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:: Volume 7, Issue 1 (Military Caring Sciences 2020) ::
MCS 2020, 7(1): 53-62 Back to browse issues page
Identification of Medical Errors Reporting Barriers from the Viewpoints of Operating Room Technologists in Educational and Therapeutic Centers Affiliated to Iran University of Medical Sciences  
Hannani. S1 , Khachian. A2 , Haghani. H3 , Rahmani. V 4
1- MSc in Nursing, Operating Room Department, Faculty of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.
2- Ph.D., in Nursing Education, Medical Surgical Nursing Department, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
3- Ph.D., in Biostatistics, Faculty of Management, Iran University of Medical Sciences, Tehran, Iran.
4- (Corresponding Author) MSc Student of Operating Room, Faculty of Allied Medical Sciences, Iran University of Medical Sciences, Tehran, Iran.                
Abstract:   (289 Views)
Introduction: The operating room can be used to treat various types of medical errors due to numerous invasive procedures. The effects of recording error messages and timely reporting on preventing it and improving patient safety are of great importance.
Objective: The present study aimed to determine the barriers of medical reporting errors from the viewpoints of operating room technologists of the educational and therapeutic centers affiliated to Iran University of Medical Sciences in 2019.
Material and Methods: The present study was a descriptive-analytical and temporal cross-sectional study performed on 152 operating room technologists selected using convenience sampling in 2019. The tool included demographic information and medical reporting errors. Data were analyzed using SPSS 22.
Results: The Mean and standard deviation of total error reporting barriers was 1.98±0.36 (out of 3). The mean score of error reporting barriers in the four areas under review shows that the highest and lowest error reporting barriers results from legal domain (2.14±0.49) and financial factor (1.85±0.51), respectively The highest-error reporting barriers were subject to “personal accusation”, “fear of accusations and being charged of” and “ Workload”. The results of the t-test and analysis of variance showed that there was a significant difference between the error reporting barriers, gender (P=0.026) and work experience (P=0.031). However, there was no significant correlation between error reporting barriers and other variables (P> 0.05).
Discussion and Conclusion: Exposing the person to accusations and fearing the consequences of reporting was one of the most important obstacles in delivering reporting errors. In this regard, the most important step in removing this obstacle is to create a space in which each room technologist expresses errors honestly and without fear and the reason for its occurrence to the other treatment team. Therefore, it is recommended that proper interaction be established between the operating room technologists and the authorities.
Keywords: Error, Medical Errors, Operating Room Staff,   Reporting Barriers.
Full-Text [PDF 416 kb]   (105 Downloads)    
Type of Study: Research | Subject: General
Received: 2019/07/2 | Accepted: 2019/07/29 | Published: 2020/04/29
1. Ugur E, Kara S, Yildirim S, Akbal E. Medical errors and patient safety in the operating room. Age. 2016; 33(6.53):19-50. PMID: 27183943 [PubMed]
2. Nabhan M, Elraiyah T, Brown DR, Dilling J, LeBlanc A, Montori VM, et al. What is preventable harm in healthcare? A systematic review of definitions. BMC health serv res. 2012; 12(1): 128. DOI: 10.1186/1472-6963-12-128 [DOI]
3. Zagheri Tafreshi M, Rassouli M, Zayeri F, Pazookian M. Development of nurses’ medication error model: Mixed method. Quarterly Journal of Nersing Management. 2014; 3(3): 50-3. (Persian)
4. Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat A-HS, Dellinger EP, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ quality & safety. 2011; 20(1): 102-7. DOI: 10.1136/bmjqs.2009.040022 PMID: 21228082 [DOI] [PubMed]
5. Abolghasem GH, Ravaghi H, Pirouzi M, Mansourzade A. Utilizing Integrated Prospective and Retrospective Risk Analysis Method on General Processes Patient Flow in Operating Room in Seyed Alshohada Hospital in Semirom, Iran. Health Information Management. 2013; 10(3): 488-97. (Persian)
6. Lewis SJ, Andersen HK, Thomas S. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis. Journal of Gastrointestinal Surgery. 2009; 13(3): 569. DOI: 10.1007/s11605-008-0592-x PMID: 18629592 [DOI] [PubMed]
7. Weerakkody RA, Cheshire NJ, Riga C, Lear R, Hamady MS, Moorthy K, et al. Surgical technology and operating-room safety failures: A systematic review of quantitative studies. BMJ Qual Saf. 2013; 22(9): 710-8. DOI: 10.1136/bmjqs-2012-001778 PMID: 23886892 [DOI] [PubMed]
8. khammarnia m, ravangard r, ghanbari jahromi m, moradi a. Survey of Medical Errors in Shiraz Public Hospitals: 2013. Hospital. 2014; 13(3): 17-24. (Persian)
9. Schwappach DL, Frank O, Davis RE. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Journal of evaluation in clinical practice. 2013; 19(5): 840-8. DOI: 10.1111/j.1365-2753.2012.01861.x PMID: 22639922 [DOI] [PubMed]
10. Farzi s, Abedi HA, Ghodousi A, Yazdannik AR. Medication Errors Experiences of Nurses who Working in Hospitals of Isfahan at 1391. Journal of qualitative Research in Health Sciences. 2014; 2(4): 310-9.
11. Ontario HQ. Patient safety learning systems: A systematic review and qualitative synthesis. Ontario health technology assessment series. 2017; 17(3): 1. PMID: 28326148 PMCID: PMC5357133 [PubMed] [PMCID]
12. Hoffmann B, Beyer M, Rohe J, Gensichen J, Gerlach F. “Every error counts”: A web-based incident reporting and learning system for general practice. BMJ Quality & Safety. 2008; 17(4): 307-12. DOI: 10.1136/qshc.2006.018440 PMID: 18678731 [DOI] [PubMed]
13. Movahednia S, Partovishayan Z, Bastanitehrani M, Moradi F. Nurse Managers' perspectives about Reasons for not reporting medical errors in Firoozgar Hospital: 2012. Razi Journal of Medical Sciences. 2014; 21(125): 110-8. (Persian)
14. Musarezaie A, Momeni GGT, Zargham BA, Haj SE. Survey of the medication errors and refusal to report medication errors from the viewpoints of nurses in hospitals affiliated to Isfahan University of medical sciences, Iran. 2013; 9(1): 76-85. (Persian)
15. Pham JC, Story JL, Hicks RW, Shore AD, Morlock LL, Cheung DS, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. The Journal of emergency medicine. 2011; 40(5): 485-92. DOI: 10.1016/j.jemermed.2008.02.059 PMID: 18823735 [DOI] [PubMed]
16. Louis MY, Hussain LR, Dhanraj DN, Khan BS, Jung SR, Quiles WR, et al. Improving patient safety event reporting among residents and teaching faculty. Ochsner J. 2016; 16(1): 73-80. PMID: 27046410 PMCID: PMC4795509 [PubMed] [PMCID]
17. Wolf ZR, Hughes RG. Error reporting and disclosure. 2008.35. PMID: 21328753 [PubMed]
18. Hashemi F. Ethical response to nursing error. Journal of Medical Ethics and History of Medicine. 2008; 1(4): 31-46. (Persian)
19. Shanty JA. The Influence of Perceived Safety Culture and Nurses' Work Environment on Medication Error Occurrence and Reporting: West Virginia University; 2011.
20. 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: 19522944 [DOI] [PubMed]
21. Najafi H, editor Medication prescription error is one of the most common errors in medical professional. Proceedings of the 1st International Congress of Forensic Medicine; 2009.
22. Hughes R. Patient safety and quality: An evidence-based handbook for nurses: Agency for Healthcare Research and Quality Rockville, MD; 2008.
