Medical errors appear to be common among ICU patients, and a simple blame-free reporting system can help identify them

2004 ◽  
2018 ◽  
Vol 31 (7) ◽  
pp. 541-546
Author(s):  
Razieh Sadat Mousavi-roknabadi ◽  
Marzieh Momennasab ◽  
Mehrdad Askarian ◽  
Abbas Haghshenas ◽  
Brahmaputra Marjadi

Abstract Objectives To explore the causes of medical errors (ME) and under-reporting amongst pediatric nurses at an Iranian teaching hospital. Design A qualitative study, based on individual, in-depth, semi-structured interviews and content analysis approach. Settings The study was conducted at the Pediatric Department of the largest tertiary general and teaching hospital in Shiraz, southern Iran. Participants The study population was all pediatrics nurses who work at Pediatric Department and they had been trained on ME, as well as methods to report them through the hospital’s ME reporting system. Purposive sampling was used by selecting key informants until data saturation was achieved and no more new information was obtained. Finally, 18 pediatric nurses were interviewed. Main outcome measure(s) Pediatrics nurses’ views on the causes of ME and under-reporting. Results We found five main factors causing ME and under-reporting: personal factors, workplace factors, managerial factors, work culture and error reporting system. These factors were further classified into proximal and distal factors. Proximal factors had direct relationship with ME and distal factors were contextual factors. Conclusion Causes of ME and under-reporting amongst pediatric nurses are complex and intertwined. Both proximal and distal factors need to be simultaneously addressed using context-specific approaches. Further research on other groups of healthcare workers and using a quantitative approach will be beneficial to elucidate the most appropriate interventions.


2015 ◽  
Vol 42 (1) ◽  
pp. 107-109 ◽  
Author(s):  
Maité Garrouste-Orgeas ◽  
Hans Flaatten ◽  
Rui Moreno

BMJ ◽  
2004 ◽  
Vol 328 (7438) ◽  
pp. 481.1 ◽  
Author(s):  
Vittal Katikireddi

2001 ◽  
Vol 16 (12) ◽  
pp. 809-814 ◽  
Author(s):  
Saul N. Weingart ◽  
Lawrence D. Callanan ◽  
Amy N. Ship ◽  
Mark D. Aronson

2019 ◽  
Vol 36 (2) ◽  
Author(s):  
Aysun Unal ◽  
Seyda Seren İntepeler

Objective: The purpose of this quasi-experimental study was to developing web-based, anonymous reporting system to increase reporting of medication errors, blood transfusion errors and patient falls in pediatric units and to compare the computerized system with the written system already in use at the institution. Methods: This study was conducted in all pediatric units of a research hospital. All physicians and nurses working in these units agreed to participate in the study. All units were visited to introduce the new reporting system. The number and quality of the reports sent on the new system in years 2014 and 2015 were compared to the reports sent the previous year using the written system. Results: There was considerable increase in rates of reporting: 234% increase in medication error reporting rate, and 100% increase in the reports of blood transfusion errors. One of the most important results of this study that near-miss errors were not reported at all while the written system of the study institution was being used, whereas it was the most commonly reported type of errors in the electronic error reporting system. Conclusion: The web-based reporting system, which makes reporting easy, promoted the development of safety culture among doctors and nurses in common language. doi: https://doi.org/10.12669/pjms.36.2.732 How to cite this:Unal A, Intepeler SS. Medical error reporting software program development and its impact on pediatric units’ reporting medical errors. Pak J Med Sci. 2020;36(2):---------. doi: https://doi.org/10.12669/pjms.36.2.732 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Surgery ◽  
2014 ◽  
Vol 156 (5) ◽  
pp. 1106-1115 ◽  
Author(s):  
Lisa M. McElroy ◽  
Amna Daud ◽  
Brittany Lapin ◽  
Olivia Ross ◽  
Donna M. Woods ◽  
...  

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