The predictive power of electronic reporting system utilization on voluntary reporting of near-miss incidents among nurses: A PLS-SEM approach
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Keywords

United Arab Emirates
nurses
electronic reporting system
near miss
patient safety
hospitals
cross sectional
healthcare

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Alalaween, M. A., & Karia, N. (2024). The predictive power of electronic reporting system utilization on voluntary reporting of near-miss incidents among nurses: A PLS-SEM approach. Belitung Nursing Journal, 10(1), 15–22. https://doi.org/10.33546/bnj.2805
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Accepted for publication: 2023-12-15
Peer reviewed: Yes

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Abstract

Background: Patient safety is crucial in healthcare, with incident reporting vital for identifying and addressing errors. Near-miss incidents, common yet underreported, serve as red flags requiring attention. Nurses’ underreporting, influenced by views and system usability, inhibits learning opportunities. The Electronic Reporting System (ERS) is a modern solution, but its effectiveness remains unclear.

Objective: This study aimed to investigate the role of the ERS in enhancing the voluntary reporting of near-miss (VRNM) incidents among nurses.

Methods: A cross-sectional study was conducted in the Al Dhafra region of the United Arab Emirates, involving 247 nurses from six hospitals. Data were collected using a questionnaire between April 2022 and August 2022. Structural Equation Modelling Partial Least Square (SEM-PLS) was employed for data analysis.

Results: The average variance extracted for the ERS construct was 0.754, indicating that the common factor accounted for 75.4% of the variation in the ERS scores. The mean ERS score was 4.093, with a standard deviation of 0.680. For VRNM, the mean was 4.104, and the standard deviation was 0.688. There was a positive correlation between ERS utilization and nurses’ willingness to report near-miss incidents. Additionally, our research findings suggest a 66.7% relevance when applied to various hospital settings within the scope of this study.

Conclusion: The findings suggest that adopting a user-friendly reporting system and adequate training on the system’s features can increase reporting and improve patient safety. Additionally, these systems should be designed to be operated by nursing staff with minimal obstacles.

https://doi.org/10.33546/bnj.2805
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Copyright (c) 2024 Mohammed Abdalraheem Alalaween, Noorliza Karia

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The authors declared no conflict of interest in this study.

Acknowledgment

The authors acknowledge the School of Management, Universiti Sains Malaysia, for all its valuable support. Also, thank all nurses in Al Dhafra Hospitals for their feedback.

Authors’ Contributions

The study was conducted, analyzed, and interpreted by the authors independently. The authors’ contributions were as follows: MA conducted the study’s design and performed analysis. MA, NK drafted the manuscript. NK is the supervisor of MA. Both authors have reviewed and approved the final manuscript to be published.

Data Availability

The datasets generated and analyzed in this article are available from the corresponding author.

Declaration of Use of AI in Scientific Writing

There is nothing to declare.


References

Ab Hamid, M. R., Sami, W., & Sidek, M. H. M. (2017). Discriminant validity assessment: Use of Fornell & Larcker criterion versus HTMT criterion. Journal of Physics: Conference Series, 890, 012163. https://doi.org/10.1088/1742-6596/890/1/012163

Afthanorhan, A., & Aimran, N. (2020). A prospective study of dengue infection in Malaysia: A structural equation modeling approach. Environmental Health Engineering and Management Journal 7(3), 161-169. https://doi.org/10.34172/EHEM.2020.19

Aimran, A. N., Ahmad, S., Afthanorhan, A., & Awang, Z. (2017). The assessment of the performance of covariance-based structural equation modeling and partial least square path modeling. AIP Conference Proceedings, 1842(1), 030001. https://doi.org/10.1063/1.4982839

Al-Rayes, S. A., Aldar, F. A., Al Nasif, N. S., Alkhadrawi, Z. I., Al-Fayez, A., & Alumran, A. (2020). The use of electronic incident reporting system: Influencing factors. Informatics in Medicine Unlocked, 21, 100477. https://doi.org/10.1016/j.imu.2020.100477

