جستجوی مقالات مرتبط با کلیدواژه « report » در نشریات گروه « پزشکی »

Medications are the most common therapeutic intervention, and the safe use of medication and the existence of processes to improve the safety of medicine are of prime importance. Since nurses have a major role in implementing medication orders, they play a vital role in promoting safety and reducing medication harm to patients. Therefore, the present study was conducted to determine the barriers to reporting medication errors by nurses of teaching hospitals affiliated with Gorgan, Iran, in 2021.

In this cross-sectional study, 340 nurses from Gorgan teaching hospitals were selected by a randomized stratified method in 2021. The data collection tool was a demographic information checklist and a valid questionnaire of barriers to reporting medication errors. The collected data was analyzed using SPSS software (version 16). Moreover, descriptive statistics, Kolmogorov-Smirnov tests, Spearman, Mann-Whitney, and Kruskal-Wallis correlation coefficients were used.

The average age of the nurses was 33.11 ± 7.36 years, and 290 (85.3%) participants were female. The average score of reporting obstacles in the area of "fear of management factors" was higher than other areas (3.20±0.50), followed by the areas of "fear of reporting consequences" (3.17±0.35) and "factors related to the reporting process" (2.87±0.63) were in the next ranks. The highest average in the areas of "fear of the consequences of reporting", "factors related to the reporting process" and "fear of managerial factors", were respectively related to "fear of legal issues" (3.94±1.11), "unclear definition of medication error" (3.54±1.05), and "disproportionality of the officials' reaction with wrong hierarchy of importance" (3.75±0.96). The service sector had a significant relationship with the overall score of barriers to reporting medication errors (P=0.020) and the area of fear of managerial factors (P=0.017) in a way that the barriers to reporting medication errors by the nurses of the Emergency Department were higher than the other parts.

Among all reporting barriers, "fear of legal issues" had the highest score. Due to the existence of factors such as fear of judicial issues and the inappropriate reaction of hospital officials, it is suggested to define the error reporting process and how to handle medication errors and train hospital managers on how to deal with the person at fault.

Today, according to the statistics of medication errors in Iran, they are considered one of the most common medical errors, and due to the complications caused by it, measures should be taken for it. Medication errors can be caused by several reasons, the most important of which in this article are the definitions and prevention solutions, and the aforementioned suggestions are compatible with the laws of Iran’s medical legal system and conventional procedures in the field of health because they are enforceable. It is the country.

In this article, the medication error prevention strategy has been proposed based on four practical steps, including all drug treatment processes, even from the pre-prescription and prescription (training of doctors) to after the occurrence of the medication error and the complaint stage in the court. In this regard, we believe that in order to minimize drug error statistics, it requires the coordination and cooperation of all the country’s organs to achieve this as soon as possible, apart from all the analytical and interpretative discussions of this issue, which have been done many times by different researchers, there is a need for practical ideas. And there are more applicable also, these suggestions have been predicted by taking into account the electronicization of prescriptions and the causes of medication errors so that they have the possibility of implementing it in the Iranian society, rather than having only an analytical aspect.

Globally, COPD was reported as the fourth leading cause of death (5.1%) in 2004 and is projected to occupy the third position (8.6%) in 2030. From a global perspective, exposure to indoor and outdoor biomass fumes and air pollution are important risk factors chronic respiratory diseases. Sub-committee of Iranian Non-Communicable Diseases Committee (INCDC) is particularly concerned that there should be a coordinated National strategy to address the burden caused by chronic respiratory diseases.

In 2011, Iranian Ministry of Health and Medical Education (MoHME) has decided to give promotion to the establishment of research networks and use them as the mile stones for research management particularly for the national health priorities. General assembly of the national was held in April 2011. We are to present a decade’s experience of chronic respiratory diseases sub-committee of INCDC.

Chronic Respiratory Diseases National Service Framework (NSF) is one of the main outcomes of chronic respiratory diseases sub-committee of INCDC. We consider NSF as long-term strategies for improving specific areas of lung care. we set measurable goals within time frames. These documents from INCDC will evolve with greater clinical experience and publication of new information in national and sub-national levels.

Drawing upon our experience, we should develop all the infrastructure and resource available among the centers to support respiratory health at national, sub-national, and regional levels.