Pfeiffer Y, Manser T, Wehner T
Center for Organizational and Occupational Sciences, ETH Zurich, Kreuzplatz 5, Zurich CH-8032, Switzerland.
Qual Saf Health Care. 2010 Dec;19(6):e60. doi: 10.1136/qshc.2008.030445. Epub 2010 Jun 17.
Incident reporting systems are widely considered effective instruments for learning from incidents. However, research shows that many incidents are not reported by healthcare providers.
The lack of theoretical foundation in research on barriers to and motivators for incident reporting is addressed in this article, and a psychological framework of antecedents to staff's motivation (not) to report incidents is proposed. FRAMEWORK DEVELOPMENT: Concepts relevant for clinicians' motivation to report incidents were identified in psychological literature. Additionally, a literature review was conducted to extract barriers to incident reporting and cluster them into thematic groups. Barriers and motivators influencing clinicians' willingness to report were integrated and identified as an indicator for actual reporting behaviour.
The proposed framework provides a basis for guiding future empirical studies that will improve our understanding of what encourages and what hinders clinicians to report incidents and, consequently, of areas for interventions to enhance reporting behaviour.
事件报告系统被广泛认为是从事件中吸取教训的有效工具。然而，研究表明，许多事件并未被医疗保健提供者报告。
本文探讨了事件报告的障碍和动机研究中缺乏理论基础的问题，并提出了员工报告（或不报告）事件动机的心理前因框架。
在心理学文献中确定了与临床医生报告事件动机相关的概念。此外，进行了文献综述，以提取事件报告的障碍并将其聚类为主题组。影响临床医生报告意愿的障碍和动机被整合起来，并被确定为实际报告行为的一个指标。
所提出的框架为指导未来的实证研究提供了基础，这将增进我们对鼓励和阻碍临床医生报告事件的因素的理解，从而增进对加强报告行为的干预领域的理解。
