Adverse event management and some related factors at the District 2 Hospital

Abstract

Medical incident management is the activities to take remedial measures and prevent recurrence of the incident. Research is conducted to understand the issues surrounding medical incidents. This mixed-method study was conducted at the District 2 Hospital, Ho Chi Minh city in 2021 with the aim to identify the current situation and analyze some factors affecting adverse event management at the hospital. We selected 98 reported incidents, there were seven indepth interviews (IDIs) and two focus group discussions (FGDs) have been conducted. Results: 60.2% of adverse events reported by nurse/technician. Adverse events due to practice errors of medical staff (MS) accounted for 52.04%. 76.53% of adverse events have been reviewed with root cause analysis (RCA). A number of factors affect medical incident management: (1) Positive factors: many forms of encouragement, fnding and fxing system errors instead of looking for individual errors; (2) Negative factors: difculty in accessing information; fear of punishment; work pressure, Lack of leadership interest in medical incident management, the trainings have not been effective, the cumbersome regulations and procedures, lack of coordination of departments/departments in medical incident management. Recommendations: Improving the training on access to information and awareness of medical incidents; Increasing leadership interest in medical incident management; Simplifying the medical incident reporting process and form; Increasing the involvement of departments in medical incident management.