title: [Causes of underreporting of occupational injuries and adverse events in Chile].
abstract: Objective To describe the causes of underreporting of occupational injuries and adverse events as identified in the international literature and by key informants in the area of health and risk prevention in Chile. Methods The study uses a qualitative descriptive approach. This includes a systematized literature review that follows the SALSA method (Search, Appraisal, Synthesis and Analysis) and is in line with the PRISMA statement (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). In addition, interviews were conducted with informants in the area of health and risk prevention in Chile. Results The leading causes of underreporting of occupational injuries as described in the literature and by key informants were economic factors and ignorance. With regard to adverse events, the principal causes indicated were fear of sanctions, limited support provided by the authorities, lack of knowledge, and excessive workload. Conclusions It is important to continue working to strengthen the reporting of occupational injuries and adverse events and to implement measures aimed at minimizing factors that appear to be the leading causes of underreporting. In the case of occupational injuries, this means making sure that economic factors are not an impediment but rather an incentive to reporting. With respect to adverse events, steps should be taken to eliminate the fear of sanctions and to develop recommendations, focusing more on systemic improvements than on individuals, to promote joint learning. In both cases it will be necessary to combat ignorance through continuous, systematic training and support.
authors.forename: Carolina
authors.initials: C
authors.lastname: Luengo
authors.forename: Tatiana
authors.initials: T
authors.lastname: Paravic
authors.forename: Sandra
authors.initials: S
authors.lastname: Valenzuela
mesh_terms: D002677:Chile / Q000453:epidemiology; D005239:Fear; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D019221:Mandatory Reporting; D009042:Motivation; D060051:Occupational Injuries / Q000453:epidemiology*; D036301:Qualitative Research