Volume 28, Issue 97 (December 2015)                   IJN 2015, 28(97): 56-65 | Back to browse issues page

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Nouhi E, Mohamadi M, Abbaszadeh A. Barriers to Error Reporting and Preventive Strategies from Viewpoints of Nursing Staff in Social Security Hospitals in Kerman. IJN 2015; 28 (97) :56-65
URL: http://ijn.iums.ac.ir/article-1-2237-en.html
1- Assisstant Professor ,Department of Medical Surgical Nursing, Razi School of Nursing and Midwifery, Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran. (*Corresponding Author) Tel: 034-31325220 Email: e_Nuhi@kmu.ac.ir.
2- MS Student of Nursing, Kerman University of Medical Sciences, Kerman, Iran.
3- Professor, Department of Nursing, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Abstract:   (7316 Views)


Background & Aims: Errors are unavoidable in clinical practice, but it can be minimized in terms of frequency and intensity. Reporting the errors is so important and effectively avoids future errors that may cause patients harm. This study was conducted to identify barriers of error reporting by nurses and preventive strategies in social security hospitals in Kerman, Iran.

Material & Methods: In this cross-sectional study, the instrument was questionnaire of barriers to self- reporting errors that was made by Mardani and shahraki vahed (2009). The study population consisted of all nurses of Social Security Hospitals in Kerman (233) who were selected using census method. To analyze the information, descriptive statistics, test t, ANOVA and Pearson correlation coefficient were applied by use of SPSS v.16 software. Answers to open-ended questions on preventive strategies were categorised into themes using content analysis aproach.

Results: Average score of barriers to error reporting was moderate (69 ±13). Fear of stigma, the effect of errors on the employee annual evaluation, news release and legal consequences were the most common barriers of error reporting by nurses. The main strategies to remove the barriers of error reporting were creating a safe and friendly environment for reporting, management process and error prevention.

Conclusion: Fear from the consequences of reporting errors was the major obstacles in reporting errors. Since error management still faces serious obstacles, so health authorities and managers should focus on the processes influencing nursing errors and identify ways to reduce errors including enhancing the organizational climate and job security of nursing staff. 

Full-Text [PDF 738 kb]   (3381 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2015/09/16 | Accepted: 2015/12/19 | Published: 2015/12/19

1. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. Quality and Safety in Health Care. 2004;13(2):145-51. [DOI:10.1136/qshc.2002.003822] [PMID] [PMCID]
2. Kudo Y, Satoh T, Kido S, Watanabe M, Miki T, Miyajima E, et al. A pilot study testing the dimensions of safety climate among Japanese nurses. Ind Health. 2008;46(2):158-65. [DOI:10.2486/indhealth.46.158] [PMID]
3. Manjooghi N.,Noori A, Arizi H, Fasihizade N. [The error reported by the nurses of the hospital]. Iranian Journal of Medical Ethics and History. 2012;5(4): 51- 65.
4. Hashemi F, Shool A. [Medication error and its ethical considerations: a case report]. ijme. 2009; 2 (2) :67-73.
5. Nasiripour A, Raeissi P, Tabibi S, Keikavoosi Arani L. [Hidden threats inducing medical errors in Tehran public hospitals]. Bimonthly Journal of Hormozgan University of Medical Sciences. 2011;15(2):152-62.
6. Wilson K A. Dose Safety culture Predict Clinical Outcome? [Ph.D. Thesis]. Florida: University of Central Florida; 2007.
7. Abdi J, Maleki M, Khosravi A. [Staff perceptions of patient safety culture in hospitals of University Tehran]. Payesh Journal. 2011;10(4):411-9.
8. Rosser W, Dovey S, Bordman R, White D, Crighton E, Drummond N. Medical errors in primary care: results of an international study of family practice. Can Fam Physician. 2005;51(3):386-7. [PMID]
9. Kouhestani H, Baghcheghi N. [Refusal in reporting medication errors from the viewpoints of nursing students in Arak University of Medical Sciences]. Iranian Journal of Medical Education. 2009;8(2):285-92.
10. Golafrooz M, Sadeghi H, Ghaedi F, Tabarraei Y, Keighobadi F, Keighobadi F. [Managerial and moral obstacles in reporting nursing errors: nurses' view point]. ijme. 2014; 7 (1) :65-76.
11. Beard DF. Retaliation: unlawful, unethical, or just to be expected? Strategic Finance. 2007;89(2):32.
12. Reason J. Human error: models and management. BMJ. 2000;320(7237):768-70. [DOI:10.1136/bmj.320.7237.768] [PMID] [PMCID]
13. Heydari H, Kamran A, Pirzadeh A. [Assessment of Nurses'perceived Barriers and Behaviors to Reporting Medication Errors in Hospitals of Lorestan University of Medical Sciences, Iran]. Journal of Health Systems Research 2012;8 (5): 806- 13.
14. Najafi H, editor. [Medication prescription error is one of the most common error in medical professional]. Proceedings of the International Congress of Forensic Medicine; 2009.
15. Hughes R. Patient safety and quality: An evidence-based handbook for nurses: Citeseer; Rockville: AHRQ Publication; 2008: 1-47.
16. Anoosheh M, Ahmadi F, Faghihzadeh S, Vaismoradi M. [Causes and management of nursing practice errors: a questionnaire survey of hospital nurses in Iran]. Int Nurs Rev. 2008;55(3):288-95. [DOI:10.1111/j.1466-7657.2008.00623.x] [PMID]
17. Mardani Hamooleh M, Shahraki Vahed A. [Explore barriers to reporting errors from the perspective of their Nursing Staff]. Iran J Med Ethics Hist Med. 2008; 2(4): 55-62.
18. 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 Network (AAFP NRN). J Am Board Fam Med. 2007;20(2):115-23. [DOI:10.3122/jabfm.2007.02.060081] [PMID]
19. Chen I-C, Li H-H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Serv Res. 2010;10(1):1: 152.
20. Hashish EAA, El-Bialy GG. Nurses' Perceptions of Safety Climate and Barriers to Report Medication Errors. Life Science Journal. 2013;10(1):2160-8.
21. Tol A, Mohebbi B, Gazi Z. [The causes of not reporting medication errors from the viewpoints of nursing in Baharlo hospital in 2010]. Journal of hospital. 2010;9(1):19-24.
22. Hamaideh SH. Safety culture instrument: A psychometric evaluation: University of Cincinnati; 2004. Available at: http// gradworks.umi.com.September, 25, 2009.
23. Seidi M, Zardosht R. [Survey of nurses' viewpoints on causes of medicinal errors and barriers to reporting in pediatric units in hospitals of mashhad university of medical sciences]. Journal of Fasa University of Medical Sciences. 2012;2(3):142-7.
24. Hellings J, Schrooten W, Klazinga N, Vleugels A. Challenging patient safety culture: survey results. Int J Health Care Qual Assur. 2007;20(7):620-32. [DOI:10.1108/09526860710822752] [PMID]
25. Johnstone M-J, Kanitsaki O. The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper. Int J Nurs Stud. 2006;43(3):367-76. [DOI:10.1016/j.ijnurstu.2005.04.010] [PMID]
26. 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):447-57. [DOI:10.1111/j.1365-2702.2005.01540.x] [PMID]
27. Masroor R D, Haydari K N, Joolaee S. [Evaluation of patient safety incidents and its relation to professional interaction Nurses and Medicins view point nurses]. Journal of Nursing Management. 2012; 1 (2): 45-37.
28. Bizhani M, Kouhpayeh SA, Abadi R, Tavacool Z. ٍ[Effective factors on the Incidence of medication errors from the nursing staff perspective in various department of Fasa Hospital]. Journal of Fasa University of Medical Sciences. 2013;3(1):88-93.

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