Birmingham, P., & Wilkinson, D. (2003). Using research instruments: A guide for researchers (1st ed.). London: Routledge. https://doi.org/10.4324/9780203422991

Braithwaite, J., Westbrook, M., & Travaglia, J. (2008). Attitudes toward the large-scale implementation of an incident reporting system. International Journal for Quality in Health Care, 20(3), 184-191. https://doi.org/10.1093/intqhc/mzn004

Chiang, H.-Y., Lin, S.-Y., Hsu, S.-C., & Ma, S.-C. (2010). Factors determining hospital nurses' failures in reporting medication errors in Taiwan. Nursing Outlook, 58(1), 17-25. https://doi.org/10.1016/j.outlook.2009.06.001

Chiang, H. Y., Lee, H. F., Lin, S. Y., & Ma, S. C. (2019). Factors contributing to voluntariness of incident reporting among hospital nurses. Journal of Nursing Management, 27(4), 806-814. https://doi.org/10.1111/jonm.12744

Connelly, L. M. (2008). Pilot studies. Medsurg Nursing, 17(6), 411-412.

Donaldson, M. S., Corrigan, J. M., & Kohn, L. T. (2000). To err is human: building a safer health system. Washington, DC: National Academies Press.

Elliott, P., Martin, D., & Neville, D. (2014). Electronic clinical safety reporting system: A benefits evaluation. JMIR Medical Informatics, 2(1), e3316. https://doi.org/10.2196/medinform.3316

Fukami, T., Uemura, M., & Nagao, Y. (2020). Significance of incident reports by medical doctors for organizational transparency and driving forces for patient safety. Patient Safety in Surgery, 14, 13. https://doi.org/10.1186/s13037-020-00240-y

Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2-24. https://doi.org/10.1108/EBR-11-2018-0203

Hair Jr, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2021). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM) (3rd ed.). Thousand Oaks, CA: SAGE Publications.

Hamilton, E. C., Pham, D. H., Minzenmayer, A. N., Austin, M. T., Lally, K. P., Tsao, K., & Kawaguchi, A. L. (2018). Are we missing the near misses in the OR?—underreporting of safety incidents in pediatric surgery. Journal of Surgical Research, 221, 336-342. https://doi.org/10.1016/j.jss.2017.08.005

Hertzog, M. A. (2008). Considerations in determining sample size for pilot studies. Research in Nursing & Health, 31(2), 180-191. https://doi.org/10.1002/nur.20247

Isaac, S., & Michael, W. B. (1995). Handbook in research and evaluation: A collection of principles, methods, and strategies useful in the planning, design, and evaluation of studies in education and the behavioral sciences. San Diego, California: EdITS publishers.

Kusumawati, A. S., Handiyani, H., & Rachmi, S. F. (2019). Patient safety culture and nurses’ attitude on incident reporting in Indonesia. Enfermería Clínica, 29, 47-52. https://doi.org/10.1016/j.enfcli.2019.04.007

Lederman, R., Dreyfus, S., Matchan, J., Knott, J. C., & Milton, S. K. (2013). Electronic error-reporting systems: A case study into the impact on nurse reporting of medical errors. Nursing Outlook, 61(6), 417-426. https://doi.org/10.1016/j.outlook.2013.04.008

Lee, W., Kim, S. Y., Lee, S. i., Lee, S. G., Kim, H. C., & Kim, I. (2018). Barriers to reporting of patient safety incidents in tertiary hospitals: A qualitative study of nurses and resident physicians in South Korea. The International Journal of Health Planning and Management, 33(4), 1178-1188. https://doi.org/10.1002/hpm.2616

Lee, Y.-H., Yang, C.-C., & Chen, T.-T. (2016). Barriers to incident-reporting behavior among nursing staff: A study based on the theory of planned behavior. Journal of Management & Organization, 22(1), 1-18. https://doi.org/10.1017/jmo.2015.8

Levtzion-Korach, O., Alcalai, H., Orav, E. J., Graydon-Baker, E., Keohane, C., Bates, D. W., & Frankel, A. S. (2009). Evaluation of the contributions of an electronic web-based reporting system: Enabling action. Journal of Patient Safety, 5(1), 9-15.

