Abstract
BackgroundReporting the professional errors for improving patient safety is considered essential not only in hospitals, but also in ambulatory care centers. Unfortunately, a great number of nurses, similar to most clinicians, do not report their errors. Therefore, the present study aimed to clarify the factors associated with reporting the nursing errors through the experiences of clinical nurses and nursing managers.MethodsA total of 115 nurses working in the hospitals and specialized clinics affiliated to Tehran and Shiraz Universities of Medical Sciences, Iran participated in this qualitative study. The study data were collected through a semi-structured group discussion conducted in 17 sessions and analyzed by inductive content analysis approach.ResultsThe main categories emerged in this study were: a) general approaches of the nurses towards errors, b) barriers in reporting the nursing errors, and c) motivators in error reporting.ConclusionError reporting provides extremely valuable information for preventing future errors and improving the patient safety. Overall, regarding motivators and barriers in reporting the nursing errors, it is necessary to enact regulations in which the ways of reporting the error and its constituent elements, such as the notion of the error, are clearly identified.
Highlights
Reporting the professional errors for improving patient safety is considered essential in hospitals, and in ambulatory care centers
Themes or main categories of the factors related to reporting the nursing errors were a) the general approaches of the nurses towards practice errors, b) barriers in reporting the nursing errors, and c) motivators in reporting the errors
This study showed that older participants with more years of working experience, matrons, and supervisors had a person approach, while younger participants with a few years of working experience, nurses, and head nurses had a system or a combination of person and system approaches towards the nursing errors
Summary
Reporting the professional errors for improving patient safety is considered essential in hospitals, and in ambulatory care centers. A great number of nurses, similar to most clinicians, do not report their errors. In spite of considerable advances in technology and health care skills, many patients are harmed or die due to the medical errors. A large number of such errors lead to exorbitant expenditures which have been reported in numerous studies in different countries [1,2]. A considerable portion of medical errors are nurses’ errors while providing health care services, which annually cause thousands of deaths, harm to people, and,as a result, an increase in treatment expenses [3].
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