scholarly journals Nurses’ Perspectives About Reasons for Not Reporting Medical Errors in Educational Hospitals, Ahvaz, Iran

2021 ◽  
Author(s):  
Zahra Rahsepar ◽  
Farzad Faraji-Khiavi ◽  
Mansour Zahiri ◽  
Mohammadhosein Haghighizadeh
Keyword(s):  
Medical Errors ◽  
Health Care Quality ◽  
Analytical Study ◽  
Systematic Approach ◽  
Care Quality ◽  
Error Reporting ◽  
Measurement Tool ◽  
Work Experiences ◽  
Process Factors ◽  
Different Levels

Background: Reporting of medical errors is an approach to identify and prevent errors in hospitals. Objectives: The purpose of this study was to determine the barriers to error rError Reporting; Nurse; Hospital; Ahvazeport from the nurses’ viewpoints in Ahvaz Educational hospitals. Methods: This descriptive-analytical study was done on 206 nurses working in educational hospitals of Ahvaz selected by stratified random sampling. The measurement tool used in this study was a researcher-made questionnaire, which its validity was confirmed by content validity, and its reliability using Cronbach’s alpha was calculated to be 0.84. Data collection was performed from April to June 2019. Results: The causes of failure to error reporting included educational, attitudinal, process, structural, and managerial factors. The total mean score of the factors causing non-reporting of errors was 3.88 ± 0.53, which was between 3 and 4 (“important”). Also, educational, attitudinal, and process factors were reported as “very important” for nurses. Structural and managerial factors were rated reported “important” by nurses over 90% of nurses rated educational, attitudinal, and process factors as important and very important, and more than 70% of them rated structural and managerial factors as important and very important. Nurses with different levels of education or work experiences had different scores in reasons for not reporting errors. Conclusions: Some educational, attitudinal, process, structural, and managerial factors were critical reasons for not reporting errors. In order to reduce same errors in the future and promoting health care quality, officials need to develop strategies to remove barriers and consider the reasons for not reporting errors in nurses’ educational programs using team-based and forward-looking approaches, adopting an impersonal and systematic approach, and finally, modifying error reporting rules.

scholarly journals Medical error reporting among physicians and nurses in Uganda

1970 ◽  
Vol 19 (4) ◽  
pp. 3107-3117
Author(s):  
Gideon Mauti ◽  
Margaret Githae
Keyword(s):  
Medical Errors ◽  
Medical Error ◽  
Health Care Quality ◽  
Quantitative Methods ◽  
Health Workers ◽  
Care Quality ◽  
Error Reporting ◽  
Cross Sectional ◽  
Reporting Systems ◽  
Patients At Risk

Background: Patient safety is a fundamental component of health care quality and medical errors continue to occur, placing patients at risk. Medical error reporting systems could help reduce the errors. Purpose: This study assessed “Medical error reporting among Physicians and Nurses in Uganda”. The objectives were; (1) identify the existing medical error reporting systems. (2) Assess the types of medical errors that occurred. (3) Establish factors influencing error reporting. Methods: A cross-sectional, descriptive study in Kisubi and Entebbe hospitals between March to August 2013, with quantitative methods. Results: Medical errors occurred in the two hospitals (53.2%), with overdoses (42.9%) leading. Neither hospital had a medical error reporting system. More than two thirds, 42(64.6%), would not report. Almost half, 29(44.6%) believe reporting a medical error is a medical obligation. Majority, 50(76.9%), believed the law does not protect medical error reporting. Not punishing health workers who report medical errors, (53.8%) and ‘training on error reporting (41.70%) are the greatest measures to improve medical error reporting among nurses and physicians respectively. Conclusion: Medical errors occur in the two hospitals and there are no reporting systems. Health workers who report medical errors should not be punished.Keywords: Medical error reporting, physicians, nurses, Uganda.

