Abstract:
Background: Incident is an unintentional and often destructive event that interrupts the development
and continuation of the work. Institute of Medicine´s record an annual death of about 44000 to 98000
individuals who die due to incidents. In addition, literature found that 5%-15% of hospital admission
patients encounter incidents.
Aim: the aim of this study was to assess barriers and motivating factors associated with patient incident
reporting among nurses at Kigali University Teaching Hospital (KUTH)
Research methods: This study used quantitative approach. A descriptive cross-sectional design was
used to identify the motivating factors and barriers associated with patient incident report. A
proportionate stratified random sampling was performed to select participants. The simple size
comprised 182 nurses working at KUTH in hospitalizing department. SPSS software version 20 was
used to describe data and inferential statistic was used to determine association between level of incident
reporting and motivating factors and barriers associated with patient incident reporting.
Results: Patient falls and medication errors were found to be the common incidents for nurses at this
facility. The results of this study found that 35% reports incident to minimize repetition of incident, and
54% of the respondent strongly agreed to report incident to develop a culture of learning from mistakes
as motivating factors associated with patient incident reporting. The findings revealed that the barriers
associated with patient-incident reporting among nurses includes 51% nurses do not want to appear as
incompetent. The association between level of incident reporting and nurse knowledge was significant
as p value was0.000.The results show that there is high association between level of incident reporting
and not want to appear as incompetent (p value is 0.000).
Conclusion: this study revealed that common types of incidents encountered by nurse and shows a high
association between level of incident and motivating factors and barriers associated with patient incident
reporting.
Recommendations: It is recommended that the hospital needs to train nurses about the knowledge, and
the benefits of incident reporting with regard to ensuring and promoting patient safety and to increase
the level of incident reporting.
