Hambatan Pelaporan Insiden Keselamatan Pasien di Rumah Sakit: Literature Review

Abstract

Background: Patient safety is a solution to optimize health services in hospitals through reporting and the ability to learn from incidents. The Institute of Medicine (IOM) states that at least 44,000 or even 98,000 patients die in hospitals in one year as a result of preventable medical errors. However, not all incidents that occur in hospitals are guaranteed to be reported or recorded, only 12% of the 2,877 hospitals in Indonesia report patient safety incidents.Objective: The study aims to identify the barriers to reporting patient safety incidents in hospitals.Method: This type of research is literature review research. Data collection was carried out using keywords in Indonesian and English on various sources, namely Google Scholar, ScienceDirect and Pubmed. Key words in the search for shared literature in this research are "Incident Reporting", "barriers to reporting patient safety incidents" "barrier" and "incident reporting".Results: The research results show that patient safety incident reporting is influenced by a number of complex factors. The results of the literature review found that there are at least 14 factors that hinder the reporting of patient safety incidents. Some of these factors are an unsupportive work culture, fear of consequences such as punishment or job loss, and the perception that reporting shows incompetence or is a personal mistake rather than a systemic problem.Conclusion: Reporting of patient safety incidents has an important role in increasing awareness of patient safety issues and improving clinical practice. Various efforts need to be made to eliminate various obstacles in carrying out patient safety incident reporting.