University of Oulu

Gluschkoff, K., Kaihlanen, A., Palojoki, S., Laukka, E., Hyppönen, H., Karhe, L., Saranto, K., & Heponiemi, T. (2021). Reporting of health information technology system-related patient safety incidents: The effects of organizational justice. Safety Science, 144, 105450.

Reporting of health information technology system-related patient safety incidents : the effects of organizational justice

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Author: Gluschkoff, Kia1,2; Kaihlanen, Anu1; Palojoki, Sari3;
Organizations: 1Social and Health System Research, Finnish Institute for Health and Welfare, Finland
2Department of Psychology and Logopedics, University of Helsinki, Finland
3Ministry of Social Affairs and Health, Finland
4Research Unit of Nursing Science and Health Management, University of Oulu, Finland
5The Finnish Nurses Association, Helsinki, Finland
6Department of Health and Social Management, University of Eastern Finland, Kuopio, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.9 MB)
Persistent link:
Language: English
Published: Elsevier, 2021
Publish Date: 2021-09-01


Factors influencing the reporting of patient safety incidents that result from health information technology (HIT) failure are poorly understood. We examined whether organizational justice is associated with the non-reporting of HIT system-related safety incidents among registered nurses. Cross-sectional survey data were collected from nurses (N = 1399) who reported encountering a HIT system-related patient safety incident within the past 12 months. Selecting one or more reasons for not filing an incident report from a predefined list of potential reasons was used as an indicator for non-reporting. Logistic regression models were fit to predict the reason-specific likelihood of non-reporting with organizational justice. High organizational justice was associated with a reduced likelihood of non-reporting if non-reporting occurred because reporting was too hard or took too much time (OR = 0.81, 95% CI 0.67 to 0.96), because the reporting had no impact on the organization’s processes (OR = 0.63, 95% CI 0.53 to 0.76), because the respondent was worried about the consequences (OR = 0.61, 95% CI 0.43 to 0.87), or because the respondent was not required to file a report (OR = 0.67, 95% CI 0.51 to 0.89). Justice was not associated with non-reporting if it occurred due to the lack of access to a reporting system, because no actual harm was caused to the patient, or some other, non-specified reason. The associations were robust to adjustment for several nurse and work characteristics. The results suggest that non-reporting of HIT system-related safety incidents is less common in a high-justice work environment. Fair treatment of nurses may encourage their reporting of safety incidents.

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Series: Safety science
ISSN: 0925-7535
ISSN-E: 1879-1042
ISSN-L: 0925-7535
Volume: 144
Article number: 105450
DOI: 10.1016/j.ssci.2021.105450
Type of Publication: A1 Journal article – refereed
Field of Science: 3141 Health care science
Funding: This study was supported by the Strategic Research Council at the Academy of Finland (project 327145).
Copyright information: © 2021 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (