Barriers to reporting near misses and adverse events among professionals performing laparoscopic surgeries: a mixed methodology approach

Article


Yan, Min, Wang, Ming and Al-Hakim, Latif. 2021. "Barriers to reporting near misses and adverse events among professionals performing laparoscopic surgeries: a mixed methodology approach." Surgical Endoscopy: surgical and interventional techniques. 35, pp. 7015-7026. https://doi.org/10.1007/s00464-020-08215-x
Article Title

Barriers to reporting near misses and adverse events among professionals performing laparoscopic surgeries: a mixed methodology approach

ERA Journal ID16883
Article CategoryArticle
AuthorsYan, Min (Author), Wang, Ming (Author) and Al-Hakim, Latif (Author)
Journal TitleSurgical Endoscopy: surgical and interventional techniques
Journal Citation35, pp. 7015-7026
Number of Pages12
Year2021
Place of PublicationUnited States
ISSN0930-2794
1432-2218
Digital Object Identifier (DOI)https://doi.org/10.1007/s00464-020-08215-x
Web Address (URL)https://link.springer.com/article/10.1007/s00464-020-08215-x
Abstract

Background: The literature has investigated barriers to reporting adverse events in surgery, but with less emphasis on near misses. No attempt was made to categorise near misses by type and reportability. This paper attempts to fill these two gaps in the literature. Methods: A mixed methodology approach was adopted. A sample of 16 laparoscopic surgeries were observed followed by a questionnaire distributed among professionals dealing with laparoscopies. Non-parametric tests and mediation–moderation analysis were used to compare responses and identify causal factors. Results: A total of 469 near misses were observed, and classified into two categories: reportable events and common events. Among 23 observed reportable events, only 9 events were reported. Out of 300 distributed questionnaires, we received 178 valid responses (response rate 59%). The professionals strongly disagreed that reporting near misses (Mean 4.09, STD 0.95) and adverse events (4.17, 1.02) makes little contribution to the quality of surgery. However, the results show that professionals were more willing to disclose adverse events than near misses, Heavy workload, privacy, lack of support, and fear from disciplinary actions negatively affected professionals’ willingness to report near misses. Discussion: Error reporting should aim to promote safety, knowledge sharing and education. It is important to differentiate near misses that should be reported from voluntary reported events. Hospital’s management might award professionals who frequently report errors and provide solutions, Quality rather than quantity of reports should be emphasised with flexibility in the way near misses are reported. Conclusion: The outcome of this study has benefits of understanding the attitudes of surgical professionals towards error reporting. It provides healthcare management with tool for enhancing safety and providing suitable training for their professionals.

KeywordsAdverse event; Error reporting; Laparoscopy; Mediator; Moderator; Near miss
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020329999. Other biomedical and clinical sciences not elsewhere classified
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Institution of OriginUniversity of Southern Queensland
Byline AffiliationsSecond Affliated Hospital of Zhejiang University School of Medicine, China
University of Southern Queensland
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Al-Hakim, Latif. 2007. "Perception of students on performance of dual-mode education: information quality perspective." International Journal of Information Quality. 1 (3), pp. 314-325. https://doi.org/10.1504/IJIQ.2007.016394
The influence of technology attributes, trust and dependency on e-procurement adoption decisions in supply chain relationships
Abdullah, Nik Ab Halim Nik and Al-Hakim, Latif. 2006. "The influence of technology attributes, trust and dependency on e-procurement adoption decisions in supply chain relationships." Logistics Strategies and Technologies for Global Business (LCSM 2006). Hong Kong, China 05 - 07 Jan 2006 Hong Kong.
Data quality and work alignment: do IT professionals think differently?
Al-Hakim, Latif and Xu, Hongjiang. 2005. "Data quality and work alignment: do IT professionals think differently?" Sarmento, Anabela (ed.) Issues of human computer interaction. Hershey, PA, United States. IRM Press (IGI Global). pp. 291-320
Beam search for sequencing point operations in flat plate manufacturing
Shayan, E. and Al-Hakim, Latif. 2002. "Beam search for sequencing point operations in flat plate manufacturing." Computers and Industrial Engineering. 42 (2-4), pp. 309-315. https://doi.org/10.1016/S0360-8352(02)00016-5
The effect of information quality on surgery process variation
Al-Hakim, Latif. 2007. "The effect of information quality on surgery process variation." Khosrow-Pour, Mehdi (ed.) IRMA 2007: Managing Worldwide Operations and Communications with Information Technology. Vancouver, Canada 19 - 23 May 2007 Hershey, PA, United States. https://doi.org/10.4018/978-1-59904-929-8.ch401
IDEF3-based framework for web-based hospital information system
Al-Hakim, Latif. 2007. "IDEF3-based framework for web-based hospital information system." Al-Hakim, Latif (ed.) Web mobile based applications for healthcare management. Hershey, PA, USA. IRM Press (IGI Global). pp. 376-401
Procedure for modeling and improving e-SCM processes
Boonyathan, Patcharee and Al-Hakim, Latif. 2007. "Procedure for modeling and improving e-SCM processes." Zhang, Qingyu (ed.) E-supply chain technologies and management. Hershey, PA, United States. IGI Global. pp. 1-21
Make or buy decisions: perception gap analysis
Mahaorand, Thamrong and Al-Hakim, Latif. 2005. "Make or buy decisions: perception gap analysis." 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
Identification of waste zones associated with supply chain management
Al-Hakim, Latif. 2005. "Identification of waste zones associated with supply chain management." Boswell, Vince (ed.) SAPICS 2005: Supply Chains in Rhythm. Sun City, South Africa 05 - 08 Jun 2005 South Africa.
Trust and technology diffusion within the meat supply chain: a conceptual framework
Chua, Roberta and Al-Hakim, Latif. 2005. "Trust and technology diffusion within the meat supply chain: a conceptual framework." 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
Waste identification: a supply chain strategy perspective
Al-Hakim, Latif. 2005. "Waste identification: a supply chain strategy perspective." Tang, Kwei (ed.) 2005 International Conference on Business and Information (BAI 2005). Hong Kong, China 14 - 15 Jul 2005 Hong Kong.
IT outsourcing: an assessment of relative failure factor complexity
Al-Hakim, Latif. 2005. "IT outsourcing: an assessment of relative failure factor complexity." Appicello, Amanda, Neidig, Jennifer, Roth, Kristin and Davies, Renee (ed.) IRMA 2005: Managing Modern Organisations With Information Technology. San Diego, United States 15 - 18 May 2005 Hershey, PA, USA.
Modelling interdependencies for electronic supply chain management
Al-Hakim, Latif. 2005. "Modelling interdependencies for electronic supply chain management." Appicello, Amanda, Neidig, Jennifer, Roth, Kristin and Davies, Renee (ed.) IRMA 2005: Managing Modern Organisations With Information Technology. San Diego, United States 15 - 18 May 2005 Hershey, USA.