Health care professional approach to adverse events notification and registration multiprofile hospitals

Aim of the study.To assess the approach of health care professionals on adverse events (AI) reports and registration in multiprofile hospitals. Objectives: l. To investigate health professionals' view on quality of care. 2. Identify health care professionals approach on adverse events reporting and registration. 3. Evaluate the attitude of health professionals to health care quality improvement and prevention of adverse events. Methods: An anonymous questionnaire survey conducted in 2011, August – October. The study included 200 hospitals in Lithuania medkai. 60.5 % nurses, 39.5 % doctors. Statistical data analysis was done using the programme SPSS 19.0. Results. The majority (86 percent) of health care professionals indicated that their institutions are carrying on health care quality assurance program; by opinion of the majority of doctors (77.5 percent), this program is important and necessary, after its introduction in health care institutions, adverse events reporting and registration would improve (54 percent). The vast majority (89 percent) of doctors stated that the registration of adverse events in their facilities is mandatory. Doctors’ evaluation of both types of adverse events reporting and registration system - mandatory (88 percent) and voluntary (71.5 percent.) - is positive. The causes, mostly troubling adverse events registration, are danger of legal actions (52 percent), negative peers (40 percent) of colleague and fine ability (36 percent). By the opinion of most respondents, implementation of quality management systems (ISO, Six Sigma, etc (57.5 percent), as well as patients (57.5 percent) and doctors’ (56.5 percent) surveys can help to improve the quality of health care. By the introduction of both mandatory (33.5 percent) and voluntary (38.5 percent) systems of adverse events reporting and registration, the largest percentage of respondents consider, that number of adverse events reports will not change. Mostly quality of health care would improve medical training in health care quality management area (71.5 percent), systematic adverse events analysis and information (44.5 percent) and mandatory adverse events reporting and registration (31.5 percent), as well as high personnel qualification (74 percent), teamwork (68 percent) and new technologies (55 percent). Conclusions. l) By the evaluation of health care professionals approach to health care quality, we found that the vast majority (86 percent) of health care professionals indicated that in their institutions are carried on health care quality assurance program, and this program is important and necessary, after it implementation adverse events reporting and registration would improve. In most health care institutions quality management system is implemented. Most doctors consider that adverse events reporting are important for health care quality. 2) According the opinion of health care professionals to the adverse events reporting more than half of doctors indicated that in their institutions all adverse events are reported. The vast majority of doctors indicated that in their institutions adverse events reporting is mandatory. Most of the doctors both types (voluntary and mandatory) of adverse events’ reporting evaluated positively. By the data of evaluation approach of health care professionals to adverse events registration, it was found that the majority of health care institutions have mandatory adverse events registration system. Medical evaluation of both types of adverse events registration - mandatory and voluntary - is positive. The causes, mostly troubling adverse events registration, are danger of legal actions, negative peers of colleague and fine ability. 3) From evaluation results of health care professionals’ approach to healthcare quality improvement and prevention of adverse events, it was found that more than half of the study respondents think the quality management systems, as well as patients and medical surveys help to improve the quality of health care. By opinion of majority of health care professionals, medical training in health care quality management area also would help to improve the quality of health care. Mostly quality of health care can improve the systematic analysis and information of the adverse events, mandatory registration and reporting of adverse events, as well as high qualifications of the staff, teamwork, new technologies