Adverse event reporting in Czech long-term care facilities

作者：Hrib Zdenek^*; Vychytil Pavel; Marx David

来源：International Journal for Quality in Health Care, 2013, 25(2): 151-156.

DOI：10.1093/intqhc/mzt014

• adverse events
• patient safety
• patient safety incident
• long-term care
• incident reporting and analysis

To describe adverse event reporting processes in long-term care facilities in the Czech Republic. %26lt;br%26gt;Prospective cohort study involving a written questionnaire followed by in-person structured interviews with selected respondents. %26lt;br%26gt;Long-term care facilities located in the Czech Republic. %26lt;br%26gt;Staff of 111 long-term care facilities (87 of long-term care facilities in the Czech Republic). %26lt;br%26gt;None. %26lt;br%26gt;Sixty-three percent of long-term health-care facilities in the Czech Republic have adverse event-reporting processes already established, but these were frequently very immature programs sometimes consisting only of paper recording of incidents. Compared to questionnaire responses, in-person interview responses only partially tended to confirm the results of the written survey. Twenty-one facilities (33) had at most 1 unconfirmed response, 31 facilities (49) had 2 or 3 unconfirmed responses and the remaining 11 facilities (17) had 4 or more unconfirmed responses. %26lt;br%26gt;In-person interviews suggest that use of a written questionnaire to assess the adverse event-reporting process may have limited validity. Staff of the facilities we studied expressed an understanding of the importance of adverse event reporting and prevention, but interviews also suggested a lack of knowledge necessary for establishing a good institutional reporting system in long-term care.