Physicians’ knowledge and practice towards medical error reporting: a cross-sectional hospital-based study in Saudi Arabia (original) (raw)
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La Prensa Medica, 2016
Objective: This study aimed to investigate the perspective and attitude of healthcare professionals toward medical errors. Method: Cross-sectional study used to assess the knowledge on medical errors and attitude of staff towards adverse events by using a self-administered questionnaire. Setting and Participants: a random sample of health care providers in a tertiary hospital, Riyadh in Saudi Arabia. Results: 75% and 72%, respectively of the respondents agreed that their fear of losing their jobs and punishment might prevent them from reporting an error, and (68%) of respondents agreed on the fear of legal issues after reporting. Conclusions: medical errors reporting should be as easy as possible, anonymous and confidential, staff development about the various issues related to medical errors, particularly defining and reporting these errors, provide intensive training of health providers on medical errors, and provide ongoing feedback on what is being done with medical errors.
Abstract: Purpose: The aim of this study was to find out the barriers preventing staff from reporting medical errors and identifying the strategies which might encourage the staff reporting the medical errors at Riyadh, Saudi Arabia. Method: The data was collected using a questionnaire where random sampling was used to represent the hospitals of Riyadh city, a represented sample of 467 clinical staff (physicians , nurses) from 9 different hospitals and above from both males and females. Descriptive analysis and inferential statistics were used to identify the barriers and the strategies towards improvement of medical errors reporting. Results: There were actually no gender significant differences―Saudi and non-Saudi, physicians and nurses regarding response to barriers and the strategies. There were also no significant differences between types of hospitals regarding barriers and strategies reporting. r=.482>.05 and r = .701>.05. However, there was a significance difference between age structures regarding the barriers reporting. r=.000<.05 where the age range between 31-40 years provided more responses to reporting the barriers than the 41-50 years and 50 and above. There were also significant differences between levels of education regarding the strategies reporting. r=.012<.05 where the board provided more response to reporting the barriers than the diploma. Besides, there were significant differences between years of experience regarding the barriers reporting. r=.000<.05 where the 0-10 years and 11-20 experience provided more responses to reporting the barriers than both (21-30 years) and (31years and above). Conclusions: The most common barriers preventing the staff from reporting the medical errors are: fear of being blamed, fear of being punished, difficulty in filling the form, lack of knowledge of what should be reported, medical errors reporting are inadequate, lack procedures on reporting medical errors. On the other hand, the most common strategies improving reporting medical errors are: there should be a clear guidelines and procedures for reporting errors, forms and other documentation should be clear, staff should be trained on reporting medical errors, staff should always be encouraged to report medical errors. Keywords: medical errors reporting; public hospitals; barriers and strategies; public health
Policies vs Practice of Medical Error Disclosure at a Teaching Hospital in Saudi Arabia
2020
Background Medical errors are unavoidable in health care institutions. Errors can occur due to multiple reasons, yet communication between health care providers has proven to be the highest. However, policies and programs of medical error disclosure were established to ensure that patients and their family members get the necessary closure. Hence, it is vital to recognize physicians’ awareness of policies and programs related to disclosure practice. Objective The objective of this study was to examine factors impacting the awareness of hospital policies and programs and their impact on the actual disclosure of medical errors. Methods This was a quantitative cross-sectional study, using a self-administered survey given to 206 physicians from numerous departments at King Fahd Hospital of the University. Results The majority of participants were not aware of policies and programs related to disclosure, nor had they disclosed a medical error to patients. There was no statistical signifi...
Barriers to Reporting Medical Errors: A Qualitative Study in Iran
Journal of patient safety and quality improvement, 2021
Introduction: This study aimed to emphasize the challenges in the error reporting system as one of the professionalism codes in clinical settings in hospitals affiliated to Tehran University of Medical Sciences, Tehran, Iran. Materials and Methods: In total, 23 focused group discussion sessions were conducted with 85 faculty members, assistants, and interns, as well as 165 staff members in 2016. The participants were selected using a purposeful sampling method. Furthermore, the views of four faculty members were gathered again via emails in 2020 to ensure data accuracy. The extracted codes were managed using conventional content analysis through MAXQDA software. Results: Analysis of participants' discussions led to the identification of 105 codes, which were classified into six sub-categories and two main categories, including "barriers to reporting errors of peers " and "barriers to self-reporting errors". Conclusion: Most of the non-reporting errors are due...
A REVIEW OF THE FREQUENCY OF MEDICAL ERROR IN SAUDI ARABIA: AN EMERGING CONCERN
BACKGROUND Medical error is a continuing global phenomenon. It represents an important public health problem that poses a serious threat to patient safety. Since the time when doctors had been blindly trusted for their clinical acumen, in recent times most of them have been frequently questioned on all aspects of patients' care clearly indicating that in certain circumstances, even their motives are not beyond reproach.
Disclosure of Medical Errors: Attitudes of Iranian Internists and Surgeons
International journal of medical toxicology and forensic medicine, 2013
Background : Despite the widespread prevalence of medical errors and increased concerns of healthcare managers and the public about the disclosure of medical errors in recent decades, existing evidence shows that physicians still ignore the importance of disclosure of those errors. The present study aims to investigate the attitudes of Iranian internists and surgeons towards the disclosure of medical errors. Method: In this cross-sectional study, after a research purpose briefing, a checklist eliciting basic information and a questionnaire measuring attitudes towards the disclosure of medical errors was distributed to participant physicians at Imam Khomeini Hospital, Tehran, Iran. The questionnaires were returned filled out by 107 participants (54 internists and 53 surgeons). Results: Although 77%, 53% and 44% of the participants agreed to the disclosure of serious, minor and near miss medical errors, respectively, 83% believed that it's very difficult for them to disclose medic...
Ain Shams Journal of Forensic Medicine and Clinical Toxicology, 2021
Introduction: Medication errors as one of the commonest medical problems in hospitals are a leading cause of patient morbidity. Subjects and methods: three hundreds (300) doctors of different degrees were asked to fulfill the attached questionnaire about medical malpractice (causes, types, preventive measures) and their opinion about disclosure or concealing the errors. Results: The studied subjects included variable age groups, with range from 25 to 65 years old. The major cause of medical malpractice reported by the participants was deficient skills 45%, followed by poor contact with patients (35%). Other reported causes are due to stress and work overload (25%). Twelve percent were due to poor team work arrangement. Only 23.7% of doctors decide to disclose their errors and 76.3% prefer to hide the medical errors. The most common error reported by participants was diagnosis errors (23.6%), and then delayed transfer in 21%. The outcome of patients secondary to error was minor in 72...
Obligation towards medical errors disclosure at a tertiary care hospital in Dubai, UAE
The International journal of risk & safety in medicine, 2016
The study aimed to identify healthcare providers' obligation towards medical errors disclosure as well as to study the association between the severity of the medical error and the intention to disclose the error to the patients and their families. A cross-sectional study design was followed to identify the magnitude of disclosure among healthcare providers in different departments at a randomly selected tertiary care hospital in Dubai. The total sample size accounted for 106 respondents. Data were collected using a questionnaire composed of two sections namely; demographic variables of the respondents and a section which included variables relevant to medical error disclosure. Statistical analysis yielded significant association between the obligation to disclose medical errors with male healthcare providers (X2 = 5.1), and being a physician (X2 = 19.3). Obligation towards medical errors disclosure was significantly associated with those healthcare providers who had not committ...
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.