BMC Nursing | |
Factors associated with reporting nursing errors in Iran: a qualitative study | |
Fariba Asghari3  Alireza Nikbakht Nasrabadi1  Fatemeh Hashemi2  | |
[1] School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran;Fatemeh (P.B.U.H) College of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran | |
关键词: Patient safety; Motivators; Barriers; Nursing errors; | |
Others : 1092241 DOI : 10.1186/1472-6955-11-20 |
|
received in 2012-03-03, accepted in 2012-09-14, 发布年份 2012 | |
【 摘 要 】
Background
Reporting the professional errors for improving patient safety is considered essential not only in hospitals, but also in ambulatory care centers. Unfortunately, a great number of nurses, similar to most clinicians,do not report their errors. Therefore, the present study aimed to clarify the factors associated with reporting the nursing errors through the experiences of clinical nurses and nursing managers.
Methods
A total of 115 nurses working in the hospitals and specialized clinics affiliated to Tehran and Shiraz Universities of Medical Sciences, Iran participated in this qualitative study. The study data were collected through a semi-structured group discussion conducted in 17 sessions and analyzed by inductive content analysis approach.
Results
The main categories emerged in this study were: a) general approaches of the nurses towards errors,b) barriers in reporting the nursing errors, and c) motivators in error reporting.
Conclusion
Error reporting provides extremely valuable information for preventing future errors and improving the patient safety. Overall, regarding motivators and barriers in reporting the nursing errors, it is necessary to enact regulations in which the ways of reporting the error and its constituent elements, such as the notion of the error, are clearly identified.
【 授权许可】
2012 Hashemi et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150128181710182.pdf | 223KB | download |
【 参考文献 】
- [1]Anonymous: Health Grades Quality Study. Third Annual Patient Safety in American Hospitals Study. 2006. http://www.healthgrades.com/media/dms/pdf/patientsafetyInAmericanHospitalsStudy2006.pdf webcite (accessed on 2010)
- [2]Valentine A, Capuzzo M, Guidet B, et al.: Errors in administration of parenteral drugs in Intensive Care Units: Multinational Prospective Study. BMJ 2009, 338:b814.
- [3]Howe JP: Nursing Error Lawyer, Nursing Error Lawyer. http://www.jamesphowe.com/Medical%20Malpractice%20-%20Nursing%20Error.htm webcite (accessed on 2010
- [4]Chard R: How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. Aorn J 132, 91(1):132-145.
- [5]Crigger NJ: Always having to say you're sorry: an ethical response to making mistakes in professional practice. J Nurs Ethics 2004, 11(6):568-576.
- [6]Hashemi F: Ethical response to nursing error. J Med Ethics History Med 2008, 1(4):31-45.
- [7]Joolaaee S, Hajibabaee F, Peyravi H, Haghani H: The incidence and report rate of medication errors in Iran. J Med Ethics History Med 2010, 3(1):65-76.
- [8]Wolf ZR, Hughes RG: From Error reporting and disclosure: Patient Safety and Quality: An Evidence Based Handbook for Nurses. Rockville. MD: AHRQ publication; 2008:1-47.
- [9]Hevia A, Hobgood C: Medical Error During Residency: To Tell or Not to Tell. Ann Emerg Med 2003, 42(4):565-570.
- [10]Balas MC, Scott LD, Rogers AE: frequency and type of errors and near errors reported by critical care nurses. Can J Nurs Res 2006, 38(2):24-41.
- [11]Elder NC, Graham D, Brandt E, Hickner J: Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Networks (AAFP NRN). J Am Board Fam Med 2007, 20((2):115-123.
- [12]Krippendorff KH: Content analysis: an introduction to its methodology. 2nd edition. London: Sage; 2003.
- [13]Fein S, Hilborne L, Kagawa-Siger M, et al.: A conceptual model for disclosure of medical errors. In Advances in Patient Safety: From research to Implementation. Edited by Henriksen K, Battles JB, Marks ES. Rockville: Agency for Healthcare Research and Quality; 2005:Vol 2.
- [14]Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH: Nurses relate the contributing factors involved in medication errors. J Clin Nurs 2007, 16(3):447-457.
