Manser Tanja, Imhof Michael, Lessing Constanze, Briner Matthias
Institute for Patient Safety, University Hospital Bonn, Bonn, Germany.
School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland, Olten, Switzerland.
Int J Qual Health Care. 2017 Jun 1;29(3):349-359. doi: 10.1093/intqhc/mzx030.
This study aimed to empirically compare incident reporting systems (IRS) in two European countries and to explore the relationship of IRS characteristics with context factors such as hospital characteristics and characteristics of clinical risk management (CRM).
We performed exploratory, secondary analyses of data on characteristics of IRS from nationwide surveys of CRM practices.
The survey was originally sent to 2136 hospitals in Germany and Switzerland.
Persons responsible for CRM in 622 hospitals completed the survey (response rate 29%).
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): Differences between IRS in German and Swiss hospitals were assessed using Chi2, Fisher's Exact and Freeman-Halton-Tests, as appropriate. To explore interrelations between IRS characteristics and context factors (i.e. hospital and CRM characteristics) we computed Cramer's V.
Comparing participating hospitals across countries, Swiss hospitals had implemented IRS earlier, more frequently and more often provided introductory IRS training systematically. German hospitals had more frequently systematically implemented standardized procedures for event analyses. IRS characteristics were significantly associated with hospital characteristics such as hospital type as well as with CRM characteristics such as existence of strategic CRM objectives and of a dedicated position for central CRM coordination.
This study contributes to an improved understanding of differences in the way IRS are set up in two European countries and explores related context factors. This opens up new possibilities for empirically informed, strategic interventions to further improve dissemination of IRS and thus support hospitals in their efforts to move patient safety forward.
本研究旨在通过实证比较两个欧洲国家的事件报告系统（IRS），并探讨IRS特征与医院特征及临床风险管理（CRM）特征等背景因素之间的关系。
我们对CRM实践全国性调查中有关IRS特征的数据进行了探索性二次分析。
该调查最初发送给德国和瑞士的2136家医院。
622家医院中负责CRM的人员完成了调查（回复率29%）。
无。
根据情况，使用卡方检验、费舍尔精确检验和弗里曼-哈尔顿检验评估德国和瑞士医院IRS之间的差异。为了探索IRS特征与背景因素（即医院和CRM特征）之间的相互关系，我们计算了克莱姆V系数。
比较不同国家参与调查的医院，瑞士医院更早实施IRS，实施频率更高，且更经常系统地提供IRS入门培训。德国医院更频繁地系统实施事件分析的标准化程序。IRS特征与医院类型等医院特征以及战略CRM目标的存在和中央CRM协调的专门职位等CRM特征显著相关。
本研究有助于更好地理解两个欧洲国家在建立IRS方式上的差异，并探索相关背景因素。这为基于实证的战略干预开辟了新的可能性，以进一步改善IRS的推广，从而支持医院推进患者安全的努力。
