Facilitators and Barriers of Patient Safety Incidents Reporting Among Healthcare Workers at Community Health Centers in Indonesia: A Qualitative Study
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Abstract
Quantitative research on patient safety incidents (PSI) in hospital settings has been widely carried out worldwide and in Indonesia. However, qualitative research on the facilitators and barriers to reporting PSI, especially among healthcare workers (HCWs) at community health centers, still needs to be improved. This study aimed to explore the facilitators and barriers to the reporting of PSIs among HCWs at community health centers. Materials and methods: This descriptive qualitative study purposively recruited 12 HCWs consisting of physicians, nurses, midwives, pharmacists, medical laboratory technologists, dental nurses, and patient safety team leaders who were directly involved in reporting PSI at two community health centers (Puskesmas) in North Lampung Indonesia, from August-September 2023. In-depth interviews (IDIs) were conducted to collect data and analyze it using thematic analysis. Results: The factors influencing PSI reporting among HCWs at community health centers were divided into facilitator factors with the sub-themes including 1) motivation, 2) policy, 3) leadership, and 4) facilities. Meanwhile, themes that emerged for barriers to PSI reporting included 1) comprehension of incidents, 2) socialization and training, 3) organizational culture, and 4) rewards and penalties. Conclusion: The district health office, together with community health center management, needs to increase active outreach and training to HCWs, provide the facilities needed for PSI reporting, provide rewards, and strengthen monitoring of the implementation of incident reporting policies.
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