- [15]Anselmi ML, Peduzzi M, Dos Santos CB: Errors in the administration of intravenous medication in Brazilian hospitals. J Clin Nurs 2007, 16(10):1839-1847.
- [16]Mayo AM, Duncan D: Nurse Perception of Medication Errors: What We Need to Know for patient safety. J Nurs Care Qual 2004, 19(3):209-217.
- [17]Eto S, Kyngas H: The qualitative content analysis process. J Adv Nurs 2008, 62(1):107-115.
- [18]Speziale HS, Carpenter DR: Qualitative research in nursing: Advancing the Humanistic Imperative. Wilkins: Lippincott Williams; 2007.
- [19]Reason J: Human error: models and management. BMJ 2000, 320:768-770.
- [20]Sutcliffe KM: Defining and classifying medical error: Lessons for Learning. Qual Saf Health Care 2004, 13(1):8-9.
- [21]Uribe CL, Schweikhart SB, Pathak DS, Dow M, March GB: Perceived barriers to medical-errors reporting: an exploratory investigation. J Healthc Manag 2002, 47(4):263-279.
- [22]Chiang HY, Pepper GA: Barriers to nurses, reporting of medication administration errors in Taiwan. J Nurs Scholarsh 2006, 38(4):392-399.
- [23]Wakefield DS, Wakefield BJ, Borders T, Uden-Holman T, Blegen M, Vaughn T: Understanding and comparing differences in reported medication administration error rates. Am J Med Qual 1999, 14(2):73-80.
- [24]Lawton R, Parker D: Barriers to incident reporting in a healthcare system. Qual Saf Health Care 2002, 11(1):15-18.
- [25]Coyle YM, Mercer SQ, Murphy-Cullen CL, Schneider GW, Hynan LS: Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior. Qual Saf Health Care 2005, 14(5):383-388.
- [26]Jeffe DB, Dunagan WC, Garbutt J, et al.: Using Focus groups to understand physicians’ and nurses’ perspectives on error reporting in hospitals. Jt Comm J Qual Saf 2004, 3099:471-479.
- [27]Taylor JA, Brownstein D, Christakis DA, et al.: Use of incident reports by physicians and nurses to document medical errors in pediatric patients. Pediatrics 2004, 114(3):729-735.
- [28]Karsh BT, Escoto KH, Beasley JW, Holden RJ: Toward a theoretical approach to medical error reporting system research and design. Appl Ergon 2006, 37(3):283-295.
- [29]Wakefield DS, Wakefield BJ, Uden-Holman T, Blegen MA: Perceived barriers in reporting medications administration errors. Best Pract Benchmarking Health 1996, 1(4):191-197.
- [30]Stratton KM, Blegen MA, Pepper G, Vaughn T: Reporting of medication errors by pediatric nurses. J Ped Nurs 2004, 19(6):385-392.
- [31]Wakefield BJ, Uden-Holamen T, Wakefield DS: Development and validation of the medication administration error reporting survey. In Advances in patient safety: from research to implementation. Edited by Henriksen K, Battles JB, Marks ES. Rockville: Agency for Healthcare Research and Quality; 2005:475-489.
- [32]Wakefield BJ, Blegen MA, Uden-Holman T, Vaughn T, Chrischilles E, Wakefield DS: Organizational culture, continuous quality improvement, and medication administration error reporting. Am J Med Qual 2001, 16(4):128-134.
- [33]Ghi-yin H, Chen L-JU, Yu S, Wei IL, Fang YY, Tang FL: Nurses’ Knowledge of High-alert medications: instrument – development and validation. J Adv Nurs 2010, 66(1):177-190.
- [34]Jones L, Arana G: Is downsizing affecting incident reports? Jt Comm J Qual Improv 1996, 22(8):592-594.
- [35]Chiang HY, Lin SY, Hsu SC, Ma SC: Factors determining hospital nurses’ failures in reporting medication errors in Taiwan. Nurs Outlook 2010, 58(1):17-25.
- [36]Kohn LT, Corrigan J, Donalson MS: To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 1999.