23. Tabatabaee SS, Kalhor R, Nejatzadegan Z, Kohpeima Jahromi V, Sharifi T. Barriers to medication error reporting from nurses’ perspective: A private hospital survey. International Journal of Hospital Research. 2014; 3(2): 97-102. (Persian)
24. Yung HP, Yu S, Chu C, Hou IC, Tang FI. Nurses’ attitudes and perceived barriers to the reporting of medication administration errors. Journal of nursing management. 2016; 24(5): 580-8. DOI: 10.1111/jonm.12360 PMID: 26888342 [DOI] [PubMed]
25. Anderson B, Stumpf PG, Schulkin J. Medical error reporting, patient safety, and the physician. J patient saf. 2009; 5(3): 176-9. DOI: 10.1097/PTS.0b013e3181b320b0 PMID: 19927051 [DOI] [PubMed]
26. Aboshaiqah AE. Barriers in reporting medication administration errors as perceived by nurses in Saudi Arabia. Middle-East J Sci Res. 2013; 17(2): 130-6. DOI: 10.5829/idosi.mejsr.2013.17.02.76110 [DOI]
27. Kohan AD, Mahfoozpour S, Palesh M, Ouchhesar FF. Assessing barriers to medical errors reporting among clinical staff members of teaching hospitals affiliated with Shahid Beheshti University of Medical Sciences in Tehran-2016. Journal of Health in the Field. 2018; 5(3). 8-16.
28. Wolf ZR, Hughes RG. Error reporting and disclosure. Patient safety and quality: An evidence-based handbook for nurses: Agency for Healthcare Research and Quality (US); 2008.
29. Toruner EK, Uysal G. Causes, reporting, and prevention of medication errors from a pediatric nurse perspective. Australian Journal of Advanced Nursing, The. 2012; 29(4): 28- 35.
30. Safety ACo, Care QiH. National safety and quality health service standards: Australian Commission on Safety and Quality in Health Care; 2012.
31. Haw C, Stubbs J, Dickens GL. Barriers to the reporting of medication administration errors and near misses: An interview study of nurses at a psychiatric hospital. J Psychiatr Ment Health Nurs. 2014; 21(9): 797-805. DOI: 10.1111/jpm.12143 PMID: 24646372 [DOI] [PubMed]
32. 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: 17341747 [DOI] [PubMed]
33. Golafrooz M, Sadeghi H, Ghaedi F, Tabarraei Y, Keighobadi F, Keighobadi F. Managerial and moral obstacles in reporting nursing errors: nurses' view point. Journal of Medical Ethics & History of Medicine. 2014; 7(1): 65-76. (Persian)
34. Salavati S, Hatamvand F, Tabesh H. Nurses’ Perspectives on Causes of Medication Errors and Non-Reporting at ED. Iran journal of nursing. 2012; 25(79): 72-83. (Persian)
35. 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. 2012; 8(5): 806-13. (Persian)
36. Ito H, Yamazumi S. Common types of medication errors on long-term psychiatric care units. International Journal for quality in health care. 2003; 15(3): 207-12. DOI: 10.1093/intqhc/mzg038 [DOI]
37. Ahmadi Y, Pishgooie SAH, Sepandi M, Beheshtifar M, Doosi H. Organizational Factors Affecting on making of Drug Errors from the Viewpoint of Nursing Personnel Employed in Selected Military Hospitals in Tehran. Military Care Sciences.2018; 5 (2). 104-111. DOI: 10.29252/mcs.5.2.104 (Persian) [DOI]
38. Azarabad S, Zaman SS, Nouri B, Valiee S. Frequency, Causes and Reporting Barriers of Nursing Errors in the Operating Room Students. Research in Medical Education. 2018; 10(2):18-27. DOI: 10.29252/rme.10.2.18 [DOI]
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S H, A K, H H, V R. Identification of Medical Errors Reporting Barriers from the Viewpoints of Operating Room Technologists in Educational and Therapeutic Centers Affiliated to Iran University of Medical Sciences  . MCS. 2020; 7 (1) :53-62
URL: http://mcs.ajaums.ac.ir/article-1-294-en.html

Volume 7, Issue 1 (Military Caring Sciences 2020) Back to browse issues page
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