Medical Errors

2017 ◽  
pp. 33-60
Author(s):  
Jayita Poduval
Keyword(s):  
Health Care ◽  
Medical Errors ◽  
Health Care Professionals ◽  
Health Care Quality ◽  
Service Providers ◽  
Care Quality ◽  
System Failures ◽  
Root Cause ◽  
The Impact ◽  
Improving Health Care

The impact of medical errors on the delivery of health care is massive, and it significantly reduces health care quality. They could be largely attributed to system failures and not human weakness. Therefore improving health care quality and ensuring quality control in health care would mean making systems function in a better manner. In order to achieve this all sections of society as well as industry must be involved. Reporting of medical error needs to be encouraged and this may be ensured if health care professionals as well as administrators and health consumers come forward without fear of being blamed. To get to the root of the problem- literally and metaphorically- a root cause analysis and audit must be carried out whenever feasible. Persons outside the medical care establishment also need to work with medical service providers to set standards of performance, competence and excellence.

scholarly journals Neurosurgical checklists: a review

2012 ◽  
Vol 33 (5) ◽  
pp. E2 ◽  
Author(s):  
Scott L. Zuckerman ◽  
Cain S. Green ◽  
Kevin R. Carr ◽  
Michael C. Dewan ◽  
Peter J. Morone ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Errors ◽  
Health Care Quality ◽  
Care Quality ◽  
Surgical Errors ◽  
Improvement Measure ◽  
Health Care Improvement ◽  
Health Care Quality Improvement ◽  
Care Improvement ◽  
Surgical Checklist

Morbidity due to avoidable medical errors is a crippling reality intrinsic to health care. In particular, iatrogenic surgical errors lead to significant morbidity, decreased quality of life, and attendant costs. In recent decades there has been an increased focus on health care quality improvement, with a concomitant focus on mitigating avoidable medical errors. The most notable tool developed to this end is the surgical checklist. Checklists have been implemented in various operating rooms internationally, with overwhelmingly positive results. Comparatively, the field of neurosurgery has only minimally addressed the utility of checklists as a health care improvement measure. Literature on the use of checklists in this field has been sparse. Considering the widespread efficacy of this tool in other fields, the authors seek to raise neurosurgical awareness regarding checklists by reviewing the current literature.

scholarly journals Patient Satisfaction in Chamber Setting in Bangladesh measured by Patient-Doctor Relationship Questionnaire (PDRQ-9 Bangla)

2017 ◽  
Vol 1 (1) ◽  
pp. 34-39
Author(s):  
S.M. Yasir Arafat ◽  
Amin Andalib ◽  
Syed Faheem Shams ◽  
Russell Kabir ◽  
Md. Mohsin Ali Shah ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Treatment Adherence ◽  
Health Care Quality ◽  
Large Scale ◽  
Care Quality ◽  
Measurement Tool ◽  
Satisfaction Level ◽  
Important Indicator ◽  
Good Patient ◽  
Excellent Tool

Background: Assessment of patient satisfaction is crucial but there is significant lagging in this sector. Patient satisfaction is an important indicator of health care quality as well as a predictor of treatment adherence. The Good patient-doctor relationship is considered as an integral part of the patient satisfaction. In Bangladesh, this domain is yet to be explored in a large scale. Aim: It was aimed to look into the patient satisfaction level in chamber setting in Bangladesh measured using the patient-doctor relationship questionnaire (PDRQ-9 Bangla). Methods: PDRQ-9 is a short yet excellent tool for assessing the patient-doctor relationship. The data collection was done in private chamber setting by the PDRQ-9 and analyzed. Results: Though the result was not completely in line with the existing literature, the PDRQ-9 was found to be a useful and brief measurement tool in the context of the patient-doctor relationship. Conclusion: Large-scale research in this particular aspect of patient satisfaction in future may provide a more succinct result

Changes Made to Orders Placed by Overnight Admitting Residents on Teaching Rounds the Next Day

