The blame game- experiences of female residents in obstetrics & gynecology regarding lapses in patient safety (original) (raw)
Related papers
Obstetrician-Gynecologists' Opinions about Patient Safety
Womens Health Issues, 2009
Background. To elucidate the patient safety practices of obstetrician-gynecologists (OB/GYNs), the perceived barriers to patient safety improvements in obstetrics and gynecology, and OB/ GYN's beliefs about mandated reporting.
2019
Objective: This study aims to evaluate the patient safety attitudes, skills, knowledge and barriers related to reporting a medical error from a nursing perspective in obstetric departments. Martials and Methods: A cross-sectional and descriptive study was conducted on a sample of 200 nurses and midwives. Patient safety attitudes, skills, and knowledge (PS-ASK) Scale was used to collect data from nurses. Results: Nurses had good knowledge and a positive attitude toward patient safety. However, the participants had higher scores in attitude than knowledge and skills. No significant difference was found between nurses and midwives regarding patient safety knowledge, attitude, and skills (p> 0.05). There are significant positive relationships between nurses' knowledge and a variety of safety attitude and skills (p < 0.05). The top three errors reported were: error during medication preparation and administration, failing to regularly monitoring of fetus's heart rate, and p...
Iranian Journal of Nursing and Midwifery Research, 2015
Background: Committing an error is part of the human nature. No health care provider, despite the mastery of their skills, is immune from committing it. Medical error in the labor and obstetrics wards as well as other health units is inevitable and reduces the quality of health care, leading to accident. Sometimes these events, like the death of mother, fetus, and newborn, would be beyond repair. The purpose of this study was to investigate the perspective of gynecological ward providers about medical errors. Materials and Methods: This was a descriptive-analytical study. Sample size was 94 participants selected using census sampling. The study population included all midwives of four hospitals (Al-Zahra, Beheshti, Isa Ben Maryam, and Amin). Data were collected by a self-administered questionnaire and analyzed using SPSS software. Results: This study shows that three factors (human, structural, and managerial) have affected medical errors in the labor and obstetrics wards. From the midwifery perspective, human factors were the most important factors with an average score of 73.26% and the lowest score was related to structural factors with an average score of 65.36%. Intervention strategies to reduce errors, service training program tailored to the needs of the service provider, distribution of the tasks at different levels, and attempts to reform the system instead of punishing the wrongdoer were set in priority list.
International Journal of Environmental Research and Public Health
Patient safety is an important objective in health care. Preventable adverse events (pAEs) as the counterpart to patient safety are harmful incidents that fell behind health care standards and have led to temporary or permanent harm or death. As safe communication and mutual understanding are of crucial importance for providing a high quality of care under everyday conditions, we aimed to identify barriers and facilitators that impact safe communication in obstetrics from the subjective perspective of health care workers. A qualitative study with 20 semi-structured interviews at two university hospitals in Germany was conducted to explore everyday perceptions from a subjective perspective (subjective theories). Physicians, midwives, and nurses in a wide span of professional experience and positions were enrolled. We identified a structural area of conflict at the professional interface between midwives and physicians. Mandatory interprofessional meetings, acceptance of subjective mi...
2015
Patient safety has been on the research agenda since 2000, when unnecessary harm to patients in providers’ care came to light. In 2005, the improvements in patient safety fell short of expectations, and the patient safety research community recognized that the issues are more difficult to resolve than first thought. One of the tools to address this vexing problem has been voluntary incident reporting systems, although the literature has given incident reporting systems mixed reviews. This qualitative comparative case study comprises 85 semi-structured interviews in two separate divisions of a tertiary care hospital, General Internal Medicine (GIM) and Obstetrics and Neonatology (OBS/NEO). The main line of questioning concerned incident reporting; general views of patient safety were also sought. This is a thesis by publication. The thesis consists of a general introduction to patient safety, a literature review, a description of the methods and cases, followed by the manuscripts. Th...
