جستجوی مقالات مرتبط با کلیدواژه « موانع گزارش دهی » در نشریات گروه « پزشکی »

The operating room can be used to treat various types of medical errors due to numerous invasive procedures. The effects of recording error messages and timely reporting on preventing it and improving patient safety are of great importance.

The present study aimed to determine the barriers of medical reporting errors from the viewpoints of operating room technologists of the educational and therapeutic centers affiliated to Iran University of Medical Sciences in 2019.

The present study was a descriptive-analytical and temporal cross-sectional study performed on 152 operating room technologists selected using convenience sampling in 2019. The tool included demographic information and medical reporting errors. Data were analyzed using SPSS 22.

The Mean and standard deviation of total error reporting barriers was 1.98±0.36 (out of 3). The mean score of error reporting barriers in the four areas under review shows that the highest and lowest error reporting barriers results from legal domain (2.14±0.49) and financial factor (1.85±0.51), respectively The highest-error reporting barriers were subject to “personal accusation”, “fear of accusations and being charged of” and “ Workload”. The results of the t-test and analysis of variance showed that there was a significant difference between the error reporting barriers, gender (P=0.026) and work experience (P=0.031). However, there was no significant correlation between error reporting barriers and other variables (P> 0.05).

Exposing the person to accusations and fearing the consequences of reporting was one of the most important obstacles in delivering reporting errors. In this regard, the most important step in removing this obstacle is to create a space in which each room technologist expresses errors honestly and without fear and the reason for its occurrence to the other treatment team. Therefore, it is recommended that proper interaction be established between the operating room technologists and the authorities.

Medication is the most commonly used therapeutic product in health care centers.The correct administration of medication orders is an important part of the treatment and care process, which is the major part of responsibility of nurses and medical staff. The occurrence of medication errors can cause serious health problems and threaten the safety of patients. This study was done to investigate the factors associated with nurses' medication errors and their refusal to error reporting in points of views of nurses. The present study was a descriptive-analytic study that was done cross-sectionally using error reports sent to the accreditation unit of a specialty cardiac hospital in Tehran during 2012-2018. Moreover, 102 nurses selected through randomized multistage sampling method were asked to complete a questionnaire. Mann-Whitney and Kruskal-Wallis statistical tests were used for data analysis. According to the nurses’ point of views, the most important barriers of error reporting were respectively crowded wards (29.6%) and fear of punishment (27.7%) and causes of medication errors were respectively high fatigue due to the nurses’ overworking (40.2%), high workload and shortage of nurses in comparison to the number of patients (38.2%). Use of an appropriate training program to estabilish the culture of paying attention to the patients’ safety as well as empowering the medical staff in this regard can be effective in reducing medication errors rate.

Medication is considered as one of the most common and critical tasks for nurses. Identifying the rate and barriers of self-reporting the medication errors is essential to maintain patient safety and improve the quality of nursing care. The aim of this study was to evaluate the self-report of the medication errors in the pediatric wards and its barriers from a nursing viewpoint.
In this cross-sectional and correlational study, 148 nurses of Bahrami children's hospitals and Children's Medical Center affiliated to Tehran University of Medical Sciences were selected using the census method in 2015. Data were collected by a researcher-made questionnaire including demographic information, the incidence of medication errors and barriers to underreporting of medication errors. To ensure the reliability of questionnaire, calculating Cronbach's Alpha Coefficient for Internal Consistency was used. The data were analyzed by SPSS version 16.
112 (76%) the nurses have been committed medication errors during their last year of work and Only 28% of the them had self-reported medication errors. 88% of nurses have experienced barriers to self-reporting medication errors and the incidence of medication errors (injectable and non-injectable) was 89%. The most common errors were associated with using abbreviated names of drugs and the nominal similarities of some drugs with some other. The most common barriers to reporting of medication errors were associated with nurse's fear of the effect of the errors on serious harm to the patients, blood money payment, and impact on annual evaluation after reporting. The logistic regression model showed no significant relationships between the incidence of the medication errors with the nurse's sex (p=0.19), age (p=0.065), job experience (p=1.21), employment status (p=0.81) and education (p=0.59) and showed a significant relationships between shifts and the incidence of the medication errors (p =0.004).
Given that the majority of medication errors were not reported by the nurses, it is needed to create necessary settings to facilitate and increase reporting the medication errors by them. Creating a positive relationship between the managers and the nurses and providing the appropriate atmosphere at the time of reporting is suggested.

Occupational errors are inevitable in all jobs. Preparing health service in healthcare centers integrates with risk resulted from occurrence of medical errors for receivers. Occurrence of medical errors in healthcare centers is very important due to sensitive nature it has for health and safety of patients. The purpose of this study is to identify barriers of the lack of error reporting by nurses.

This is a descriptive, cross-sectional study. The studied population was nurses and nurse assistants who were working in Hospitals of Kerman. Barriers of error reporting by nurses were measured by using Likert five-point scale. Data were analyzed using by SPSS 17.

Results related to lack of reporting medical errors are associated to managerial area (3.67±1.07), fear of reporting outcomes (3.56±1.08), moral factors (3.51±1.03), reporting processes (3.26±1.11) and environmental factors (3.3±1.05) respectively. Also, there was no significant relation between education, type of ward, type of employment (official, contractual) and type of hospital and lack of errors reporting via nurses (P>0/05).

It is essential to managers do a serious action in terms of priorities toward removing barriers and reducing error reporting, and attempt to improve patient safety culture.

Patient safety is the principal concern of current health care delivery systems، and several recent studies initiated by the Institute of Medicine have reported a high incidence of medicinal errors. Of the approximately 44000-98000 patient deaths reported each year because of medical errors، 7000 are attributed to medicinal errors. The purpose of this study was to determine nurses'' perceptions of causes of medicinal errors and barriers to reporting them in the pediatric wards of Mashhad University of Medical Sciences. This cross-sectional descriptive study recruited156 nurses working in general pediatric units via the convenience sample method. A questionnaire containing four sections was used: the first section on demographic information; the second on the reasons for medicinal errors; the third on the estimation of the percentage of medicinal errors occurring in the units; and the final section on the reasons for failing to report the medicinal errors. The most important medicinal errors from the nurses'' viewpoint were failure to check medicinal orders (73. 9%) and errors in the medication administration (64%). The nurses estimated that only 45% of all the medicinal errors were reported، and they cited a lack of knowledge about unit policies and routines (59. 8%) and negligence to report (59. 8%) as the most important reasons for the failure to report the errors. We need to improve the accuracy of medicinal error reporting by nurses and to provide a hospital environment conducive to preventing errors from occurring.