Safety-II as a Different Approach in Healthcare: Investigating the Influence of Personality on Reporting Behavior

In hospitals, preventable incidents still occur and safety management may have reached its peak. Therefore, learning from these incidents is imperative to reduce preventable harm. A prerequisite for learning is the willingness of staff to report. A safety management mode known as Safety-II may yield benefits in reporting behavior. Based on existing literature, reporting behavior may be influenced by personality. This study aimed to investigate if the proposed safety management mode will increase reporting behavior. Additionally, this study investigated if personality is a significant predictor in reporting behavior. To test this, participants consisting of two groups i.e., calamity investigators (with training in Safety-II) and random medical staff (without training) were compared. Data was gathered by distributing questionnaires among participants; one for personality and one for reporting behavior. The reporting questionnaire was distributed on a second occasion, to measure...Show moreIn hospitals, preventable incidents still occur and safety management may have reached its peak. Therefore, learning from these incidents is imperative to reduce preventable harm. A prerequisite for learning is the willingness of staff to report. A safety management mode known as Safety-II may yield benefits in reporting behavior. Based on existing literature, reporting behavior may be influenced by personality. This study aimed to investigate if the proposed safety management mode will increase reporting behavior. Additionally, this study investigated if personality is a significant predictor in reporting behavior. To test this, participants consisting of two groups i.e., calamity investigators (with training in Safety-II) and random medical staff (without training) were compared. Data was gathered by distributing questionnaires among participants; one for personality and one for reporting behavior. The reporting questionnaire was distributed on a second occasion, to measure implications over time. It was expected that training in Safety-II leads to an increase in reporting behavior. Additionally, it was expected that personality influenced reporting behavior. Results showed a significant difference in one facet of reporting behavior (i.e., perceived blame) between groups with training in Safety-II and without training. Extraversion and neuroticism were found to be predictors for one facet of reporting behavior (i.e., perceived criteria for events that should be reported). Implications may be that the training main focus is to exempt blame from being a factor in reporting. Implications may also be that personality is not a great predictor of reporting behavior. Future lines of research may focus on increasing the number of participating hospitals, perhaps even broadening the study across different nations, to examine cultural differences.Show less

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Safety-II as a Different Approach in Healthcare: Investigating the Influence of Personality on Reporting Behavior