Manfrin, A., Apampa, B., & Parthasarathy, P. (2019). A conceptual model for students’ satisfaction with team-based learning using partial least squares structural equation modelling in a faculty of life sciences, in the United Kingdom. Journal of Educational Evaluation for Health Professions, 16, 36. https://doi.org/10.3352/jeehp.2019.16.36

Pham, J. C., Girard, T., & Pronovost, P. J. (2013). What to do with healthcare incident reporting systems. Journal of Public Health Research, 2(3), jphr-2013. https://doi.org/10.4081/jphr.2013.e27

Poorolajal, J., Rezaie, S., & Aghighi, N. (2015). Barriers to medical error reporting. International Journal of Preventive Medicine, 6, 97. https://doi.org/10.4103%2F2008-7802.166680

Reis, C. T., Paiva, S. G., & Sousa, P. (2018). The patient safety culture: A systematic review by characteristics of hospital survey on patient safety culture dimensions. International Journal for Quality in Health Care, 30(9), 660-677. https://doi.org/10.1093/intqhc/mzy080

Sheatsley, P. B. (1983). Questionnaire construction and item writing. In P. H. Rossi, J. D. Wright, & A. B. Anderson (Eds.), Handbook of survey research (Vol. 4, pp. 195-230). Academic Press.

Sorra, J., Gray, L., Streagle, S., Famolaro, T., Yount, N., & Behm, J. (2018). AHRQ hospital survey on patient safety culture: User’s guide. Rockville, MD: Agency for Healthcare Research and Quality. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/userguide/hospitalusersguide.pdf

Stavropoulou, C., Doherty, C., & Tosey, P. (2015). How effective are incident‐reporting systems for improving patient safety? A systematic literature review. The Milbank Quarterly, 93(4), 826-866. https://doi.org/10.1111/1468-0009.12166

Van Spall, H., Kassam, A., & Tollefson, T. T. (2015). Near-misses are an opportunity to improve patient safety: Adapting strategies of high reliability organizations to healthcare. Current Opinion in Otolaryngology & Head and Neck Surgery, 23(4), 292-296. https://doi.org/10.1097/MOO.0000000000000177

Walsh, K., Burns, C., & Antony, J. (2010). Electronic adverse incident reporting in hospitals. Leadership in Health Services, 23(4), 292-303. https://doi.org/10.1108/17511871011079047

Woo, M. W. J., & Avery, M. J. (2021). Nurses’ experiences in voluntary error reporting: An integrative literature review. International Journal of Nursing Sciences, 8(4), 453-469. https://doi.org/10.1016/j.ijnss.2021.07.004

World Health Organization. (2005). World alliance for patient safety: WHO draft guidelines for adverse event reporting and learning systems: from information to action. https://iris.who.int/bitstream/handle/10665/69797/?sequence=1

World Health Organization. (2020). Patient safety incident reporting and learning systems: Technical report and guidance (9240010335). https://iris.who.int/bitstream/handle/10665/334323/9786555261950-por.pdf

Yang, Y., & Liu, H. (2021). The effect of patient safety culture on nurses’ near-miss reporting intention: The moderating role of perceived severity of near misses. Journal of Research in Nursing, 26(1-2), 6-16. https://doi.org/10.1177/1744987120979344

Yung, H. P., Yu, S., Chu, C., Hou, I. C., & Tang, F. I. (2016). Nurses’ attitudes and perceived barriers to the reporting of medication administration errors. Journal of Nursing Management, 24(5), 580-588. https://doi.org/10.1111/jonm.12360


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