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dc.contributor.authorHaines, Terry
dc.contributor.authorCornwell, Petrea
dc.contributor.authorFleming, Jennifer
dc.contributor.authorVarghese, Paul
dc.contributor.authorGray, Len
dc.date.accessioned2017-05-03T14:55:29Z
dc.date.available2017-05-03T14:55:29Z
dc.date.issued2008
dc.date.modified2013-03-27T23:11:43Z
dc.identifier.issn14726963
dc.identifier.doi10.1186/1472-6963-8-254
dc.identifier.urihttp://hdl.handle.net/10072/39983
dc.description.abstractBackground Incident reporting is the prevailing approach to gathering data on accidental falls in hospitals for both research and quality assurance purposes, though is of questionable quality as staff time pressures, perception of blame and other factors are thought to contribute to under-reporting. Methods This research aimed to identify contextual factors influencing recording of in-hospital falls on incident reports. A qualitative multi-centre investigation using an open written response questionnaire was undertaken. Participants were asked to describe any factors that made them feel more or less likely to record a fall on an incident report. 212 hospital staff from 30 wards in 7 hospitals in Queensland, Australia provided a response. A framework approach was employed to identify and understand inter-relationships between emergent categories. Results Three main categories were developed. The first, determinants of reporting, describes a hierarchical structure of primary (principle of reporting), secondary (patient injury), and tertiary determinants that influenced the likelihood that an in-hospital fall would be recorded on an incident report. The tertiary determinants frequently had an inconsistent effect. The second and third main categories described environmental/cultural facilitators and barriers respectively which form a background upon which the determinants of reporting exists. Conclusion A distinctive framework with clear differences to recording of other types of adverse events on incident reports was apparent. Providing information to hospital staff regarding the purpose of incident reporting and the usefulness of incident reporting for preventing future falls may improve incident reporting practices.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent371205 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherBioMed Central Ltd.
dc.publisher.placeUnited Kingdom
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom1
dc.relation.ispartofpageto8
dc.relation.ispartofjournalBMC Health Services Research
dc.relation.ispartofvolume8
dc.rights.retentionY
dc.subject.fieldofresearchLibrary and information studies
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4610
dc.subject.fieldofresearchcode4205
dc.titleDocumentation of in-hospital falls on incident reports: Qualitative investigation of an imperfect process
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
dcterms.licensehttp://creativecommons.org/licenses/by/2.0
gro.rights.copyright© 2008 Haines et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
gro.date.issued2008
gro.hasfulltextFull Text
gro.griffith.authorCornwell, Petrea


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