Andrea Pokorná*,**, Jan Mužík*,**, Jan Švancara*,**, Jakub Gregor*,**
* Masaryk University, Faculty of Medicine, Institute of Biostatistics and Analyses
** Institute of Health Information and Statistics of the Czech Republic
POKORNÁ, A. – MUŽÍK, J. – ŠVANCARA, J. – GREGOR, J. Perceived effectiveness and attitudes of health professionals towards the Czech Incident Reporting System. In Ošetrovateľstvo: teória, výskum, vzdelávanie [online], 2016, vol. 6, no. 2, pp. 44-51. Available on:https://www.osetrovatelstvo.eu/archiv/2016-rocnik-6/cislo-2/perceived-effectiveness-and-attitudes-of-health-professionals-towards-the-czech-incident-reporting-system.
Aim: The major objective of this survey was to examine the perceived effectiveness of the incident reporting system in acute hospital settings in the Czech Republic. The second objective was to determine needs for change in the electronic system from the users (on managerial positions) perspective after five years of the initial system implementation.
Method: Cross-sectional descriptive survey was used and the questionnaire survey was undertaken. Statistical analysis was conducted using the IBM SPSS Statistics 22 (statistical significance a = 0.05) by nonparametrical tests (Mann-Whitney U test for two groups and Kruskal-Wallis H test for more than two groups). Reliability of Likert scales was tested by Cronbach´s alpha coefficient.
Results: In total, 64 respondents (healthcare workers - mainly quality managers) with experience of reporting and analysing incidents – working in involved hospitals as contact persons during implementation of the reporting system on the national level were interviewed. We have not identified a statistical relationship between the overall assessment of system and age of the respondents (p = 0.55), nor by the work position (p = 0.795). As well as according to the nature of the hospital involvement to the system (voluntary or mandatory, p = 0.268) nor length of involvement in the reporting system (p = 0.345). The main barrier for using the system is lack of staff and high workload of workers.
Conclusion: The system is perceived as an important tool for developing and maintaining awareness of risks in clinical practice; however, there are issues to be solved and improved, particularly in methodology and technical support.
Keywords: quality of care, electronic incident reporting, adverse events, healthcare risk, evaluation
Assoc. Prof. Andrea Pokorná, PhD
Masaryk University, Faculty of Medicine, Institute of Biostatistics and Analyses
625 00 Brno
Received: 26th October 2016
Accepted: 20th November 2016