Barriers to Self-Reporting Patient Safety Incidents by Paramedics: A Mixed Methods Study

References

• Committee on Quality of Health Care in America, Institute of Medicine . To Err is human: Building a safer health system. Washington, DC: The National Academies Press; 2000.
   Google Scholar
• Stelfox HT , Palmisani S , Scurlock C , Orav EJ , Bates DW . “To Err is Human” report and the patient safety literature. Qual Saf Heal Care. 2006;15(3):174–8. doi:10.1136/qshc.2006.017947.
   PubMedGoogle Scholar
• Bigham BL , Morrison LJ , Maher J , Brooks SC , Bull E , Morrison M , Burgess R , Atack L , Shojania K . Patient safety in emergency medical services: Advancing and aligning the culture of patient safety in EMS. (ed.). Edmonton, Alberta : Institute CPS; 2009.
   Google Scholar
• Vilke GM , Tornabene SV , Stepanski B , Shipp HE , Upledger L , Metz MA , Vroman D , Anderson M , Murrin PA , Davis DP , et al. Paramedic self-reported medication errors. Prehospital Emerg Care. 2007;10(4):457–62. doi:10.1080/10903120600885100.
   Web of Science ®Google Scholar
• Bigham BL , Buick JE , Brooks SC , Morrison M , Shojania KG , Morrison LJ . Patient safety in emergency medical services: a systematic review of the literature. Prehospital Emerg Care. 2012;16(1):20–35. doi:10.3109/10903127.2011.621045.
   PubMed Web of Science ®Google Scholar
• Institute CPS . Patient Safety Incident. http://www.patientsafetyinstitute.ca/en/Topic/Pages/Patient-Safety-Incident.aspx. 2017.
   Google Scholar
• Gallagher JM , Kupas DF . Experience with an anonymous web-based state EMS safety incident reporting system. Prehospital Emerg Care. 2012;16(1):36–42. doi:10.3109/10903127.2011.626105.
   PubMed Web of Science ®Google Scholar
• Vincent C , Stanhope N , Crowley-Murphy M . Reasons for not reporting adverse incidents: an empirical study. J Eval Clin Pract. 1999;5(1):13–21. doi:10.1046/j.1365-2753.1999.00147.x. PMID:10468380.
   PubMed Web of Science ®Google Scholar
• Heard GC , Sanderson PM , Thomas RD . Barriers to adverse event and error reporting in Anesthesia. Anesth Analg. 114(3):604–14. doi:10.1213/ANE.0b013e31822649e8. PMID:21821515.
   PubMed Web of Science ®Google Scholar
• Evans SM , Berry JG , Smith BJ , Esterman A , Selim P , O'Shaughnessy J , Dewit M . Attitudes and barriers to incident reporting: a collaborative hospital study. Qual Saf Heal Care. 2006;15(1):39–43. doi:10.1136/qshc.2004.012559.
   PubMedGoogle Scholar
• Throckmorton T , Etchegaray J . Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the nursing practice act, and demographics on intent to report errors. J PeriAnesthesia Nurs. 2007;22(6):400–12. doi:10.1016/j.jopan.2007.09.006.
   PubMedGoogle Scholar
• Uribe CL , Schweikhart SB , Pathak DS , Dow M , Marsh GB . Perceived barriers to medical-error reporting: an exploratory investigation. J Healthc Manag. 2002;47(4):263–79. doi:10.1097/00115514-200207000-00009. PMID:12221747.
   PubMed Web of Science ®Google Scholar
• Sarvadikar A , Prescott G , Williams D . Attitudes to reporting medication error among differing healthcare professionals. Eur J Clin Pharmacol. 66(8):843–53. doi:10.1007/s00228-010-0838-x. PMID:20532494.
   PubMed Web of Science ®Google Scholar
• Jennings PA , Stella J . Barriers to incident notification in a regional prehospital setting. Emerg Med J. 28(6):526–9. doi:10.1136/emj.2010.090738. PMID:20581408.
   PubMed Web of Science ®Google Scholar
• Bell SK , Delbanco T , Anderson-Shaw L , McDonald TB , Gallagher TH . Accountability for medical error. Chest. 140(2):519–26. doi:10.1378/chest.10-2533. PMID:21813531.
   PubMed Web of Science ®Google Scholar
• Crossman M . Technical and environmental impact on medication error in paramedic practice: a review of causes, consequences and strategies for prevention. J Emerg Prim Heal Care. 2009;7(3).
