Health Care Providers' Awareness of Occurrence Variance Reports and Their Magnitude at Accredited Vs. Non-Accredited Hospitals: A Cross-Sectional Comparative Study

Document Type : Original Article

Authors

1 Family and community health nursing, faculty of nursing, port said university

2 Nursing department, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Kingdom of Saudi Arabia. Lecturer of Nursing Administration, Faculty of Nursing, Port Said University, Egypt.

3 Assistant professor of Nursing Administration, Faculty of Nursing, Port Said University.

4 Medical-surgical Nursing, Faculty of Nursing, Suez Canal University_Egypt

Abstract

Adverse incidents are a global issue and constitute the leading cause of death, although many are preventable. Patient safety is a significant challenge faced by healthcare professionals in hospitals. Aim: This study aimed to investigate healthcare providers' awareness of occurrence variance reports and their magnitude at accredited versus non-accredited hospitals. Material and methods: A cross-sectional descriptive survey was used. Three hundred seventy-three health care providers participated in the study (232 staff nurses, 96 physicians, and 45 pharmacists). They were recruited using a convenience sample from two universal health insurance hospitals in Port-Said, Egypt. Data collection tools: The Occurrence Variance Report awareness questionnaire and OVR were used for reporting all incidents in the two hospitals, with 522 from the accredited hospital and 258 from the non-accredited hospital. Results: Pointed out those healthcare providers in the accredited hospital had the highest awareness mean rank of occurrence variance report (224.53) compared to healthcare providers in non-accreted hospital (153.47). Also, accredited hospital had a higher frequency of all occurrence variance report classifications than a non-accredited hospital, with near misses being the most common (170) than other types, followed by sentinel events (148), major events (109), and occurrences (95). Conclusion: total score of awareness dimensions and total score of OVR frequency reported by all healthcare providers in two hospitals had a moderately significant relationship. Recommendations: Implement policies that organize safe cultural behaviors, such as writing occurrence variance reports and holding frequent training sessions on the importance of incident reporting.

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