Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis
Background Patient safety incident reporting and learning systems are crucial for improving the safety and quality of healthcare. However, comprehensive evidence of their availability and use in African healthcare organisations is lacking. Therefore, this review aims to synthesise the existing liter...
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BMJ Publishing Group
2025-02-01
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| Series: | BMJ Open Quality |
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| author | Andrea P Marshall Georgia Tobiano Gelana Fekadu Rachel Muir Michael J Ireland Melaku Tadege Engidaw |
| author_facet | Andrea P Marshall Georgia Tobiano Gelana Fekadu Rachel Muir Michael J Ireland Melaku Tadege Engidaw |
| author_sort | Andrea P Marshall |
| collection | DOAJ |
| description | Background Patient safety incident reporting and learning systems are crucial for improving the safety and quality of healthcare. However, comprehensive evidence of their availability and use in African healthcare organisations is lacking. Therefore, this review aims to synthesise the existing literature on these systems and reporting practices within African healthcare organisations.Methods A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Five electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCOhost, Scopus, Web of Science and the Excerpta Medica Database (Embase), were searched to identify relevant records. Peer-reviewed articles and guidelines published in English were included in this review. Quality appraisal was performed using the Joanna Briggs Institute and Quality Assessment with Diverse Studies tool. A random effects model was used to compute the pooled prevalence using Stata V.17.0.Results A systematic search retrieved 9279 records, of which 39 (36 articles and 3 guidelines) were included in this review. Eight patient safety incident reporting and learning systems were identified, with compliance rates ranging from low (16%) to high (87%) based on the WHO criteria. The pooled prevalence of patient safety incident reporting practices was 48% (95% CI 40% to 56%). However, the studies exhibited high heterogeneity (I²=98.75%, p<0.001).Conclusion In African healthcare organisations, it is imperative to establish robust patient safety incident reporting and learning systems, as none of the existing systems fully meet WHO criteria. In addition, optimising the existing systems and encouraging healthcare professionals to improve reporting practices will enhance patient safety and outcomes.PROSPERO registration number CRD42023455168. |
| format | Article |
| id | doaj-art-9ef361632b9b416ba0ca5fa4620f0f52 |
| institution | OA Journals |
| issn | 2399-6641 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-9ef361632b9b416ba0ca5fa4620f0f522025-08-20T02:03:57ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-02-0114110.1136/bmjoq-2024-003202Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysisAndrea P Marshall0Georgia Tobiano1Gelana Fekadu2Rachel Muir3Michael J Ireland4Melaku Tadege Engidaw5School of Nursing and Midwifery, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222National Health and Medical Research Council, Centre of Research Excellence in Wiser Wound Care, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222School of Nursing and Midwifery, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222School of Nursing and Midwifery, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222School of Psychology and Wellbeing, University of Southern Queensland - Ipswich Campus, Ipswich, Queensland, AustraliaPublic Health, School of Medicine and Dentistry, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222Background Patient safety incident reporting and learning systems are crucial for improving the safety and quality of healthcare. However, comprehensive evidence of their availability and use in African healthcare organisations is lacking. Therefore, this review aims to synthesise the existing literature on these systems and reporting practices within African healthcare organisations.Methods A systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Five electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCOhost, Scopus, Web of Science and the Excerpta Medica Database (Embase), were searched to identify relevant records. Peer-reviewed articles and guidelines published in English were included in this review. Quality appraisal was performed using the Joanna Briggs Institute and Quality Assessment with Diverse Studies tool. A random effects model was used to compute the pooled prevalence using Stata V.17.0.Results A systematic search retrieved 9279 records, of which 39 (36 articles and 3 guidelines) were included in this review. Eight patient safety incident reporting and learning systems were identified, with compliance rates ranging from low (16%) to high (87%) based on the WHO criteria. The pooled prevalence of patient safety incident reporting practices was 48% (95% CI 40% to 56%). However, the studies exhibited high heterogeneity (I²=98.75%, p<0.001).Conclusion In African healthcare organisations, it is imperative to establish robust patient safety incident reporting and learning systems, as none of the existing systems fully meet WHO criteria. In addition, optimising the existing systems and encouraging healthcare professionals to improve reporting practices will enhance patient safety and outcomes.PROSPERO registration number CRD42023455168.https://bmjopenquality.bmj.com/content/14/1/e003202.full |
| spellingShingle | Andrea P Marshall Georgia Tobiano Gelana Fekadu Rachel Muir Michael J Ireland Melaku Tadege Engidaw Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis BMJ Open Quality |
| title | Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis |
| title_full | Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis |
| title_fullStr | Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis |
| title_full_unstemmed | Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis |
| title_short | Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis |
| title_sort | patient safety incident reporting systems and reporting practices in african healthcare organisations a systematic review and meta analysis |
| url | https://bmjopenquality.bmj.com/content/14/1/e003202.full |
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