Barriers and strategies of reporting medical errors in public hospitals in Riyadh city: A survey-study (original) (raw)
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
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