Alahmad Haitham, Alshahrani Abdulrhman M, Alenazi Khaled, Alarifi Mohammad, Abanomy Ahmad, Alhulail Ahmad A, Albathi Raed A, Alzughaibi Saleh, Almanaa Mansour
Department of Radiological Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, 4545, Saudi Arabia.
Radiology Technology Department, College of Applied Medical Sciences, Qassim University, Buraydah, Saudi Arabia.
J Multidiscip Healthc. 2024 Oct 9;17:4709-4719. doi: 10.2147/JMDH.S481686. eCollection 2024.
Radiation therapy utilizes complex technologies to target tumors. Radiation therapy is not immune to human errors. Reporting medical errors and near misses is crucial to improving patient outcomes and ensuring the safety of future patients.
This study aimed to measure the attitudes of radiotherapy staff members in Saudi Arabia regarding reporting errors and near misses in radiation therapy practice. It also examined the participants' reporting patterns and behaviors and explored the potential barriers to reporting errors and near misses as perceived by the participants.
A cross-sectional study utilizing an online questionnaire was implemented. A sample of 70 health professionals working in radiation oncology departments in Saudi Arabia, including radiation oncologists, medical physicists, and radiotherapists, were recruited to participate in this study from January to June 2023. The data was analyzed using chi-squared testing to compare different groups, and the Kruskal-Wallis was used to find any statistically significant differences between different groups.
The study included 70 radiotherapy staff members. Professional roles did not significantly impact participants' decisions to report minor or major errors, with most consistently reporting errors to their supervisors regardless of role. The study revealed that fear of professional sanctions and the potential negative impact on a department's reputation are significant barriers to reporting errors or near misses. However, Only 17% of radiation oncologists did consider departmental sanctions as a barrier. Participants identified communication failure as the most significant source of errors in radiation oncology departments. The study also found a high level of agreement among the participants regarding the responsibility of reporting errors and near misses.
The study investigated reporting errors and near misses in radiotherapy and considered the factors influencing them. The findings highlight the importance of effective communication and the implementation of an electronic reporting system.
放射治疗利用复杂技术靶向肿瘤。放射治疗也难免会出现人为失误。报告医疗差错和险些发生的差错对于改善患者预后和确保未来患者的安全至关重要。
本研究旨在衡量沙特阿拉伯放射治疗工作人员对报告放射治疗实践中的差错和险些发生的差错的态度。它还考察了参与者的报告模式和行为，并探讨了参与者认为的报告差错和险些发生的差错的潜在障碍。
采用在线问卷进行横断面研究。2023年1月至6月，从沙特阿拉伯放射肿瘤学部门招募了70名卫生专业人员作为样本，包括放射肿瘤学家、医学物理学家和放射治疗师，参与本研究。使用卡方检验分析数据以比较不同组，使用克鲁斯卡尔 - 沃利斯检验来发现不同组之间的任何统计学显著差异。
该研究纳入了70名放射治疗工作人员。专业角色对参与者报告轻微或重大差错的决定没有显著影响，大多数人无论其角色如何，都始终向其上级报告差错。研究表明，对职业制裁的恐惧以及对部门声誉的潜在负面影响是报告差错或险些发生的差错的重大障碍。然而，只有17%的放射肿瘤学家确实将部门制裁视为障碍。参与者将沟通失误确定为放射肿瘤学部门差错的最主要来源。该研究还发现参与者在报告差错和险些发生的差错的责任方面达成了高度共识。
该研究调查了放射治疗中的差错和险些发生的差错，并考虑了影响它们的因素。研究结果突出了有效沟通和实施电子报告系统的重要性。
