Derese Msganaw, Agegnehu Wubetu
Department of Nursing, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia.
Department of Public Health, College of Medicine and Health Science, Mizan-Tepi University, Mizan-Aman, Ethiopia.
Drug Healthc Patient Saf. 2022 Apr 26;14:51-59. doi: 10.2147/DHPS.S347738. eCollection 2022.
Medical error is defined as "an act of omission or commission in planning or execution that contributes or could contribute to an unintended result". It is a serious public health problem that can pose a threat to patient safety and if managed it can be an opportunity to an organizational learning. This study aimed to assess the challenges of error reporting.
Explorative qualitative cross-sectional study was conducted. The study was conducted among healthcare providers in Mizan-Tepi University Teaching Hospital. The study participants were selected purposely based on the patient contact hour and had served in this hospital for long period of time. Twenty-one in-depth interviews were undertaken. From each wards, three in-depth interviews were held. Case team leaders and other healthcare providers were identified and interviewed. The data were analyzed thematically.
Twenty-one healthcare providers were recruited for this study. Majority of the participants, 12 (57.1%) were nurses and midwives and as to marital status, 18 (85.7%) were married. Challenges for reporting medical errors were identified as perceived lack of confidentiality of the medical errors, perceived punitive measures, lack of good reporting system, perceived fear of losing acceptance, lack of learning culture from errors, information asymmetry, mass-media publication of medical errors, avoidance of conflict and attitude of health professionals.
There were system and individual related challenges for reporting of medical errors. Healthcare managers should enhance medical error reporting for organizational learning by addressing these system and individual factors.
医疗差错被定义为“在计划或执行过程中出现的作为或不作为，导致或可能导致意外结果”。它是一个严重的公共卫生问题，可能对患者安全构成威胁，而若加以管理，它可以成为组织学习的契机。本研究旨在评估差错报告的挑战。
进行探索性定性横断面研究。研究在米赞-泰皮大学教学医院的医疗服务提供者中开展。研究参与者根据与患者接触的时长有目的地选取，并在该医院长期工作。进行了21次深入访谈。在每个病房进行三次深入访谈。确定并访谈了病例团队负责人和其他医疗服务提供者。对数据进行了主题分析。
本研究招募了21名医疗服务提供者。大多数参与者，即12名（57.1%）是护士和助产士，至于婚姻状况，18名（85.7%）已婚。报告医疗差错的挑战被确定为认为医疗差错缺乏保密性、认为存在惩罚措施、缺乏良好的报告系统、认为担心失去认可、缺乏从差错中学习的文化、信息不对称、大众媒体对医疗差错的报道、避免冲突以及卫生专业人员的态度。
在医疗差错报告方面存在与系统和个人相关的挑战。医疗保健管理人员应通过解决这些系统和个人因素来加强医疗差错报告以促进组织学习。
