Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study

ŞALVIZ, Emine Aysu; ÖZKAN SEYHAN, Tülay; ALTUN BİNGÖL, DEMET; BÜGET, Mehmet İlke; Orhan Sungur, Mukadder; EDİPOĞLU, SAADET İPEK

Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study

Emine Aysu ŞALVIZ, (Department of Anaesthesiology, İstanbul University School of Medicine, İstanbul, Turkey)

Saadet İpek EDİPOĞLU, (Clinic of Anaesthesiology, Süleymaniye Training and Research Hospital, İstanbul, Turkey)

Mukadder Orhan SUNGUR, (Department of Anaesthesiology, İstanbul University School of Medicine, İstanbul, Turkey)

DEMET ALTUN BİNGÖL, (Department of Anaesthesiology, İstanbul University School of Medicine, İstanbul, Turkey)

Mehmet İlke BÜGET, (Department of Anaesthesiology, İstanbul University School of Medicine, İstanbul, Turkey)

Tülay Özkan SEYHAN (Department of Anaesthesiology, İstanbul University School of Medicine, İstanbul, Turkey)

Turkish Journal of Anaesthesiology and Reanimation

2 0

Yıl: 2016 Cilt: 44 Sayı: 2 Sayfa Aralığı: 59 - 70 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study

Öz:

Amaç: Kritik olay (KO) bildirim sistemi (KOBS) ve morbidite-mortalitetoplantıları (MMT) hastalarda ortaya çıkabilecek riskleri belirlemeavantajı sunar. Bunlar; kritik olayların analiz ve sonuçlarına göre klinisyen,hemşire, personel (insan hataları) davranışlarının ve hatta sistemin(insan ve/veya teknik hatalar) değiştirilmesiyle sağlık-bakım sistemindehasta güvenliğini iyileştirilmede anahtar rol oynarlar.Yöntemler: Türkiye'deki tüm Üniversite (ÜH) ile Eğitim ve Araş-tırma Hastanelerinden (EAH) (n=114) seçilen uzman ve/veyadaha kıdemli pozisyondaki bir anestezist ile irtibat kuruldu. Buçalışmada ÜH ile EAH'de çalışan anestezistlerin KOBS ve MMTaçısından imkanları ile aynı zamanda KO'lar hakkındaki bilgileri,deneyimleri ve davranışları tarafımızca araştırıldı.Bulgular: Yüz on dört eğitim hastanesinden 81 anestezist anketimiziyanıtladı. Anestezistlerin %96,3'ü KO bildirimini bir gereklilikolarak görmesine rağmen, sadece %37 bilim dalının/hastaneninKOBS'sinin olduğu belirtildi. KOBS'si olan anestezistlerinyalnız %23,3'ü KO'yu 'beklenmeyen/istenmeyen olay' şeklindedoğru tanımladı. Hastanelerin %60,5'inde MMT olduğu bildirildi.Bunlarla birlikte, anestezistlerin %96'sı KOBS ve MMT'ninKO ile karşılaşma sıklığını düşürdüğüne inandığını açıkladı. KOgelişimi ÜH'de ve EAH'de sırasıyla 4 [1-5]/10 ve 3 [1-5]/10 olarakinsan hatasına bağlandı (p=0,005). Her iki hastane modelinde deteknik hatalar 3 [1-5]/10 olarak değerlendirildi (p=0,498).Sonuç: Türkiye Anestezi bilim dallarındaki/hastanelerindeki KOBSile ilgili olarak yapılan bu ilk çalışma; TC Sağlık Bakanlığı tarafındanhazırlanan bir güvenlik raporlama sistemi olmasına rağmen, KObilgisinin, KOBS farkındalığının ve Anestezi bilim dalları/eğitimhastanelerindeki sistem kullanımının yetersizliğini göstermektedir.

Anahtar Kelime:

Konular: Anestezi

Türkiye'deki Eğitim Hastanelerinde Kritik Olay Bildirim Sistemi: Anket Çalışması

Öz:

Objective: Critical incident reporting systems (CIRS) and morbidity-mortalitymeetings (MMMs) offer the advantages of identifyingpotential risks in patients. They are key tools in improvingpatient safety in healthcare systems by modifying the attitudesof clinicians, nurses and staff (human error) and also the system(human and/or technical error) according to the analysis and theresults of incidents.Methods: One anaesthetist assigned to an administrative and/orteaching position from all university hospitals (UHs) and trainingand research hospitals (TRHs) of Turkey (n=114) was contacted. Inthis survey study, we analysed the facilities of anaesthetists in TurkishUHs and TRHs with respect to CIRS and MMMs and also theanaesthetists' knowledge, experience and attitudes regarding CIs.Results: Anaesthetists from 81 of 114 teaching hospitals replied toour survey. Although 96.3% of anaesthetists indicated CI reportingas a necessity, only 37% of departments/hospitals were reported tohave CIRS. True definition of CI as "an unexpected /accidental event"was achieved by 23.3% of anaesthetists with CIRS. MMMs were reportedin 60.5% of hospitals. Nevertheless, 96% of anaesthetists believethat CIRS and MMMs decrease the incidence of CI occurring.CI occurrence was attributed to human error as 4 [1-5]/10 and 3[1-5]/10 in UHs and TRHs, respectively (p=0.005). In both hospitaltypes, technical errors were evaluated as 3 [1-5]/10 (p=0.498).Conclusion: This first study regarding CIRS in the Turkish anaesthesiadepartments/hospitals highlights the lack of CI knowledgeand CIRS awareness and use in anaesthesia departments/teachinghospitals in Turkey despite a safety reporting system set up by theTurkish Ministry of Health.

Anahtar Kelime:

Konular: Anestezi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ŞALVIZ E, EDİPOĞLU S, Orhan Sungur M, ALTUN BİNGÖL D, BÜGET M, ÖZKAN SEYHAN T (2016). Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. , 59 - 70.
Chicago	ŞALVIZ Emine Aysu,EDİPOĞLU SAADET İPEK,Orhan Sungur Mukadder,ALTUN BİNGÖL DEMET,BÜGET Mehmet İlke,ÖZKAN SEYHAN Tülay Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. (2016): 59 - 70.
MLA	ŞALVIZ Emine Aysu,EDİPOĞLU SAADET İPEK,Orhan Sungur Mukadder,ALTUN BİNGÖL DEMET,BÜGET Mehmet İlke,ÖZKAN SEYHAN Tülay Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. , 2016, ss.59 - 70.
AMA	ŞALVIZ E,EDİPOĞLU S,Orhan Sungur M,ALTUN BİNGÖL D,BÜGET M,ÖZKAN SEYHAN T Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. . 2016; 59 - 70.
Vancouver	ŞALVIZ E,EDİPOĞLU S,Orhan Sungur M,ALTUN BİNGÖL D,BÜGET M,ÖZKAN SEYHAN T Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. . 2016; 59 - 70.
IEEE	ŞALVIZ E,EDİPOĞLU S,Orhan Sungur M,ALTUN BİNGÖL D,BÜGET M,ÖZKAN SEYHAN T "Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study." , ss.59 - 70, 2016.
ISNAD	ŞALVIZ, Emine Aysu vd. "Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study". (2016), 59-70.

APA	ŞALVIZ E, EDİPOĞLU S, Orhan Sungur M, ALTUN BİNGÖL D, BÜGET M, ÖZKAN SEYHAN T (2016). Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. Turkish Journal of Anaesthesiology and Reanimation, 44(2), 59 - 70.
Chicago	ŞALVIZ Emine Aysu,EDİPOĞLU SAADET İPEK,Orhan Sungur Mukadder,ALTUN BİNGÖL DEMET,BÜGET Mehmet İlke,ÖZKAN SEYHAN Tülay Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. Turkish Journal of Anaesthesiology and Reanimation 44, no.2 (2016): 59 - 70.
MLA	ŞALVIZ Emine Aysu,EDİPOĞLU SAADET İPEK,Orhan Sungur Mukadder,ALTUN BİNGÖL DEMET,BÜGET Mehmet İlke,ÖZKAN SEYHAN Tülay Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. Turkish Journal of Anaesthesiology and Reanimation, vol.44, no.2, 2016, ss.59 - 70.
AMA	ŞALVIZ E,EDİPOĞLU S,Orhan Sungur M,ALTUN BİNGÖL D,BÜGET M,ÖZKAN SEYHAN T Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. Turkish Journal of Anaesthesiology and Reanimation. 2016; 44(2): 59 - 70.
Vancouver	ŞALVIZ E,EDİPOĞLU S,Orhan Sungur M,ALTUN BİNGÖL D,BÜGET M,ÖZKAN SEYHAN T Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study. Turkish Journal of Anaesthesiology and Reanimation. 2016; 44(2): 59 - 70.
IEEE	ŞALVIZ E,EDİPOĞLU S,Orhan Sungur M,ALTUN BİNGÖL D,BÜGET M,ÖZKAN SEYHAN T "Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study." Turkish Journal of Anaesthesiology and Reanimation, 44, ss.59 - 70, 2016.
ISNAD	ŞALVIZ, Emine Aysu vd. "Critical Incident Reporting System in Teaching Hospitals in Turkey: A Survey Study". Turkish Journal of Anaesthesiology and Reanimation 44/2 (2016), 59-70.