Barriers to reporting errors among physicians and nurses in Pediatric Hospitals in Gaza City
Article Sidebar
-
Medical error reporting, physicians and nurses, pediatric hospitals, Gaza Governorate
Abstract
Background: Collecting data on medical errors is essential for improving patient safety, but a lot of factors affecting error reporting by physicians and nurses. These factors may be individual or institutional in the health care system and sometimes mandatory. The barriers preventing doctors and nurses in pediatric hospitals from reporting medicals errors are poorly understood. the objective of the study was to identify the factors affecting medical error reporting by physicians and nurses among pediatric hospitals in Gaza Governorate, Gaza Strip.
Methods: The study design was a cross-sectional study using a questionnaire. A total of 86 doctors and nurses were selected by the purposive sample in pediatric hospitals in Gaza Governorate (Al Nasr, Al Durra & Al Rantisi hospitals). Data analysis performed using Statistical Package for the Social Sciences software version 23, and a p-value less than 0.05 was statistically significant.
Results: The factors affecting medical error reporting by physicians and nurses were organizational barriers (59.2%), barriers due to fear (72.4%), cultural barriers (73.1%), respectively. The First causes preventing medical error reporting by physicians and nurses were staff worry (76.9%) followed by fear of lawsuits (legal and financial penalties) (75.3%), the fear of questioning competence (74.2%), work pressures (68.6%) and finally insufficient staff number (67.9%).
Conclusion and recommendations: elevated work pressures and insufficient staff number with staff worry from lawsuits lead to medical error not reporting among pediatric hospitals in Gaza Governorate. Change the culture and knowledge about medical error reporting will support doctors and nurses to reporting the medical error and avoid repeated again by focusing on safety rather than productivity during clinical work essential for improving patient safety
Full text article
References
(1) Sharbafchi-ZadehN, KarimiS, Molavi TaleghaniY, VejdaniM.Developing anError Reporting SystemforHealth Centers.Patient SafQualImprov. 2017; 5(4):606-615
(2,3) Slawomirksi, L., Auraaen, A., & Klazinga, N. (2017). The Economics of Patient Safety: Strengthening a value-based approach to reducing patient harm at national level.OECD.
(4,5) Banakhar MA, Tambosi AI, Asiri SA, Banjar YB, Essa YA (2017) Barriers of Reporting Errors among Nurses in a Tertiary Hospital. Int J Nurs Clin Pract 4:245. doi: https://doi.org/10.15344/2394-4978/2017/245
Poorolajal, J., Rezaie, S., & Aghighi, N. (2015). Barriers to Medical Error Reporting. International journal of preventive medicine, 6, 97. doi:10.4103/2008-7802.166680
(6)Stavropoulou, C., Doherty, C., & Tosey, P. (2015). How effective are incident‐reporting systems for improving patient safety? A systematic literature review. The Milbank Quarterly, 93(4), 826-866.
(7) Ontario Health Technology Assessment Series; Vol. 17: N 3, pp. 1–23, March 2017
(8) Peyrovi, H., Nikbakht Nasrabadi, A., & Valiee, S. (2016). Exploration of the barriers of reporting nursing errors in intensive care units: A qualitative study. Journal of the Intensive Care Society, 17(3), 215–221. doi:10.1177/1751143716638370.
(9) Banakhar MA, Tambosi AI, Asiri SA, Banjar YB, Essa YA (2017) Barriers of Reporting Errors among Nurses in a Tertiary Hospital. Int J Nurs Clin Pract 4: 245. doi: https://doi.org/10.15344/2394-4978/2017/245.
(10) Alduais, A. M. S., Mogali, S., Al Shabrain, B., Al Enazi, A., & Al-awad, F. (2014). Barriers and strategies of reporting medical errors in public hospitals in Riyadh city: A survey-study. IOSR Journal of Nursing and Health Science (IOSR-JNHS), 3(5), 72-85.
(11) Anan Rashed ,Motasem Hamdan. (2015). Physicians' and Nurses' Perceptions of and Attitudes Toward Incident Reporting in Palestinian Hospital. DOI:10.1097/pts.0000000000000218.
(12) AbuAlRub RF, Al-Akour NA, Alatari NH (2015) Perceptions of reporting practices and barriers to reporting incidents among registered nurses and physicians in accredited and non accredited Jordanian hospitals. doi: 10.1111/jocn.12934. Epub 2015 Jul 27.
(13) Vrbnjak D, Denieffe S, O'Gorman C, Pajnkihar M (2016). Barriers to reporting medication errors and near misses among nurses: A systematic review. doi:10.1016/j.ijnurstu.2016.08.019. Epub 2016 Sep 1.
(14) Tabatabaee, S., Kalhor, R., Nejatzadegan, Z., Kohpeima Jahromi, V., Sharifi, T. (2014). Barriers to Medication Error Reporting from Nurses’ Perspective: A Private Hospital Survey. International Journal of Hospital Research, 3(2), 97-102.