Tímarit hjúkrunarfræðinga - 2024, Page 76

Tímarit hjúkrunarfræðinga - 2024, Page 76
74 Tímarit hjúkrunarfræðinga | 1. tbl. 100. árg. 2024 Incident reporting related to surgeries in Lanspitali, national university hospital inIceland 2018–2020: A descriptive study ENGLISH SUMMARY Incident reporting related to surgeries in Landspitali, national University hospital in Iceland 2018-2020: A descriptive study Thoroddsdottir, Sigridur Runa., Sigurdardottir, Arun K., Sigurdsson, Martin Ingi. ABSRTAKT Aim Unexpected incidents in the healthcare system are considered one of the leading causes of unexpected death and disability worldwide. It has been estimated that about 10% of patients in Western countries are harmed while admitted to hospital, and that about half of these incidents are possibly preventable. The purpose of the study was to explore the frequency of unexpected incidents related to surgeries reported in selected wards at Landspitali from 2018 to 2020 and explore if the staff had suggestions for improvements in order to prevent these incidents from recurring Method A quantitative descriptive study. The data were all recorded incidents on surgical wards, postoperative wards and surgical day wards at Landspitali. Results The annual number of recorded incidents in the wards studied decreased, while the total number of incidents at Landspitali was unchanged. The most commonly reported incidents were related to treatment/examination, equipment and medical treatment. A considerable number of incidents, about 29%, were not registered in the correct category according to definitions in the classificationsystem used. Staff in most wards came up with suggestions for improvements. Around 90% of all incidents were incidents of severity category 1, causing little or no harm to the patient. The most common suggestions by staff to prevent incidents from recurring were to improve communication, reduce workload and improve staffing or improve recording. Conclusions Incident reporting in Landspitali is not sufficiently targeted which makes it difficult to process the unexpected incidents. Staff training in incident reporting is important. Professional training in use of standards and checklists as well as in communication, could increase safety of patients and professionals. The management needs to foster a strong safety culture by leading and using incident reporting to learn from and to improvement. Keywords Recording of unexpected incidents, surgery, teamwork,registration, safety culture. Correspondent sigrruna@landspitali.is
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