OBJECTIVE: To describe potential conditioning factors and to analyse improvement measures proposed by reporters in hospitals of an autonomous region of Spain. METHOD: A cross-sectional study was conducted analysing all notifications from the public hospital network reported in Aragon (Spain) during 2023. RESULTS: Among all reports (n=959), incidents related to medication prevail (22.9%), followed by falls (14.9%) and identification issues (6.2%). Most of the reports were submitted by nurses (79.14%). Free text categories mainly indicated a need for improvements in terms of correct identification of patients and samples, both interpersonal and family communication, and a need of improvement in hospital staff stability and training. CONCLUSIONS: Despite the limitations of the study, the main one being the voluntary and anonymous nature of the notification system, it presents a valuable source of knowledge to identify patient safety issues. In addition, following notifiers' reports, it raises several important challenges, including better training for the notifying staff and the adoption of legal measures that guarantee the safety of the notifiers.
Doweidar et al. (Thu,) studied this question.