Medical error reporting is inevitable for the health system including
those with advanced medicine. Statistics show that medical incidents
often have consequences for patients, mild can prolong hospital stay,
affect the function of some organs, severe can cause loss of function
permanently or result in death. According to many experts, the field
of medical service provision is in an environment with many risks.
"The U.S. healthcare system needs nationwide mandatory, validated,
and public (MVP) reporting of preventable healthcare-acquired
infections and medical errors. Medication errors—cited as a major
problem by the IOM ten years ago—remain a serious problem today"
(safepatientproject.org, 2009). The causes behind these risks are
diverse and complex from management, working environment to
location, patients, and disease progression, medical errors and
incidents are inevitable. The problem is to do the following to limit
errors and medical incidents to the lowest possible extent. The
reason why medical professionals may not provide accurate data is
that a unified system of medical error reporting and incidents has not
yet been established, this leads to the consequence the recognition
of what is an error and what is a medical problem varies between
hospitals. Even there are errors, incidents that are on the list of
mandatory reports to be considered as normal, for example, the
phenomenon of fire, explosion, or patients falling causing injury in
the hospital has never been reported anywhere. Also, nosocomial
infections have not been investigated, so there are no statistics to
report. Due to the lack of consensus on the reporting system, it is
difficult to compare statistics, which can make it difficult to assess
patient safety between hospitals. Besides, the implementation of
medical incident prevention activities has not been given due to
attending a system of error and incident management has not been
built, the work of synthesizing, reporting, and monitoring errors and
incidents have not been focused. For that reason, although some
medical incidents have been recorded, the synthesis of reports is still
overlooked.
Most hospitals do not have an incentive method for medical staff to
report medical errors and incidents, which leads to the consequences
of covering up and hiding each other, only reporting errors, incidents
occur at a serious level, many people know and cannot hide. "The
"culture of quality" depended on the successful implementation of
several innovations: a uniform data collection system facilitated by
the nationwide implementation of an electronic medical record
system, systematic application of quality standards, and externally
monitored local area networks to monitor quality" (Feldman, S.,
Buchalter, S., Zink, D., Slovensky, D. J., & Leslie, W. H., 2019).
Leaders might eradicate a culture of shame and blame by building a
culture of recognizing and handling medical errors and incidents so
that each medical staff member when detecting errors or medical
incidents voluntarily reports as his to her responsibility.
Feldman, S. S., Buchalter, S., Zink, D., Slovensky, D. J., & Leslie, W. H.
(2019). Training leaders for a culture of quality and safety.
Leadership in Health Services, 32(2), 251-
263. http://dx.doi.org/10.1108/LHS-09-2018-0041
To Err is Human - To Delay is Deadly Ten Years Later, a Million Lives
Lost, Billions of Dollars Wasted. SafePatientProject.org. (2009, May).
Retrieved January 13, 2022,
from https://web.archive.org/web/20150906235538/http
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spp_To_Delay_Is_Deadly_Executive_Summary
