Attitudes and beliefs of staff to feedback following the review of adverse events in clinical care
Sharyn Kelleher A B , David Buckley A and Jill Reyment AA Clinical Governance Unit, Murrumbidgee Local Health District, 63–65 Johnston Street, Wagga Wagga, NSW 2650, Australia. Email: david.buckley@gsahs.health.nsw.gov.au; Jill.reyment@gsahs.health.nsw.gov.au
B Corresponding author. Email: sharyn.kelleher@gsahs.health.nsw.gov.au
Australian Health Review 37(4) 552-555 https://doi.org/10.1071/AH13073
Submitted: 17 December 2012 Accepted: 31 July 2013 Published: 10 September 2013
Abstract
Objective To undertake a pilot project to determine how clinical and non-clinical staff perceive feedback given to them following clinical incident reviews.
Methods An online survey was devised and sent as a link to staff across the Murrumbidgee Local Health District who would be likely to submit patient-related adverse incidents into the NSW Health Incident Information Management System.
Results Two hundred and twenty-eight responses were received. Feedback was viewed as constructive and helpful. Medical staff were less enthusiastic about feedback and preferred formal feedback processes.
Conclusions Feedback from clinical incident reviews closes the loop of the review process and creates a platform for necessary changes to be undertaken.
Additional keywords: clinical governance, medical errors, feedback, patient safety, quality improvement.
References
[1] Kohn L, Corrigan J, Donaldson M, editors. To err is human. Building a safer health system. Washington DC: National Academy Press; 1999.[2] Herzer KR, Mirrer M, Xie Y, Steppan J, Li M, Jung C, et al Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and ‘good catch’ awards. Jt Comm J Qual Patient Saf 2012; 38 339–47.
| 22946251PubMed |
[3] Talsma A, Grady P, Feetham S, Heinrich J, Steinwachs D. The perfect storm. Patient safety and nursing shortages within the context of health policy and evidence-based practice. Nurs Res 2008; 57 S15–S21.
| The perfect storm. Patient safety and nursing shortages within the context of health policy and evidence-based practice.Crossref | GoogleScholarGoogle Scholar | 18091297PubMed |
[4] Clinical Excellence Commission. Patient safety and clinical quality program. Sydney: NSW Health; 2005.
[5] Noble DJ, Pronovost P. Underreporting of patient safety incidents reduces health care’s ability to quantify and accurately measure harm reduction. J Patient Saf 2010; 6 247–50.
| Underreporting of patient safety incidents reduces health care’s ability to quantify and accurately measure harm reduction.Crossref | GoogleScholarGoogle Scholar | 21500613PubMed |
