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评估伊斯法罕医科大学附属教学医院助产士上报医疗差错的影响因素。

Evaluating the Effective Factors for Reporting Medical Errors among Midwives Working at Teaching Hospitals Affiliated to Isfahan University of Medical Sciences.

作者信息

Khorasani Fahimeh, Beigi Marjan

机构信息

Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2017 Nov-Dec;22(6):455-459. doi: 10.4103/ijnmr.IJNMR_249_15.

Abstract

BACKGROUND

Recently, evaluation and accreditation system of hospitals has had a special emphasis on reporting malpractices and sharing errors or lessons learnt from errors, but still due to lack of promotion of systematic approach for solving problems from the same system, this issue has remained unattended. This study was conducted to determine the effective factors for reporting medical errors among midwives.

MATERIALS AND METHODS

This project was a descriptive cross-sectional observational study. Data gathering tools were a standard checklist and two researcher-made questionnaires. Sampling for this study was conducted from all the midwives who worked at teaching hospitals affiliated to Isfahan University of Medical Sciences through census method (convenient) and lasted for 3 months. Data were analyzed using descriptive and inferential statistics through SPSS 16.

RESULTS

Results showed that 79.1% of the staff reported errors and the highest rate of errors was in the process of patients' tests. In this study, the mean score of midwives' knowledge about the errors was 79.1 and the mean score of their attitude toward reporting errors was 70.4. There was a direct relation between the score of errors' knowledge and attitude in the midwifery staff and reporting errors.

CONCLUSIONS

Based on the results of this study about the appropriate knowledge and attitude of midwifery staff regarding errors and action toward reporting them, it is recommended to strengthen the system when it comes to errors and hospitals risks.

摘要

背景

最近,医院评估和认证体系特别强调报告医疗失误以及分享从失误中吸取的错误或教训,但由于缺乏对同一体系中解决问题的系统方法的推广,这个问题仍然无人问津。本研究旨在确定助产士报告医疗错误的影响因素。

材料与方法

本项目为描述性横断面观察研究。数据收集工具为标准清单和两份研究者编制的问卷。本研究采用普查法(便利抽样),从所有在伊斯法罕医科大学附属教学医院工作的助产士中进行抽样,为期3个月。通过SPSS 16使用描述性和推断性统计方法对数据进行分析。

结果

结果显示,79.1%的工作人员报告了错误,错误发生率最高的是在患者检查过程中。在本研究中,助产士对错误的知识平均得分是79.1,他们对报告错误的态度平均得分是70.4。助产士工作人员的错误知识得分和态度与报告错误之间存在直接关系。

结论

基于本研究关于助产士工作人员对错误及报告错误行为的适当知识和态度的结果,建议在错误和医院风险方面加强该体系。

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Disclosure of medical errors.医疗差错的披露。
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