Catching and Correcting Unreported, Under-Reported Accidents (Near-Misses) Among Healthcare Provider in Thailand

Details

• Personal Author:
  Bandhukul A ; Kongtip P ; Omas T ; Silpasuwan P ; Viwatwongasame C ; Woskie S
• Description:
  Objectives: Latent errors in an incident reporting system pose threats to accident and near-miss prevention in hospitals. The aims of this study were to gain insight into the incident reporting system by exploring and investigating the refinement of unreported and under-reported (near-miss) patterns and by estimating under-reported annual hospital accidents over three months in one hospital. Methods: Sequential mixed-method research was undertaken using both qualitative and quantitative approaches. 120 health care providers were selected from 13 departments of a selected study hospital. Self-reported questionnaires, information from annual reports and focus group interviews among stakeholders were employed. Based on a quantitative mixed-model approach, estimation of lost cases from near-miss incidents was made. Results: In 2015, 20% of accidents had been reported to the hospital center while under-reported accidents and near-miss incidents by self-report over 3 months equaled 18% and 25.9%, respectively. Recent trends were positive, driven by changing values about incident reporting. However, confusion and fear still remain among practitioners about near-miss reporting due to old beliefs. This study confirms that incident reporting needs improvement so that there is an enhanced organizational culture of safety, raised awareness for individual reporting, and recovery of lost cases using mixed-model estimation of near-misses. [Description provided by NIOSH]
• Subjects:
  Accidents, Occupational Delivery Of Health Care Health Personnel Occupational Health Quality Control Race Factors Safety Surveys And Questionnaires
• Keywords:
  Accident Rates Accidents Accident Statistics Analytical Models Author Keywords: Accidents At Work Health Care Health Care Personnel Health Care Provider Health Care Workers Health Surveys Injury Prevention Medical Care Medical Personnel Medical Records Near-misses Qualitative Analysis Quality Control Quantitative Analysis Questionnaires Racial Factors Recordkeeping Records Management Safety Research Underreported

  More +
• ISSN:
  1989-5216
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-7
• Volume:
  9
• Issue:
  2
• NIOSHTIC Number:
  nn:20052923
• Citation:
  Arch Med 2017 Mar; 9(2):1-7
• Contact Point Address:
  Pimpan Silpasuwan, Department of Public Health Nursing, Faculty of Public Health, Mahidol University, Bangkok, Thailand
• Email:
  pimpan.sil@mahidol.ac.th
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Massachusetts, Lowell
• Peer Reviewed:
  False
• Start Date:
  20120920
• Source Full Name:
  Archives of Medicine
• End Date:
  20150831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:aa76101e59ecce2097aa1fccb97e72dd8e31892078ef0e05487d5c58a75f76f0be71a3ad5918d518d2073d0102a88b5b6a08508d7f8c07b716f9d907240faa86
• Download URL:
  https://stacks.cdc.gov/view/cdc/215827/cdc_215827_DS1.pdf
• File Type:
  [PDF - 355.79 KB ]