Health-care professionals’ views about safety in maternity services: a qualitative study
Midwifery, 2009
Objective: to explore health-care professionals' views about safety in maternity services. This paper identifies aspects of care that are less safe than they should be, possible ways to improve safety, and potential obstacles to achieving these improvements. This study was part of the King's Fund inquiry into the safety of maternity services in England. Design: qualitative study with a sample of health-care professionals who work in maternity services and who responded to the call for evidence. Data were collected by questionnaire and analysed using thematic content analysis. Setting: maternity professionals throughout England were invited to take part. Participants: midwives, obstetricians, student midwives, nurses, neonatal nurses, general practitioners, managers, hospital doctors and paediatricians. In total, there were 591 respondents. Measurements and findings: participants were asked to respond to open-ended questions identifying aspects of maternity care that were less safe than they should be, potential solutions to improve safety of care, and any barriers to implementing these improvements. Problems described included the increasing social and medical complexity of the pregnant population, low staffing levels, inappropriate skill mix, low staff morale, inadequate training and education, medicalisation of birth, poor management, lack of resources and reconfiguration. Proposed solutions included more staff, better teamwork and skill mix, improved training, more one-to-one care, caseloading, better management, more resources, better guidelines and learning from incidents. Barriers to implementing improvements included stressed staff who
Journal of the Egyptian Public Health Association
Background Patient safety (PS) is a fundamental component of healthcare quality. Patient Safety Culture (PSC) assessment provides an organization with insight of perceptions and attitudes of its staff related to patient safety. In addition, it is meant to improve performance rather than blaming individuals. This study aimed to assess patient safety culture from the health care staff perspective in El-Shatby University Hospital for Gynecology and Obstetrics. Methods A descriptive cross-sectional study was conducted. The study was conducted at El-Shatby University Hospital for Gynecology and Obstetrics from November 2020 to January 2021. The target participants were assistant lecturers, residents, and head nurses in charge during the field study period. The number of potential participants who fulfilled the inclusion criteria (in charge during the period of data collection and working in the hospital for more than 3 months) was 83; the twelve participants who participated in the pilot...
The Role of Medical Students in Patient Safety: A Qualitative Study
Journal of Qualitative Research in Health Sciences, 2020
Introduction: Patient safety is one of the main components of health services quality which is defined as the prevention of harm to patients during health care provision. Medical students as members of the treatment team play an important role in patient safety. This study aimed to identify the role of medical students in patient safety in medical centers in Semnan province. Methods: This applied-qualitative study was carried out using a content analysis approach via the framework analysis method. The participants were key informants and experts of patient safety friendly hospital program. They were selected using purposive sampling and the sampling process continued until the data saturation (n=14). The data were collected via semi-structured interviews and analyzed using MAXQDA software (version 10). Results: Of 468 primary codes, 6 main codes were extracted including the importance of student education, student participation in teamwork, interaction with patients, medical errors ...
Assessing the patient safety culture and ward error reporting in public sector hospitals of Pakistan
Safety in Health
Background: Very little research and practical efforts have been undertaken in public sector hospitals of Pakistan to promote error reporting and patient safety culture. Nurses in the country are key informants about the climate of error reporting and patient safety standards across wards in the hospital settings. Methods: A questionnaire based on the Hospital Survey on Patient Safety Culture has been used to measure patient safety culture across 18 different wards in two public sector hospitals of Pakistan. Descriptive statistics have been used to analyze the perceptions of 309 nurse practitioners. Results: Results show that more than 80% of nurses felt that their ward did not respond to reported errors and that excessive workload interfered in their ability to practice patient safety. Similarly, more than 70% of the nurses felt they were not supported for reporting errors and that their ward placed blame on them for reporting. An overwhelming majority of nurses felt that patient safety standards and error reporting were unfavorable across high-turnover wards like the Emergency, Gynecology and Maternity, General Medicine, Cardiology, Surgery, Nephrology, and Orthopedics wards. Conclusion: Results imply that public hospitals, ward administrators, and health governing bodies in the country must take initiatives to introduce and monitor patient safety and error reporting systems in a more systematic and stringent manner.
Tạp chí Khoa học Điều dưỡng, 2022
Objective: to describe the knowledge and to identify associated factors towards patient safety among nurses working at Hanoi Obstetrics and Gynecology Hospital in 2021. Methodology: A cross-sectional descriptive study was conducted on 346 nurses working at Hanoi Obstetrics and Gynecology Hospital from January 1, 2021 to June 31, 2021. The data were collected from nurses by using a questionnaire which based on patient safety guidelines published by Ministry of Health. Results: The nurse’s level of good knowledge towards patient safety was 65.9%. Only age, educational qualification, having training on patient safety, taking care of patients directly were factors significantly associated with knowledge towards patient safety. In detail, nurses who were more than 40 years olds had good knowledge towards patient safety was 3.47 times compared with the younger group; nures with postgraduate degree had good knowledge of patient safety was more than 2.9 times compared with the group of nurs...