Patient safety incidences: Perspectives of South African audiologists

Abstract

Background: Patient safety incidents (PSIs) in audiology have received limited attention compared to other health care professions in South Africa, despite their potential to significantly impact patient well-being. This study explores audiologists’ experiences of PSIs and the factors contributing to their emergence.

Methods: A qualitative, contextual, descriptive exploratory research design was employed. Individual semi-structured online interviews were conducted with eight audiologists working in South Africa. The data were analysed using Braun and Clarke’s reflexive thematic analysis.

Results: Participants highlighted that PSIs in audiology are often underestimated, yet they can profoundly affect patients’ quality of life. Inadequate university training on PSIs was identified as a key contributing factor. Technological advancements, such as over-the-counter hearing aids and automated assessments, were viewed as potential risks without proper professional oversight. Organisational support varied, with clearer protocols observed in the public sector than in private practice. In addition, staff shortages and high workloads increased the likelihood of PSIs by compromising patient care. To mitigate these risks, participants recommended enhanced training, stricter regulation of hearing technologies and improved patient education.

Conclusion: This study underscores the need for greater recognition and proactive management of PSIs in audiology. Addressing training gaps, strengthening organisational support and implementing regulatory measures for emerging technologies are essential to improving patient safety outcomes.

Contribution: This study expands the understanding of PSIs in audiology and offers insights that can inform curriculum reform and professional development initiatives in South Africa.