Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study
Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study
复制标题
DOI：
10.1136/bmjqs-2011-000299
复制
发表时间：
2012-05-01
影响因子：
5.4
通讯作者：
Fleming, Mark
中科院分区：
文献类型：
--
作者：
Hartnell, Nicole;MacKinnon, Neil;Fleming, Mark
目的：用药错误的低报可能会危及患者安全。进行了定性研究，以提高认识的障碍，用药错误reportinginhealthcare organizations. Methods：焦点小组（与医生，药剂师和护士）和深入访谈（与风险管理人员），以确定用药错误报告的信念和做法，在加拿大新斯科舍省的四个社区医院。录音带被逐字转录，并使用模板分析风格进行专题内容分析。本研究以安全文化理论为指导进行分析。结果：用药错误报告的动机可分为患者保护、提供者保护和专业依从性三大类。用药错误报告的障碍分为5类：报告者负担，专业身份，信息差距，组织因素和恐惧。鼓励用药错误报告的促进者分为三类：减轻报告者负担，缩小沟通差距和教育成功。参与者表示，他们会更频繁地报告用药错误，如果报告更容易，如果他们有足够的教育报告，如果他们收到及时的feedback.Conclusions：研究结果可能会导致更好地了解用药错误报告的障碍，为什么这些障碍存在，可以做些什么来成功地克服它们。这些结果可以被医院用来鼓励报告用药错误，并最终进行组织变革，从而减少用药错误的发生率并改善患者安全。
Objectives: The under-reporting of medication errors can compromise patient safety. A qualitative study was conducted to enhance the understanding of barriers to medication error reporting in healthcare organisations.Methods: Focus groups (with physicians, pharmacists and nurses) and in-depth interviews (with risk managers) were used to identify medication error reporting beliefs and practices at four community hospitals in Nova Scotia, Canada. Audio tapes were transcribed verbatim and analysed for thematic content using the template style of analysis. The development and analysis of this study were guided by Safety Culture Theory.Results: Incentives for medication error reporting were thematised into three categories: patient protection, provider protection and professional compliance. Barriers to medication error reporting were thematised into five categories: reporter burden, professional identity, information gap, organisational factors and fear. Facilitators to encourage medication error reporting were classified into three categories: reducing reporter burden, closing the communication gap and educating for success. Participants indicated they would report medication errors more frequently if reporting were made easier, if they were adequately educated about reporting, and if they received timely feedback.Conclusions: Study results may lead to a better understanding of the barriers to medication error reporting, why these barriers exist and what can be done to successfully overcome them. These results could be used by hospitals to encourage reporting of medication errors and ultimately make organisational changes leading to a reduction in the incidence of medication errors and an improvement in patient safety.