Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran; Health Behavior Science Research Center, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
East Mediterr Health J. 2020 Nov 11;26(11):1339-1346. doi: 10.26719/emhj.19.050.
Medical errors frequently occur in health care facilities, jeopardizing patient safety and increasing associated costs.
This cross-sectional investigation examined the rates of and reasons for non-reporting of medical errors at Nemazee Hospital, Shiraz, Islamic Republic of Iran.
Self-administered questionnaires were completed by 283 staff members, including physicians, nurses and medical students. One-way analysis of variance, Fisher's least significant difference post hoc, Spearman correlation coefficient and intraclass correlation tests were used for statistical analyses.
Almost all (95.8%) participants had observed at least 1 medical error during the previous year, with over half (50.5%) observing 3-10 errors. The preferred method for reporting medical errors among physicians and medical students was verbal and informal (40.3% and 41.8% respectively), while nurses preferred written forms (45.7%). The results indicated significant differences between groups concerning individual and organizational barriers in general, and among all sub-categories (P < 0.001).
Concerns of legal entanglements and confidentiality issues were recognized as the main barriers to reporting medical errors.
医疗差错在医疗机构中频繁发生，危及患者安全并增加相关成本。
本横断面研究调查了伊朗伊斯兰共和国设拉子 Nemazee 医院医疗差错报告率和漏报原因。
包括医生、护士和医学生在内的 283 名工作人员完成了自填式问卷。采用单因素方差分析、Fisher 最小显著差异事后检验、Spearman 相关系数和组内相关检验进行统计分析。
几乎所有（95.8%）参与者在过去一年中都观察到至少 1 例医疗差错，超过一半（50.5%）观察到 3-10 例差错。医生和医学生报告医疗差错的首选方法是口头和非正式的（分别为 40.3%和 41.8%），而护士更喜欢书面形式（45.7%）。结果表明，各组之间在个人和组织障碍方面以及所有亚类别方面均存在显著差异（P < 0.001）。
法律纠纷和保密性问题的担忧被认为是报告医疗差错的主要障碍。
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