Mobarakabadi Sedigheh Sedigh, Ebrahimipour Hosein, Najar Ali Vafaie, Janghorban Roksana, Azarkish Fatemeh
Assistant Professor in Reproductive Health, Midwifery, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Assistant Professor, Department of Health and Management, Mashhad University of Medical Sciences, Mashhad, Iran.
J Clin Diagn Res. 2017 Mar;11(3):QC04-QC07. doi: 10.7860/JCDR/2017/23958.9349. Epub 2017 Mar 1.
Patient's safety is one of the main objective in healthcare services; however medical errors are a prevalent potential occurrence for the patients in treatment systems. Medical errors lead to an increase in mortality rate of the patients and challenges such as prolonging of the inpatient period in the hospitals and increased cost. Controlling the medical errors is very important, because these errors besides being costly, threaten the patient's safety.
To evaluate the attitudes of nurses and midwives toward the causes and rates of medical errors reporting.
It was a cross-sectional observational study. The study population was 140 midwives and nurses employed in Mashhad Public Hospitals. The data collection was done through Goldstone 2001 revised questionnaire. SPSS 11.5 software was used for data analysis. To analyze data, descriptive and inferential analytic statistics were used. Standard deviation and relative frequency distribution, descriptive statistics were used for calculation of the mean and the results were adjusted as tables and charts. Chi-square test was used for the inferential analysis of the data.
Most of midwives and nurses (39.4%) were in age range of 25 to 34 years and the lowest percentage (2.2%) were in age range of 55-59 years. The highest average of medical errors was related to employees with three-four years of work experience, while the lowest average was related to those with one-two years of work experience. The highest average of medical errors was during the evening shift, while the lowest were during the night shift. Three main causes of medical errors were considered: illegibile physician prescription orders, similarity of names in different drugs and nurse fatigueness.
The most important causes for medical errors from the viewpoints of nurses and midwives are illegible physician's order, drug name similarity with other drugs, nurse's fatigueness and damaged label or packaging of the drug, respectively. Head nurse feedback, peer feedback, fear of punishment or job loss were considered as reasons for under reporting of medical errors. This research demonstrates the need for greater attention to be paid to the causes of medical errors.
患者安全是医疗服务的主要目标之一；然而，医疗差错在治疗系统中是患者普遍可能遭遇的情况。医疗差错会导致患者死亡率上升，并带来诸如延长住院时间和增加费用等问题。控制医疗差错非常重要，因为这些差错不仅代价高昂，还会威胁患者安全。
评估护士和助产士对医疗差错报告的原因及发生率的态度。
这是一项横断面观察性研究。研究对象为在马什哈德公立医院工作的140名助产士和护士。数据收集通过2001年修订的戈德斯通问卷进行。使用SPSS 11.5软件进行数据分析。为分析数据，采用了描述性和推断性分析统计方法。描述性统计使用标准差和相对频率分布来计算均值，结果以表格和图表形式呈现。卡方检验用于数据的推断性分析。
大多数助产士和护士（39.4%）年龄在25至34岁之间，年龄在55 - 59岁之间的比例最低（2.2%）。医疗差错平均值最高的是工作经验为三至四年的员工，而平均值最低的是工作经验为一至两年的员工。医疗差错平均值最高的是在晚班期间，而最低的是在夜班期间。医疗差错的三个主要原因被认为是：医生处方字迹不清、不同药物名称相似以及护士疲劳。
从护士和助产士的角度来看，医疗差错最重要的原因分别是医生字迹不清的医嘱、药物名称与其他药物相似、护士疲劳以及药品标签或包装损坏。护士长反馈、同行反馈、害怕受到惩罚或失业被认为是医疗差错报告不足的原因。本研究表明需要更加关注医疗差错的原因。
