Increased Utilization of Incident Reporting Systems – a Questionnaire Survey
DOI: 10.3238/zfa.2018.0070-0075german translation / full article
Background: The aim of critical incident reporting systems (CIRS) is to record and analyze critical events to prevent errors. In ambulatory care their utilization is often low. The theory of planned behavior (TPB) can be used to analyze user behavior. The aim of this study was to apply the TPB to identify starting points for increased CIRS utilization.Methods: We developed and piloted a questionnaire for 69 practices. Path analysis determined applicability of the TPB model. Multivariate analyses of covariance and calculated confidence intervals tested the effects of patient safety climate and factors specific to practice staff on CIRS utilization.Results: 140 questionnaires were returned from 43 practices (95 health care assistants = HCA; 45 physicians, response rate 41 %). All TPB subscales were statistically significant (attitudes, social norms, perceived behavioral control = PBC) and positively associated with intention to use and reported user behavior. PBC showed the greatest correlation. Respondents’ occupation (physician), positive patient safety climate and a special role played by the HCA were positively associated with TPB factors.Conclusions: This is the first study to employ TPB to assess CIRS use in primary care. It demonstrates the association in particular between PBC, reported behavior and intention, limited by small sample size. However, further studies are required.