The investigation of causes and influencing factors regarding non-reported medical errors among nurses working in hospitals in Zahedan
محورهای موضوعی : Report of Health CareMahdieh Sarhadi 1 , Hojat Sheikhbardsiri 2 , Razieh Sarhadi 3 , Hosin Moine 4
1 - Department of Nursing, Zahedan University of Medical Sciences, Zahedan, Iran
2 - Department of Nursing, Sirjan University of Medical Sciences, Kerman, Iran
3 - Department of Economic, Zahedan University of Economical Sciences, Zahedan, Iran
4 - Department of Health, Iranshahr University of Medical Sciences, Iranshahr , Iran
کلید واژه: Nursing students, Medical error, Not reporting and nurses,
چکیده مقاله :
Introduction: Medication errors are considered as important threatening challenges for health systems in all countries. They are also perceived as one of the most threatening factors for patient safety. Health education centers are intensively predisposed to a spectrum of medical errors occurrence due to students who learn in these centers. Therefore, this study was conducted to survey the reasons for not reporting errors regarding nursing students and nurses.
Methods: In this descriptive-analytical comparative study 94 nursing students and nurses who worked in Khatamolanbia hospital of Zahedan participated in 2014. Data were collected using the questionnaire of not reporting medical errors. SPSS software was used for the analysis.
Results: The results showed that the mean score for being afraid to report consequences, management factors reporting, and medication errors were (73.28±7.58), (14.30±3.38), and (8.63±2.49) for nursing students respectively, in addition, the scores of (34.9±9.84), (12.9±3.59), and (8.82±2.52) were obtained for nurses respectively. The results of parametric T-test regarding the two groups showed that there was a statistically significant difference between both groups (P≥0.05).
Conclusion: Medical errors are considered as one of the most important issues in health care environments. So, the use of these methods depends on adopting a systematic approach to survey predisposition factors and removing them as well as designing a system to increase error reporting rate by nursing students and nurses to decrease and control such errors.
1. Cheraghi M, Nikbakhat Nasrabadi AR, Mohammad Nejad E, Salary A, Ehsani Kouhi Kheyli SR. Medication errors among nurses in intensive care units (ICU). J Mazand Univ Med Sci 2012; 22(supple 1) :115-9. [In Persian]
2. Sanago A, Majnoni MZ, Jouybari LM. Studying the nursing students experiences of clinical errors. Iranian Journal of Nursing Research 2012; 7(25): 45-53. [In Persian]
3. Valizadeh F, Ghasemi SF, Najafi SS, Delfan B, Mohsenzadeh A. Errors in medication orders and the nursing staff’s reports in medical notes of children. Iran J Pediater 2008; 18(Suppl 1): 33-40. [In Persian].
4. 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. [In Persian]
5. Ebrahimi Rigi Tanha Z, Baghaei R, Feizi A. A survey of frequency and type of medical errors done by nursing students of urmia medical sciences university in 2011. J Urmia Nurs Midwifery Fac 2012; 10: 312-20. [In Persian]
6. Mohammad Nejad E, Hojjati H, Sharif Nia SH, Ehsani SR. Evaluation of medication errors in nursing students in four educational hospitals in Tehran. J Med Ethics Hist Med 2010; 3 suppl: 60-9. [In Persian]
7. Anderson P, Townsend T. Medication errors: don’t let them happen to you mistakes can occur in any setting, at any step of the drug administration continuum. Here’s how to prevent them. Am Nurse Today 2010; 5 (3): 23-8.
8. Hosseinzadeh M, Ezate Aghajari P, Mahdavi N. Reasons of nurses’ medication errors and persepectives of nurses on barriers of error reporting. Hayat 2012; 18(2): 66-75. [In Persian]
9. 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): 55-61. [ In Persian]
10. Athanasakis E. Prevention of medication errors made by nurses in clinical practice. Health Science Journal 2012; 6 (4): 772-83.
11. Grissinger MC, Kelly K. Reducing the risk of medication errors in women. J Womens Health (Larchmt) 2005; 14(1): 61-7.
12. Musarezaie A, Momeni Ghale Ghasemi T, Zargham-Boroujeni A, Haj-Salhehi E. Survey the medication errors and refusal to report medication errors from the viewpoints of nurses in hospitals affiliated to Isfahan university of medical sciences. J Health Syst Res 2013; 9(1): 76-85. [In Persian]
13. Stratton KM, Blegen MA, Pepper G, Vaughn T. Reporting of medication errors by pediatric nurses. J Pediatr Nurs 2004; 19(6): 385-92.
14. Shams SH, Bagherieh F, Feizi A, Baghaie A, Hashemlo L. The frequency of medication errors and status reporting based on self-reported in houspitals khoy. Journal of Nursing and Midwifery Oromieh 2012; 10(5): 721-26. [In Persian]
15. Maryann MT, Shishani K, Al-Faouri I. Rate, causes and reporting of medication errors in Jordan: nurses’
perspectives. J Nurse Manage 2007; 15(6): 659-70.
16. Saghiri S. Review and develop strategies to reduces common errors nurse nurse error. Journalof Nursing Iranian Army 2010; 10(2): 35-40. [In Persian]
17. Baily C, Engel BS, Luescher JN, Taylor ML. Medication errors in relation to education & medication errors in relation to years of nursing experience. 2008. Available from: https://www.lagrange.edu/resources/pdf/citations/nursing/Medication%20Errors.pdf
18. Hashemi F, Nikbakht Nasrabadi A, Asghari F. Nurses perceived worries from error disclosure: a qualitative study. Iranian Journal of Nursing Research 2012; 6(20): 30-43. [In Persian]
19. Johnstone MJ, Kanitsaki O. The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper. Int J Nurse Stud 2006; 43(3): 367-37.
20. McCarthy AM, Kelly MW, Reed D. Medication administration practices of school nurses. J Sch Health 2000; 70(9): 371-6.
21. Mohammad Nejad I, Hojjati H, Sharifiniya SH, Ehsani SR. Evaluation of medication error in nursing students in four educational hospitals in Tehran.Iranian Journal of Medical Ethics and History of Medicine 2010; 3(0): 60-9. [In Persian].
22. Balas MC, Scott LD, Rogers AE. The prevalence and nature of errors and near errors reported by hospital staff nurses. Appl Nurs Res 2004; 17(4): 224-30.
23. Salavati S, Hatamvand F, Tabesh H, Salehi nasab M. Nurses’ perspectives on causes of medication errors and non-reporting at ED. Iran Journal of Nursing 2012; 25(79): 72-83. [ In Persian]
24. Tol A, Pourreza A, Sharifirad G, Mohebbi B, Gazi Z. The causes of not reporting medication errors from the viewpoints of nursing in Baharlo hospital in 2010. Hospital 2011; 9(1-2): 19-25. [In Persian]
25. Ghasemi F, Valizadeh F, Momen Nasab M. Analysis the knowledge and attitude of nurses regarding medication error and its prophylactic ways in educational and therapeutic hospitals of Khorramabad. Yafte 2009; 10(2): 55-63. [In Persian]
26. Salehian M, Armat M. Qualitative study of the experiences of nursing students in clinical training. J North Khorasan Univ Med Sci 2009; 2(3): 57-63. [In Persian].
