Barriers to Medical Error Reporting.
Barriers to Medical Error Reporting.
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DOI：
10.4103/2008-7802.166680
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发表时间：
2015
影响因子：
2.1
通讯作者：
Aghighi N
中科院分区：
文献类型：
--
作者：
Poorolajal J;Rezaie S;Aghighi N
本研究旨在探讨医疗差错漏报的发生率及相关障碍。这项横断面研究于2012年9月至12月进行。对伊朗哈马丹哈马丹医科大学附属的五家医院进行了调查。采用自填式问卷进行数据收集。参与者包括医生，护士，助产士，居民，实习生，放射科和实验室的工作人员。总体而言，50.26%的受试者犯过但未报告医疗错误。漏报的主要原因是缺乏有效的医疗差错报告制度（60.0%）、缺乏正确的报告形式（51.8%）、缺乏同伴支持（56.0%）和个人对医疗差错的重要性缺乏重视（62.9%）。男性（71.4%）、年龄50-40岁（67.6%）、经验不足（58.7%）、硕士以上学历（87.5%）、放射科（88.9%）的人员医疗差错发生率较高。这项研究概述了报告医疗差错的主要障碍和相关因素，这些因素可能有助于医疗机构改善医疗差错报告，作为增强患者安全的重要组成部分。
This study was conducted to explore the prevalence of medical error underreporting and associated barriers. This cross-sectional study was performed from September to December 2012. Five hospitals, affiliated with Hamadan University of Medical Sciences, in Hamedan, Iran were investigated. A self-administered questionnaire was used for data collection. Participants consisted of physicians, nurses, midwives, residents, interns, and staffs of radiology and laboratory departments. Overall, 50.26% of subjects had committed but not reported medical errors. The main reasons mentioned for underreporting were lack of effective medical error reporting system (60.0%), lack of proper reporting form (51.8%), lack of peer supporting a person who has committed an error (56.0%), and lack of personal attention to the importance of medical errors (62.9%). The rate of committing medical errors was higher in men (71.4%), age of 50–40 years (67.6%), less-experienced personnel (58.7%), educational level of MSc (87.5%), and staff of radiology department (88.9%). This study outlined the main barriers to reporting medical errors and associated factors that may be helpful for healthcare organizations in improving medical error reporting as an essential component for patient safety enhancement.