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Factors Associated with Patient Safety Incident Reporting in Hospitals: A Scoping Review Sri Rahayu; Idyatul Hasanah; Zulkahfi Zulkahfi
Journal of Educational Studies Vol. 4 No. 1 (2026): April
Publisher : Lembaga Bale Literasi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58218/jes.v4i1.2534

Abstract

Background: Patient safety incident reporting is a key component of hospital patient safety systems because it helps identify errors, analyze root causes, and improve healthcare quality. However, incident reporting remains low in many hospitals, limiting opportunities for organizational learning and patient safety improvement. Individual, organizational, cultural, and reporting system factors may influence reporting behavior among healthcare workers. Objective: This study aimed to identify and map factors associated with patient safety incident reporting in hospitals. Methods: A scoping review was conducted following the PRISMA-ScR guideline. Literature searches were performed in PubMed, ScienceDirect, and ProQuest for articles published between 2021 and 2026. Articles were screened using Rayyan, and study quality was assessed using the Joanna Briggs Institute Critical Appraisal Tools. Results: A total of 24 studies met the inclusion criteria. Four major categories influencing patient safety incident reporting were identified: individual factors, organizational factors, patient safety culture, and reporting system factors. Patient safety culture was identified as the most influential factor, particularly teamwork, communication openness, and non-punitive responses to errors. Leadership support, staffing, workload, healthcare workers’ knowledge, and reporting systems with feedback mechanisms were also associated with reporting behavior. Conclusion: Patient safety incident reporting is influenced by multiple interrelated factors. Strengthening patient safety culture, enhancing organizational support, and improving reporting systems are essential strategies to increase incident reporting and ultimately improve the quality of patient safety in hospital settings.
Factors Associated Nurses Reporting of Patient Safety Incidents in Inpatient Wards : A Cross-Sectional Study Sri Rahayu; Idyatul Hasanah; Zulkahfi Zulkahfi
An Idea Nursing Journal Vol. 5 No. 2 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/inj.v5i2.800

Abstract

Background: Reporting of Patient Safety Incidents (PSIs) is a critical element of patient safety programs, supporting quality improvement and the prevention of recurrent adverse events. Objective: This study investigated factors associated with nurses’ compliance with PSI reporting in a hospital environment Methods: A quantitative cross-sectional design was employed from 5 to 30 January 2026 in the inpatient wards of Siti Hajar Islamic Hospital, Mataram. Sixty-nine nurses participated through total sampling. Independent variables included perceived knowledge, non-punitive culture, leadership support, and accessibility of the reporting system; the dependent variable was compliance with PSI reporting. Data collection utilized a structured Likert-scale questionnaire, and analysis was conducted using the Spearman Rank correlation test and exploratory multivariate logistic regression. Result: Compliance with PSI reporting was generally low. Most participants exhibited insufficient perceived knowledge, identified the non-punitive culture as inadequate, and reported restricted accessibility to the reporting system. Both bivariate and multivariate analyses revealed no statistically significant associations between the independent variables and PSI reporting compliance (all p > 0.05). In multivariate analysis, non- punitive culture (OR = 2.046, p = 0.155) and leadership support (OR = 1.315, p = 0.587) showed positive but non-significant associations with reporting compliance. Conclusion: Nevertheless, the findings indicate that organizational culture and leadership may be important targets for enhancing patient safety practices. Further research with larger sample sizes is recommended to validate these results.