Basic characteristics of participants.

Background
Globally, increased occurrences of patient safety incidents have become a public concern. The implementation of Patient safety incidents reporting and learning guidelines is fundamental to reducing preventable patient harm. To improve the implementation of these guidelines in specialised care units in KwaZulu-Natal, the views of healthcare professionals were unearthed.
Aim
This study explores the healthcare professionals’ views toward the implementation of Patient safety incident reporting and learning guidelines in specialised care units.
Methods
A descriptive, explorative qualitative approach was used to collect qualitative data from healthcare professionals working in specialised care units. The study was conducted in specialised care units of three purposely selected public hospitals in two districts of KwaZulu-Natal. Group discussions and semi-structured interviews were conducted from August to October 2021. Content data analysis was performed using Tesch’s method of analysis process.
Results
The main themes that emerged during data analysis were; ineffective reporting system affecting the communication of Patient safety incident guidelines, inadequate institutional and management support for the healthcare professionals, insufficient education and training of healthcare professionals, and poor human resources affecting the implementation of Patient Safety Incident guidelines. The findings highlighted that there were more major barriers to the implementation of the Patient safety incident reporting and learning guidelines.
Conclusion
This study confirmed that the Patient safety incident reporting and learning guidelines are still not successfully implemented in the specialised care units and the barriers to implementation were highlighted. For rigorous implementation in South Africa, the study recommends revised Patient safety incident reporting and learning guidelines, designed in consultation with the frontline healthcare professionals. These must consist of standardised, simple- user-friendly reporting process as well as a better implementation strategy to guide the healthcare professionals. Continuous professional development programmes may play an important role in the facilitation of the implementation process.

研究背景
当前，全球范围内患者安全事件的发生率持续攀升，已成为公众关注的公共卫生议题。落实患者安全事件报告与学习指南（Patient safety incidents reporting and learning guidelines），是减少可预防的患者伤害的核心举措。为推动夸祖鲁-纳塔尔省专科护理单元（specialised care units）更好地落实该指南，本研究调研了医疗保健专业人员的相关看法。

研究目的
本研究旨在探究医疗保健专业人员对夸祖鲁-纳塔尔省专科护理单元落实患者安全事件报告与学习指南的看法。

研究方法
本研究采用描述性探索性定性研究方法，向在专科护理单元工作的医疗保健专业人员收集定性数据。研究开展于夸祖鲁-纳塔尔省两个辖区内3家经目的性遴选的公立医院的专科护理单元。数据采集于2021年8月至10月期间，涵盖小组讨论与半结构化访谈两种形式。本研究采用泰施（Tesch）分析法开展内容数据分析。

研究结果
数据分析得出的核心主题包括：影响患者安全事件指南传播的报告系统效能低下、医疗保健专业人员获得的机构与管理支持不足、针对医疗保健专业人员的教育与培训匮乏，以及影响患者安全事件指南落实的人力资源配置不合理。研究结果显示，当前患者安全事件报告与学习指南的落实仍面临诸多重大阻碍。

研究结论
本研究证实，目前专科护理单元仍未成功落实患者安全事件报告与学习指南，同时明确了指南落实面临的各类阻碍。为在南非实现该指南的严谨落实，本研究建议结合一线医疗保健专业人员的意见修订患者安全事件报告与学习指南。新版指南应包含标准化、简便易用的报告流程，以及可用于指导医疗保健专业人员的优化落实策略。持续专业发展项目或可在推动指南落实过程中发挥重要作用。