Evidence map›Paper›PMID 40011060›Full record

SynthesisBMJ open quality2025

Patient safety incident reporting systems and reporting practices in African healthcare organisations: a systematic review and meta-analysis.

Gelana Fekadu, Rachel Muir, Georgia Tobiano, Michael J Ireland, Melaku Tadege Engidaw, Andrea P Marshall

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Gelana FekaduSchool of Nursing and Midwifery, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222 fekadugelana4@gmail.com.ORCID http://orcid.org/0000-0001-5409-4979
Rachel MuirSchool of Nursing and Midwifery, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222.ORCID http://orcid.org/0000-0003-3345-9929
Georgia TobianoNational Health and Medical Research Council, Centre of Research Excellence in Wiser Wound Care, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222.ORCID http://orcid.org/0000-0001-5437-0777
Michael J IrelandSchool of Psychology and Wellbeing, University of Southern Queensland - Ipswich Campus, Ipswich, Queensland, Australia.ORCID http://orcid.org/0000-0001-6064-3575
Melaku Tadege EngidawPublic Health, School of Medicine and Dentistry, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222.ORCID http://orcid.org/0000-0002-1970-5102
Andrea P MarshallSchool of Nursing and Midwifery, Griffith University, Gold Coast Campus, 1 Parklands Dr, Southport, Queensland, Australia 4222.ORCID http://orcid.org/0000-0001-7692-403X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient safety incident reporting and learning systems are crucial for improving the safety and quality of healthcare. However, comprehensive evidence of their availability and use in African healthcare organisations is lacking. Therefore, this review aims to synthesise the existing literature on these systems and reporting practices within African healthcare organisations.

methodsA systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Five electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) via EBSCOhost, Scopus, Web of Science and the Excerpta Medica Database (Embase), were searched to identify relevant records. Peer-reviewed articles and guidelines published in English were included in this review. Quality appraisal was performed using the Joanna Briggs Institute and Quality Assessment with Diverse Studies tool. A random effects model was used to compute the pooled prevalence using Stata V.17.0.

resultsA systematic search retrieved 9279 records, of which 39 (36 articles and 3 guidelines) were included in this review. Eight patient safety incident reporting and learning systems were identified, with compliance rates ranging from low (16%) to high (87%) based on the WHO criteria. The pooled prevalence of patient safety incident reporting practices was 48% (95% CI 40% to 56%). However, the studies exhibited high heterogeneity (I²=98.75%, p<0.001).

conclusionIn African healthcare organisations, it is imperative to establish robust patient safety incident reporting and learning systems, as none of the existing systems fully meet WHO criteria. In addition, optimising the existing systems and encouraging healthcare professionals to improve reporting practices will enhance patient safety and outcomes. PROSPERO REGISTRATION NUMBER: CRD42023455168.

Indexed as

Patient SafetyRisk ManagementAfricaHumansHuman errorIncident reportingNear missPatient safetyQuality improvement

Identifiers

PMID40011060
PMCPMC11865795

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.