/handle/123456789/37427
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spelling my.unimap-374272014-10-16T01:52:28Z Barriers to incident reporting among doctors and nurses in a Specialist Government Hospital in the state of Kedah, Malaysia Mithali, Abdullah @ Jacquline Sapen drjackie@ehsmapis.com Adverse event Incident reporting Barriers Blame culture Hierarchy Effort National Symposium on Advancements in Ergonomics and Safety (ERGOSYM2009), 1st – 2nd December 2009, Perlis, Malaysia Context: Barriers which cause underreporting of incidents among doctors and nurses have been explored in various scholarly literatures abroad. However, less is known about the barriers to incident reporting in our current Malaysian health care system. Objective: To study the contributions of barriers such as culture of blame, the occupational hierarchy in health care system and the burden of effort to incident reporting among doctors and nurses in a specialist government hospital. Secondly, to determine whether these barriers differ among the practitioners. Method: All the doctors (92) and nurses (282) from four clinical departments (Surgery, General Medicine, O&G and Anaesthesia) in a hospital with specialists in the state of Kedah were invited to participate as the respondents in this study. Questionnaires were distributed to all of the identified participants. A total of 317 doctors and nurses participated (84.8% return rate). Results: Twenty one percent of underreporting of incidents was due to fear of blame and forty one percent of incident underreporting resulted from differences in hierarchy in the organization. Nevertheless, sixty three percent of incident underreporting was because there was too much effort needed to report. Fifty two percent of nurses did not report trivial incidents and about sixty percent of them did not know what to report. Approximately sixty seven percent of nurses did not report if the ward was busy. Conclusion: To ensure a successful incident reporting system, the effort in reporting any incident need to be addressed. On the other hand, health care providers would be more willing to report if they were supported by their co-workers and supervisors. Hence, a supportive working environment is important to ensure more incidents to be reported. 2014-10-16T01:52:28Z 2014-10-16T01:52:28Z 2009-12-01 Article p.172-178 http://dspace.unimap.edu.my:80/xmlui/handle/123456789/37427 en Proceeding of the National Symposium on Advancements in Ergonomics and Safety (ERGOSYM2009); Universiti Malaysia Perlis (UniMAP)
institution Universiti Malaysia Perlis
building UniMAP Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Perlis
content_source UniMAP Library Digital Repository
url_provider http://dspace.unimap.edu.my/
language English
topic Adverse event
Incident reporting
Barriers
Blame culture
Hierarchy
Effort
spellingShingle Adverse event
Incident reporting
Barriers
Blame culture
Hierarchy
Effort
Mithali, Abdullah @ Jacquline Sapen
Barriers to incident reporting among doctors and nurses in a Specialist Government Hospital in the state of Kedah, Malaysia
description National Symposium on Advancements in Ergonomics and Safety (ERGOSYM2009), 1st – 2nd December 2009, Perlis, Malaysia
author2 drjackie@ehsmapis.com
author_facet drjackie@ehsmapis.com
Mithali, Abdullah @ Jacquline Sapen
format Article
author Mithali, Abdullah @ Jacquline Sapen
author_sort Mithali, Abdullah @ Jacquline Sapen
title Barriers to incident reporting among doctors and nurses in a Specialist Government Hospital in the state of Kedah, Malaysia
title_short Barriers to incident reporting among doctors and nurses in a Specialist Government Hospital in the state of Kedah, Malaysia
title_full Barriers to incident reporting among doctors and nurses in a Specialist Government Hospital in the state of Kedah, Malaysia
title_fullStr Barriers to incident reporting among doctors and nurses in a Specialist Government Hospital in the state of Kedah, Malaysia
title_full_unstemmed Barriers to incident reporting among doctors and nurses in a Specialist Government Hospital in the state of Kedah, Malaysia
title_sort barriers to incident reporting among doctors and nurses in a specialist government hospital in the state of kedah, malaysia
publisher Universiti Malaysia Perlis (UniMAP)
publishDate 2014
url http://dspace.unimap.edu.my:80/xmlui/handle/123456789/37427
_version_ 1643798458091438080
score 13.211869

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