A Qualitative Case Study on the Factors Influencing the Reporting of Patient Safety Incidents among Healthcare Workers at Primary Health Centers in North Lampung, Indonesia Bayu Anggileo Pramesona1*, Nur Hasanah2, Dwi Aulia Ramdini3, Dyah Wulan Sumekar Rengganis Wardani1
1Department of Public Health, Faculty of Medicine, Universitas Lampung, Indonesia
2Department of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Pringsewu, Indonesia
3Department of Pharmacy, Faculty of Medicine, Universitas Lampung, Indonesia
*Corresponding author: bayu.pramesona[at]fk.unila.ac.id
Abstract
Background: Quantitative research on patient safety incidents in hospitals has been widely carried out worldwide and in Indonesia. However, qualitative research on the factors that influence the reporting of patient safety incidents, especially among healthcare workers at primary health centers, still needs to be improved.
Purpose: This study aimed to explore the factors that influence the reporting of patient safety incidents among healthcare workers at primary health centers.
Methods: This qualitative research with a case study approach recruited 12 healthcare workers consisting of doctors, nurses, pharmacists, health analysts, and patient safety team leaders who were directly involved in reporting patient safety incidents at two primary health centers in North Lampung Indonesia, purposively from April-September 2023. In-depth interviews were conducted to collect data and analyzed using thematic analysis.
Results: The factors that influence incident reporting among healthcare workers at primary health centers were divided into supporting factors with themes including 1) motivation, 2) attitude, 3) policy, 4) leadership, and 5) facilities. Meanwhile, themes that emerged for factors inhibiting incident reporting included: 1) understanding of incidents, 2) socialization and training, 3) incident reporting procedures, 4) routines, 5) organizational culture, and 6) rewards and punishment.
Conclusion: The regency health office, together with primary health center management, needs to increase active outreach and training to healthcare workers, provide the facilities needed for incident reporting, provide rewards, and strengthen monitoring of the implementation of incident reporting policies.
Keywords: Reporting- Patient safety incident- Health workers- Primary health centers
