Results of χ2 analyses comparing the agreement/non-agreement of health practitioners with higher (n=377), static (n=924) or lower (n=362) reporting rates after implementation of Incident Information Management System (IIMS)*
Questionnaire items assessing enablers/barriers grouped by type of enabler | Percentage of group agreeing with item† | χ2 | |||
‘More’ group | ‘Static’ group | ‘Fewer’ group | (df 2) | p Value | |
Accessibility of IIMS | |||||
IIMS is operating whenever it is needed | 59.5% | 54.8% | 39.9% | 32.32 | 0.001 |
We have an adequate number of PCs in my workplace to access IIMS | 59.9% | 57.6% | 45.7% | 18.62 | 0.000 |
Mean agreement with accessibility items | 59.7% | 56.2% | 42.8% | ||
Rank of group accessibility mean‡ | 2 | 2 | 2 | ||
Ease of use of IIMS | |||||
IIMS is easy to use | 55.7% | 46.7% | 20.4% | 105.19 | 0.000 |
Reporting an incident on the computer is easier than reporting one on paper | 59.1% | 41.1% | 18.1% | 129.32 | 0.000 |
I can complete my incident report later if I am interrupted | 40.5% | 39.3% | 30.3% | 10.73 | 0.005 |
The classification of incidents used in IIMS is logical | 45.6% | 40.9% | 23.2% | 45.60 | 0.000 |
§ Resources are available to analyse real-time incident data promptly | 35.5% | 30.1% | 16.8% | 17.91 | 0.000 |
Mean agreement with ease of use items | 47.3% | 39.6% | 21.8% | ||
Rank of group ease-of-use mean | 5 | 4 | 5 | ||
Security of IIMS | |||||
The security and privacy of the IIMS system for staff is adequate | 68.5% | 59.5% | 47.4% | 34.31 | 0.000 |
The security and privacy of the IIMS system for patients is adequate | 70.1% | 63.1% | 49.0% | 36.27 | 0.000 |
Mean agreement with security items | 69.3% | 61.3% | 48.2% | ||
Rank of group security mean | 1 | 1 | 1 | ||
Feedback from reports | |||||
I can determine the follow-up status of any incident | 34.6% | 33.5% | 21.9% | 18.58 | 0.000 |
§ IIMS provides incident data to all relevant departments in a timely fashion | 62.6% | 54.7% | 34.4% | 33.77 | 0.000 |
Average agreement with feedback items | 48.6% | 44.1% | 28.1% | ||
Rank of group feedback mean | 4 | 3 | 3 | ||
Workplace reporting culture | |||||
We have a non-punitive culture of reporting in my workplace | 46.4% | 44.4% | 37.2% | 7.33 | 0.026 |
The culture in this facility is ‘the higher the number of incident reports, the better’ | 28.1% | 18.7% | 21.3% | 13.33 | 0.001 |
Average agreement with culture items | 37.2% | 31.5% | 29.2% | ||
Rank of group culture mean | 6 | 6 | 4 | ||
Value placed on IIMS | |||||
IIMS improves patient safety | 60.1% | 49.2% | 32.4% | 57.38 | 0.000 |
Reporting incidents using IIMS is a good use of staff time and resources | 54.2% | 39.3% | 19.9% | 91.42 | 0.000 |
Computerised incident reports are more accurate than paper incident reports | 40.4% | 24.0% | 13.9% | 70.28 | 0.000 |
IIMS encourages open disclosure to patients | 23.9% | 16.3% | 8.6% | 31.54 | 0.000 |
§ IIMS improves the system's knowledge of appropriate quality and risks measures and trends | 69.6% | 54.5% | 29.9% | 62.35 | 0.000 |
Average agreement with value items | 49.6% | 36.7% | 20.9% | ||
Rank of group value mean | 3 | 5 | 6 |
↵* χ2 compared strongly agree/agree responses with neutral/disagree/strongly disagree responses. Only the former are shown. Participants failing to answer individual items ranged from 6 to 23.
↵† Items and enabler types with which >50% of group strongly agree/agree are shown in bold.
↵‡ The six average agreement scores of each reporting group were ranked from 1 (enabler type most often experienced) to 6 (enabler least often experienced).
↵§ Only users with a managerial component to their role (n=869) answered these items.