Patient safety incident reporting and learning system in Libyan healthcare: An exploratory study

Jaber, Hamza 2024. Patient safety incident reporting and learning system in Libyan healthcare: An exploratory study. PhD Thesis, Cardiff University. Item availability restricted.

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Abstract

Background The Patient Safety Incidents Reporting and Learning System (PSI-RLS) is widely discussed in international literature but remains under-researched in developing countries like Libya and other resource-constrained settings. There is a notable lack of policies related to PSIRLS in these contexts and limited evidence of their effectiveness in healthcare sectors. This study aims to comprehensively explore the concept of PSI-RLS in the Libyan healthcare sector, focusing specifically on understanding the experiences and perceptions of key healthcare policy stakeholders at the national level. Study Design A qualitative-exploratory approach was adopted for this study. Data were collected through policy analysis and semi-structured interviews with key stakeholders at the macro level, along with notetaking as a third source of data. Walt and Gilson's (1994) policy analysis framework was utilised for the policy analysis. Purposive sampling was employed to select stakeholders and participants, ensuring maximum variation and national representation. The semi-structured interviews were analysed using Braun and Clarke’s (2006) six-step thematic analysis framework. Findings The analysis of the data generated three key themes: perceptions and attitudes toward patient safety, perceptions and attitudes toward patient safety incidents reporting and learning system and organisation of the healthcare sector. The medical liability statute in Libya influences both patient safety and the reporting of patient safety incidents. The findings of this study indicated a predominant focus on the legal aspects of patient safety, which overshadowed ethical considerations. There exists a national reporting process that allows patients or their families to report medical harm. Healthcare providers are not involved in reporting patient safety incidents at the national level, and medical liabilities are perceived as a barrier to such reporting within the Libyan healthcare sector. Notably, there was no evidence in Libyan healthcare policies that explicitly prevents healthcare providers from reporting patient safety incidents. Nevertheless, the lack of clarity and the absence of a code of conduct in the current healthcare policies have fostered apprehension regarding the medical liabilities associated with medical harm. The concept of learning from patient safety incidents is non-existent in the context of the Libyan healthcare sector. This study underscores the critical role of policy and socio-cultural interventions in promoting a nationally recognised framework for reporting and learning from patient safety incidents within Libya's healthcare sector. Conclusion The study has contributed to new knowledge and understanding about the experiences related to patient safety and PSI-RLS within the Libyan healthcare sector. The medical liability statute in Libya influences the reporting process of patient safety incidents and shapes the attitudes of healthcare providers in this context. Libyan social culture emerged as an overarching theme that informed the three themes generated from the analysis. The findings of this study have valuable implications for patient safety, healthcare providers, and the entire healthcare sector in Libya.

Item Type:	Thesis (PhD)
Date Type:	Completion
Status:	Unpublished
Schools:	Schools > Healthcare Sciences
Date of First Compliant Deposit:	14 April 2025
Last Modified:	14 Apr 2025 11:08
URI:	https://orca.cardiff.ac.uk/id/eprint/177627

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