title: Adverse event reporting in Czech long-term care facilities.
abstract: OBJECTIVE
  To describe adverse event reporting processes in long-term care facilities in the Czech Republic.
  
  
  METHODS
  Prospective cohort study involving a written questionnaire followed by in-person structured interviews with selected respondents.
  
  
  METHODS
  Long-term care facilities located in the Czech Republic.
  
  
  METHODS
  Staff of 111 long-term care facilities (87% of long-term care facilities in the Czech Republic).
  
  
  METHODS
  None.
  
  
  RESULTS
  Sixty-three percent of long-term health-care facilities in the Czech Republic have adverse event-reporting processes already established, but these were frequently very immature programs sometimes consisting only of paper recording of incidents. Compared to questionnaire responses, in-person interview responses only partially tended to confirm the results of the written survey. Twenty-one facilities (33%) had at most 1 unconfirmed response, 31 facilities (49%) had 2 or 3 unconfirmed responses and the remaining 11 facilities (17%) had 4 or more unconfirmed responses.
  
  
  CONCLUSIONS
  In-person interviews suggest that use of a written questionnaire to assess the adverse event-reporting process may have limited validity. Staff of the facilities we studied expressed an understanding of the importance of adverse event reporting and prevention, but interviews also suggested a lack of knowledge necessary for establishing a good institutional reporting system in long-term care.
authors: Department of Public Health, Charles University in Prague−Third Faculty of Medicine, Czech Republic. zdenek.hrib@seznam.cz
authors: Zdenřk
authors: Z
authors: Hěib
authors: Pavel
authors: P
authors: Vychytil
authors: David
authors: D
authors: Marx
mesh_terms: D001291:Attitude of Health Personnel; D018153:Czech Republic; D006801:Humans; D008134:Long-Term Care; D019221:Mandatory Reporting; D019300:Medical Errors; D061214:Patient Safety; D015397:Program Evaluation; D011446:Prospective Studies; D036301:Qualitative Research; D012112:Residential Facilities; D011795:Surveys and Questionnaires