Converting threats into opportunities predicting medical error reporting behavior (original) (raw)
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Life Science Journal
Despite the best intentions of caregivers, medical errors occur frequently. Each year thousands of injuries and deaths in hospitals result from medical errors. Reporting and disclosure about incidents errors is fundamental to error prevention. Aim: The aim of this research was to assess the personal preference and perceived barriers toward disclosure and report of incident errors among healthcare personnel. Design: A descriptive cross-sectional design was used for this research. Setting: The study was conducted at two hospitals' namely; King Fahd Hospital of the University (KFHU) in Saudi Arabia and El-Behara Hospitals in Egypt in Intensive Care Units (ICUs) and surgical department. Sample: The sample included 155 health care professionals (physicians and registered nurses). Tools: Two tools were used in this study; the first tool used to assess perceived barriers to medical errors and the second tool used to assess personal preference about which incidents to be disclosed and t...
Journal of General Internal Medicine, 2006
BACKGROUND: Physician disclosure of medical errors to institutions, patients, and colleagues is important for patient safety, patient care, and professional education. However, the variables that may facilitate or impede disclosure are diverse and lack conceptual organization. OBJECTIVE: To develop an empirically derived, comprehensive taxonomy of factors that affects voluntary disclosure of errors by physicians. DESIGN: A mixed-methods study using qualitative data collection (structured literature search and exploratory focus groups), quantitative data transformation (sorting and hierarchical cluster analysis), and validation procedures (confirmatory focus groups and expert review). RESULTS: Full-text review of 316 articles identified 91 impeding or facilitating factors affecting physicians' willingness to disclose errors. Exploratory focus groups identified an additional 27 factors. Sorting and hierarchical cluster analysis organized factors into 8 domains. Confirmatory focus groups and expert review relocated 6 factors, removed 2 factors, and modified 4 domain names. The final taxonomy contained 4 domains of facilitating factors (responsibility to patient, responsibility to self, responsibility to profession, responsibility to community), and 4 domains of impeding factors (attitudinal barriers, uncertainties, helplessness, fears and anxieties). CONCLUSIONS: A taxonomy of facilitating and impeding factors provides a conceptual framework for a complex field of variables that affects physicians' willingness to disclose errors to institutions, patients, and colleagues. This taxonomy can be used to guide the design of studies to measure the impact of different factors on disclosure, to assist in the design of error-reporting systems, and to inform educational interventions to promote the disclosure of errors to patients.
What contributes to internists' willingness to disclose medical errors?
The Netherlands journal of medicine, 2012
The release of the report 'To err is human' put medical safety and the disclosure of errors to the forefront of the health care agenda. Disclosure of medical errors by physicians is vital in this process. We studied the role of background and social psychological factors in internists' willingness to report medical errors. Survey among a random sample of internists from five teaching hospitals in the Netherlands, all internists and internists in training at the Departments of Internal Medicine of the participating hospitals. Questionnaires were received from 115 participants (response 51%). The willingness to disclose was related to the severity of the error, with the majority of near misses not reported to the head of department or the hospital error committees. Errors were more often reported to colleagues. Positive factors in favour of disclosing were reported more often than negative ones prohibiting disclosure. Motivation, behavioural control and social barriers wer...
IOSR Journals , 2019
INTRODUCTION Medical errors are one of the most important quality problems in health care today. A medical error is a preventable adverse effect of care whether or not it is evident or harmful to the patient. Reporting errors is fundamental to error prevention1 . Reporting both errors and near misses has been key to improve safety. It sets up a process so that errors and near misses can be communicated to key stakeholders. Once data are compiled, health care agencies can then evaluate causes and revise and create processes to reduce the risk of errors. A crosssectional descriptive study was done by adopting a 27 itemed questionnaire regarding the opinion of resident doctors working in tertiary care teaching hospital about improving patient safety by reporting medical errors.Data was analyzed using Microsoft Excel 2007 version statistical software. Period of the study was from May 2019 to July 2019.
A Conceptual Model for Disclosure of Medical Errors
Journal of Medical Regulation, 2006
Objective Patient safety is fundamental to high-quality patient care. Critical steps toward improving the safety of the health care system include ensuring the system is aware of its errors so effective remedies can be applied, and enhancing the trustworthiness of the health care system for patients by disclosing errors that are meaningful to them. This study aimed to construct a conceptual model of the factors that facilitate or hinder disclosure of medical errors. Methods We conducted 25 separate focus groups with attending physicians, nurses, residents, patients and hospital administrators at five academic medical centers in a university health care system. The protocol probed the ethical perceptions of participants and the details of disclosure expectations. Audiotapes of the focus groups were transcribed and analyzed using Atlas.ti software. Codes were assigned to the text in an iterative fashion. Themes were identified and assembled into a model of disclosure. Results All grou...