Fekadu Gelana, Tobiano Georgia, Muir Rachel, Engidaw Melaku Tadege, Marshall Andrea P
School of Nursing and Midwifery, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, 4222, Australia.
School of Nursing, College of Health and Medical Sciences, Haramaya University, Harar, 235, Ethiopia.
BMC Health Serv Res. 2025 Apr 30;25(1):619. doi: 10.1186/s12913-025-12762-1.
Patient safety incidents, defined as deviations from standard healthcare practices, contribute to significant mortality and financial burdens for healthcare systems globally each year. In response, international agencies advocate for patient safety incident reporting and learning systems to prevent the recurrence of safety incidents and promote learning. The effective design and implementation of these systems require the identification of factors that influence incident reporting practices. Therefore, the aim of this review was to systematically appraise and synthesise the current literature on factors influencing patient safety incident reporting practices in African healthcare organisations.
A systematic integrative review was conducted. Five electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCO host, Scopus, Web of Science, and Excerpta Medica Database (Embase), were searched to identify relevant articles. Peer-reviewed articles published in English were included in this review. Two independent reviewers screened the identified articles first by title and abstract, followed by full text evaluation. Quality appraisal was conducted using the Joanna Briggs Institute and the Quality Assessment with Diverse Studies tool. A thematic synthesis approach was used to analyse the data. The themes were presented with narrative descriptions.
A literature search identified 9,265 articles, of which 51 were included in the review, representing the perspectives of 15,089 healthcare professionals. Of the included articles, 88% were rated as moderate to high quality. Five descriptive themes were identified as barriers and facilitators that influenced patient safety incident reporting practices, including fear of reprisal within the prevailing patient safety culture, attitudes and perceptions towards patient safety incident reporting, the extent of knowledge and skills regarding patient safety incidents and reporting, the availability and attributes of reporting systems and processes, and the level of support from managers and rapport with staff.
The identified barriers and facilitators influencing patient safety incident reporting should be addressed to effectively design, implement, and improve patient safety incident reporting systems and practices.
The review protocol was registered at the International Prospective Register of Systematic Reviews (PROSPERO) under registration number CRD42023455168.
患者安全事件被定义为偏离标准医疗保健实践的情况，每年给全球医疗保健系统带来重大的死亡率和经济负担。作为回应，国际机构倡导建立患者安全事件报告和学习系统，以防止安全事件再次发生并促进学习。这些系统的有效设计和实施需要识别影响事件报告实践的因素。因此，本综述的目的是系统地评估和综合当前关于影响非洲医疗保健组织中患者安全事件报告实践因素的文献。
进行了一项系统的综合综述。检索了五个电子数据库，包括通过EBSCO主机的PubMed、护理及相关健康文献累积索引（CINAHL）、Scopus、科学网和医学文摘数据库（Embase），以识别相关文章。本综述纳入了以英文发表的同行评审文章。两名独立评审员首先通过标题和摘要筛选已识别的文章，然后进行全文评估。使用乔安娜·布里格斯研究所和多样研究质量评估工具进行质量评估。采用主题综合方法分析数据。主题以叙述性描述呈现。
文献检索共识别出9265篇文章，其中51篇被纳入综述，代表了15089名医疗保健专业人员的观点。在所纳入的文章中，88%被评为中高质量。确定了五个描述性主题，作为影响患者安全事件报告实践的障碍和促进因素，包括在当前患者安全文化中对报复的恐惧、对患者安全事件报告的态度和看法、关于患者安全事件和报告的知识和技能水平、报告系统和流程的可用性及属性，以及管理人员的支持程度和与工作人员的融洽关系。
应解决已识别的影响患者安全事件报告的障碍和促进因素，以有效设计、实施和改进患者安全事件报告系统及实践。
该综述方案已在国际系统评价前瞻性注册库（PROSPERO）注册，注册号为CRD42023455168。
