Presentation
Attitudes toward incident reporting and observed reporting practices across 20 nursing units at a large academic medical center
DescriptionMedication errors remain a persistent threat to patient safety, and hospitals rely on incident reporting systems to identify and address these events. This study examined how nurses perceive incident reporting and how those perceptions relate to actual reporting practices across 20 nursing units at a large academic medical center.
We conducted a cross-sectional analysis combining nurse surveys with a structured review of medication-related incident reports. Surveys assessed confidence, communication, and perceptions of reporting culture, while incident reports were analyzed to identify contributing factors such as workflow issues, communication breakdowns, and technology challenges.
Among 638 nurse respondents, most expressed confidence in speaking up about errors and perceived a generally blame-free environment. However, confidence in completing formal incident reports was lower. Across 752 submitted reports, common contributing factors included skill-based errors, communication gaps, and tool or technology issues. Despite variation in reporting rates between units, nurses’ attitudes were not significantly associated with how often, how quickly, or how thoroughly reports were completed.
Overall, while nurses recognize the importance of reporting, gaps in confidence and low reporting rates persist. These findings highlight the need for targeted training and improved feedback processes to strengthen reporting practices and enhance patient safety.
We conducted a cross-sectional analysis combining nurse surveys with a structured review of medication-related incident reports. Surveys assessed confidence, communication, and perceptions of reporting culture, while incident reports were analyzed to identify contributing factors such as workflow issues, communication breakdowns, and technology challenges.
Among 638 nurse respondents, most expressed confidence in speaking up about errors and perceived a generally blame-free environment. However, confidence in completing formal incident reports was lower. Across 752 submitted reports, common contributing factors included skill-based errors, communication gaps, and tool or technology issues. Despite variation in reporting rates between units, nurses’ attitudes were not significantly associated with how often, how quickly, or how thoroughly reports were completed.
Overall, while nurses recognize the importance of reporting, gaps in confidence and low reporting rates persist. These findings highlight the need for targeted training and improved feedback processes to strengthen reporting practices and enhance patient safety.
Contributors
Event Type
Lecture
TimeTuesday, October 20th4:50pm - 5:10pm PDT
Location
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