2021 ◽  
Author(s):  
Laura Chiel ◽  
Eli Freiman ◽  
Julia Yarahuan ◽  
Chase Parsons ◽  
Christopher P. Landrigan ◽  
...  
Keyword(s):  
Medical Errors ◽  
Health Care Quality ◽  
Chart Review ◽  
Hospital Medicine ◽  
Retrospective Chart Review ◽  
Care Quality ◽  
Medical Decision ◽  
Small Subset ◽  
Attending Physicians ◽  
Teaching Rounds

OBJECTIVES: Increased focus on health care quality and safety has generally led to additional resident supervision by attending physicians. At our children’s hospital, residents place orders overnight that are not explicitly reviewed by attending physicians until morning rounds. We aimed to categorize the types of orders that are added or discontinued on morning rounds the morning after admission to a resident team and to understand the rationale for these order additions and discontinuations. METHODS: We used our hospital’s data warehouse to generate a report of orders placed by residents overnight that were discontinued the next morning and orders that were added on rounds the morning after admission to a resident team from July 1, 2017 to June 29, 2018. Retrospective chart review was performed on included orders to determine the reason for order changes. RESULTS: Our report identified 5927 orders; 538 were included for analysis after exclusion of duplicate orders, administrative orders, and orders for patients admitted to non-Pediatric Hospital Medicine services. The reason for order discontinuation or addition was medical decision-making (n = 357, 66.4%), change in patient trajectory (n = 151, 28.1%), and medical error (n = 30, 5.6%). Medical errors were most commonly related to medications (n = 24, 80%) and errors of omission (n = 19, 63%). CONCLUSIONS: New or discontinued orders commonly resulted from evolving patient management decisions or changes in patient trajectory; medical errors represented a small subset of identified orders. Medical errors were often errors of omission, suggesting an area to direct future safety initiatives.

Medical Errors

2017 ◽  
pp. 975-994
Author(s):  
Jayita Poduval
Keyword(s):  
Health Care ◽  
Medical Errors ◽  
Health Care Professionals ◽  
Health Care Quality ◽  
Service Providers ◽  
Care Quality ◽  
System Failures ◽  
Root Cause ◽  
The Impact ◽  
Improving Health Care

The impact of medical errors on the delivery of health care is massive, and it significantly reduces health care quality. They could be largely attributed to system failures and not human weakness. Therefore improving health care quality and ensuring quality control in health care would mean making systems function in a better manner. In order to achieve this all sections of society as well as industry must be involved. Reporting of medical error needs to be encouraged and this may be ensured if health care professionals as well as administrators and health consumers come forward without fear of being blamed. To get to the root of the problem- literally and metaphorically- a root cause analysis and audit must be carried out whenever feasible. Persons outside the medical care establishment also need to work with medical service providers to set standards of performance, competence and excellence.

scholarly journals PATIENT EDUCATION AND ITS IMPORTANCE IN TERMS OF PATIENT SAFETY

2018 ◽  
Vol 6 (12) ◽  
pp. 109-120
Author(s):  
Nurdan Kirimlioğlu
Keyword(s):  
Patient Safety ◽  
Patient Education ◽  
Health Services ◽  
Medical Errors ◽  
Health Care Quality ◽  
Safety Information ◽  
Care Quality ◽  
Learning From Errors ◽  
Patient Health ◽  
And Behavior

Patient safety and prevention of medical errors in every stage of health services is among the priorities of health system. Measures taken for prevention of medical errors in patient safety, one of the most important in care quality for health services, are the basis of patient safety. Information, skill and behavior increasing the degree of patient safety and making learning from errors easier can be gained through both training of health professionals and patient. Today, patient education focused on accurate application of treatment aims firstly for providing patient and patient family with accurate decision ability on care and taking responsibilities. Patient education helps patient with learning and understanding of his/her diagnosis and treatment, gaining active self-care attitude, and getting rid of feeling “weakness” due to illness. This process, in which effective and observable changes in patient behaviors are aimed, is not limited to inpatient treatment, but continuous. Patient education is not limited to patient health, but also includes increasing health care quality. Patient’s healthcare expense get less and less proportionally as hospitalization time gets closer to end. Importance of patient education, financing of which is so profitable, increases more and more today.

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