Medical Error Reporting, Patient Safety, and the Physician

2009 ◽  
Vol 5 (3) ◽  
pp. 176-179 ◽  
Author(s):  
Britta Anderson ◽  
Paul G. Stumpf ◽  
Jay Schulkin
Keyword(s):  
Patient Safety ◽  
Medical Error ◽  
Error Reporting

College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons for the Pathologist: Introduction

2005 ◽  
Vol 129 (10) ◽  
pp. 1226-1227
Author(s):  
Richard J. Zarbo ◽  
Ronald L. Sirota
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Quality Management ◽  
Medical Error ◽  
Laboratory Medicine ◽  
Error Reduction ◽  
Error Reporting ◽  
Special Topic ◽  
Risk Avoidance ◽  
National Patient

Abstract This article is an overview to the all-day special topic symposium on patient safety and error reduction, entitled “Error in Pathology and Laboratory Medicine: Practical Lessons for the Pathologist,” which was held at the College of American Pathologists annual meeting in Scottsdale, Ariz, on September 20, 2004. The intent of the symposium was to provide pathologists with useful take-home lessons related to error identification, reduction, and risk avoidance for adoption in practice. Error reduction in the laboratory has always been an implied, if not directly stated goal of laboratory quality management programs, but given the nature of humans to err, the call for redesign of the health care system, and the impending threat of national patient safety legislation calling for medical error reporting and disclosure, we believe that this topic of error will be one of continued interest to practicing pathologists for many years.

scholarly journals Faktor yang Menghambat Pelaporan Insiden Keselamatan Pasien di Rumah Sakit: Literature Review

2021 ◽  
Vol 9 (4) ◽  
pp. 449
Author(s):  
Tamaamah Habibah ◽  
Inge Dhamanti
Keyword(s):  
Patient Safety ◽  
Literature Review ◽  
Medical Error ◽  
Incident Reporting ◽  
Google Scholar ◽  
Error Reporting ◽  
Safety Incident ◽  
Patient Safety Incident

Pelaporan insiden keselamatan pasien merupakan hal yang sangat penting dalam sistem perawatan kesehatan, karena bermanfaat untuk mengidentifikasi risiko dasar dan mencegah kesalahan yang sama terulang kembali. Rendahnya tingkat pelaporan insiden keselamatan pasien di rumah sakit menyebabkan sulitnya identifikasi kesalahan dan melakukan investigasi lebih lanjut. Tujuan: Menentukan faktor yang menghambat atau mempengaruhi pelaporan insiden keselamatan pasien di rumah sakit. Metode: Penelusuran artikel dilakukan melalui database PubMed, Sciencedirect, dan Google Scholar menggunakan kata kunci "patient safety incident" AND "incident reporting" OR "medical error reporting" AND "barriers incident reporting" OR "under reporting" AND "hospital". Total temuan artikel sebanyak 385, tetapi hanya 12 artikel yang sesuai dengan kriteria inklusi. Hasil: Terdapat total studi pada 23 rumah sakit di sembilan negara yang menunjukkan bahwa masing-masing rumah sakit memiliki beberapa faktor yang menghambat atau mempengaruhi pelaporan insiden keselamatan pasien. Paling banyak ditemukan yaitu ketakutan staf terhadap hukuman dan intimidasi, kurangnya pengetahuan terhadap prosedur melapor, rendahnya umpan balik yang positif dari manajemen, serta undang-undang yang tidak melindungi pelapor. Simpulan: Hambatan pelaporan insiden keselamatan pasien di rumah sakit dipengaruhi oleh 3 faktor penting yaitu faktor individu, faktor organisasi, dan faktor pemerintah.Kata kunci: hambatan pelaporan insiden, insiden keselamatan pasien, pelaporan insiden, rumah sakit

scholarly journals The Relationship between Patient Safety Climate and Medical Error Reporting Rate among Iranian Hospitals Using a Structural Equation Modeling

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Mostefa Shahabinejad ◽  
Hadi Khoshab ◽  
Kazem Najafi ◽  
Aboutalem Haghshenas
Keyword(s):  
Patient Safety ◽  
Structural Equation Modeling ◽  
Medical Error ◽  
Structural Equation ◽  
Safety Climate ◽  
Error Reporting ◽  
Equation Modeling ◽  
Patient Safety Climate ◽  
Significant Difference ◽  
The Relationship

BACKGROUND: Improving patient safety is a global health imperative, and patient safety climate is one of the components one that plays an important role in promoting patient safety. Medical error reporting is a way through which it can be evaluated and prevented in the future. The aim of this study was to assess the relationship between patient safety climate and medical error reporting in military and civilian hospitals.METHODS: This research was conducted by using structural equation modeling in the selected hospitals of Iran in 2018. The study community consisted of 200 nurses in the military and 400 nurses in the civilian hospitals. By using Structural Equation Modeling, the relationship between patient safety climate and the rate of medical error reporting in the hospitals was measured by a questionnaire. Data was analyzed using SPSS 17 and LISREL 8.8 software.RESULTS: The mean score of patient safety climate was moderate in the hospitals. There was no significant relationship between the rate of medical error reporting and patient safety climate, while a significant difference was found between patient safety climate score and age, sex, job category, and type of hospital (P < 0.05).CONCLUSION: The results suggested that patient safety climate and the rate of reporting errors were not favorable in the studied hospitals, while there was a difference between safety climate dimensions.

scholarly journals The Impact of a Patient Safety Program on Medical Error Reporting

2005 ◽  
Vol 91 (3) ◽  
pp. 16-21
Author(s):  
Donald R. Woolever
Keyword(s):  
Patient Safety ◽  
Medical Error ◽  
Hospital Admissions ◽  
Statistical Significance ◽  
Management Program ◽  
Regional Hospital ◽  
Error Reporting ◽  
Safety Program ◽  
Chi Squared ◽  
The Impact

ABSTRACT Background: In response to the occurrence of a sentinel event—a medical error with serious consequences—Eglin U.S. Air Force (USAF) Regional Hospital developed and implemented a patient safety program called Medical Team Management (MTM) that was modeled on the aviation industry’s Crew Resource Management program and focused on communication, teamwork, and reporting. Objective: To determine the impact of a patient safety program on patterns of medical error reporting. Methods: This study was a retrospective review of 1,102 incident reports filed at Eglin USAF Regional Hospital in Florida between 1997 and 2001. Collected data from the comparison periods (1998 and 2001) was statistically analyzed using the chi-square test. Results: The number of reports submitted increased significantly from 200 for 4,671 hospital admissions in 1998 to 276 for 4,003 admissions in 2001 (chi-squared = 28.38, P &lt; 0.0001). Evaluation of incident severity showed 172 (86 percent) near misses (no impact on patient) in 1998 and 251 (91 percent) in 2001. In 1998, there were 28 (14 percent) adverse events (patient minimally effected) and 25 (9 percent) in 2001 (chi-squared = 3.302, P = 0.069). Analysis by rank of person filing the report revealed 39 reports submitted by junior nurses and 11 submitted by junior enlisted personnel in 1998, while in 2001 those numbers increased to 75 and 24 reports, respectively (chi-squared = 6.554, P = 0.161). Conclusion: This study indicates that, since the implementation of MTM, there has been a statistically significant increase in the number of reports filed at Eglin USAF Regional Hospital. Similarly, the severity of incidents shows an overall decline approaching statistical significance. Although there was an increase in reporting from junior team members, this was not statistically significant. These findings suggest that there have been changes in the patterns of error reporting since the implementation of MTM.

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