   Google Scholar
• 257/00 Ontario Regulator Ambulance Act R.S.O. 1990, c. A. 19. https://www.ontario.ca/laws/regulation/000257.
   Google Scholar
• Emergency Health Services Branch of the Ministry of Health and Long-Term Care . Advanced Life Support Patient Care Standards (Version 4.4). 2017.
   Google Scholar
• Frank JR , Brien S , (Editors) on behalf of The Safety Steering Committee . The Safety Competencies: Enhancing Patient Safety Across the Health Professions. 2008.
   Google Scholar
• MOHLTC - Emergency Health Services Branch - Main page. http://www.health.gov.on.ca/english/public%5Cprogram/ehs/ehs_mn.html. Accessed March 13, 2018.
   Google Scholar
• NHTSA . The National EMS Scope of Practice Model Table of Contents.:42. https://www.ems.gov/pdf/education/EMS-Education-for-the-Future-A-Systems-Approach/National_EMS_Scope_Practice_Model.pdf. Accessed March 13, 2018.
   Google Scholar
• Fanning E . Formatting a paper-based survey questionnaire: best practices. Pract Assess Res Eval. 2005;10(12):1–14.
   Google Scholar
• Eccles MP , Hrisos S , Francis J , Kaner EF , Dickinson HO , Beyer F , Johnston M . Do self- reported intentions predict clinicians' behaviour: a systematic review. Implement Sci. 2006;1:28. doi:10.1186/1748-5908-1-28. PMID:17118180.
   PubMed Web of Science ®Google Scholar
• Barach P , Small SD . Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. BMJ. 320(7237):759–63. doi:10.1136/bmj.320.7237.759. PMID:10720361.
   PubMedGoogle Scholar
• Marx D . Patient safety and the “Just Culture”: A primer for health care Executives. New York: Agency for Healthcare Research and Quality ; 2001.
   Google Scholar
• Adams SW , Bacchus T , Burton S , Hoffman T , Johnson J , Melkonian D , Peeper J , Pierce J . Just culture. How accountability in EMS creates a culture of trust. JEMS. 2016;41(7):59–65. PMID:29160991.
   PubMedGoogle Scholar
• Williams SD , Phipps DL , Ashcroft DM . Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study. Res Soc Adm Pharm. 2013;9(1):80–89. doi:10.1016/j.sapharm.2012.02.002.
   PubMed Web of Science ®Google Scholar
• Handler SM , Perera S , Olshansky EF , Studenski SA , Nace DA , Fridsma DB , Hanlon JT . Identifying modifiable barriers to medication error reporting in the nursing home setting. J Am Med Dir Assoc. 8(9):568–74. doi:10.1016/j.jamda.2007.06.009. PMID:17998112.
   PubMed Web of Science ®Google Scholar
• Hession-Laband E , Mantell P . Lessons learned: use of event reporting by nurses to improve patient safety and quality. J Pediatr Nurs. 2011;26(2):149–55. doi:10.1016/j.pedn.2010.12.005. PMID:21419975.
   PubMed Web of Science ®Google Scholar
• Fairbanks RJ , Crittenden CN , O'Gara KG , Wilson MA , Pennington ED , Chin NP , Shah MN . Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view. Acad Emerg Med. 2008;15(7):633–40. doi:10.1111/j.1553-2712.2008.00147.x. PMID:19086213.
   PubMed Web of Science ®Google Scholar
• Hobgood C , Xie J , Weiner B , Hooker J . Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types. Acad Emerg Med. 2004;11(2):196–9. doi:10.1111/j.1553-2712.2004.tb01435.x. PMID:14759966.
   PubMed Web of Science ®Google Scholar
• Centre for Leadership, Innovation and Research in EMS . E.V.E.N.T. EMS Voluntary Event Notification Tool – An EMS Culture of Safety Initiative. https://event.clirems.org/. Accessed March 13, 2018.
   Google Scholar
• Price R , Bendall JC , Patterson JA , Middleton PM . What causes adverse events in prehospital care? A human-factors approach. Emerg Med J. 30(7):583–8. doi:10.1136/emermed-2011-200971. PMID:22802456.
   PubMed Web of Science ®Google Scholar
• Hesselink G , Berben S , Beune T , Schoonhoven L . Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837. doi:10.1136/bmjopen-2015-009837.
   PubMed Web of Science ®Google Scholar