Background:One of the goals of nursing is to provide safe patient care and medical errors are one of the most important threats in this field.Therefore, the purpose of this study is to assess the status of error reporting culture and determine its relationship with demographic characteristics.
Methods:This descriptive,analytical and cross-sectional study was carried out among 239 nurses of amiralmomenin and bouali hospitals. First,face validity and then content validity were performed by 15 nursing experts and the questionnaire was distributed and collected. The normal distribution of data was confirmed by Kolmogorov-Smirnov test. The reliability and construct validity were performed with Cronbach’s Alpha test and exploratory factor analysis by PCM.The status of reporting culture was determined by computing descriptive statistics and its relation with demographic variables with Pearson correlation test and logistic regression test with SPSS software version 16.
Results:The content validity with CVR &CVI of 0.820 and 0.920 were confirmed. The reporting culture was favorable with a mean and standard deviation of 2.674 and 0.475.The reliability with Cronbach's alpha of 0.747 and the construct validity with a KMO of 0.727 and Significance of the Bartlett test were confirmed and 3 subscales were extracted. The relationship between age and work experience with the reporting culture with a correlation of 0.009 and 0.013 with a significant < 0.05 were rejected But with the variable of gender(=female) with a chance of 2.536 and the significant of 0.006 was confirmed.
Conclusion:Developing a safety culture in hospitals by implementing various health programs improves the reporting culture,but the mental climate is undesirable and requires major steps to reduce worries and negative outcomes after reporting.The presence of female nurses in comparison with men improves the error reporting culture.Perhaps the main reason is patriarchy in Iranian culture.
Jafree SR, Zakar R, Zakar MZ, Fischer F. Nurse perceptions of organizational culture and its association with the culture of error reporting: a case of public sector hospitals in Pakistan. BMC Health Services Research. 2016;16(1):13. Epub 2016/01/06. doi: 10.1186/s12913-015-1252-y. PubMed PMID: 26728071; PubMed Central PMCID: PMC4700678.
Zaboli R, Abbaszade A, Shahabinejad M. Assessing the barriers of error reporting from perspective of nurses in Kerman hospitals. Medical Ethics Journal. 2016;10(34):23. Epub 2016-01-01.
World Health Organization. 10 facts on patient safety 2018 [updated 2018 March]. Available from: http://www.who.int/features/factfiles/patient_safety/en/.
Hughes RG. Advances in Patient Safety Nurses at the "Sharp End" of Patient Care. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008. p. 30.
Alsafi E, Baharoon S, Ahmed A, Al-Jahdali HH, Al Zahrani S, Al Sayyari A. Physicians' knowledge and practice towards medical error reporting: a cross-sectional hospital-based study in Saudi Arabia. Eastern Mediterranean Health Journal(EMHJ). 2015;21(9):655-64. Epub 2015/10/10. PubMed PMID: 26450862.
Hwang JI, Ahn J. Teamwork and clinical error reporting among nurses in Korean hospitals. Asian nursing research. 2015;9(1):14-20. Epub 2015/04/02. doi: 10.1016/j.anr.2014.09.002. PubMed PMID: 25829205.
Soodabeh J, Mahboobeh S, Abbas H, Sara R, Hamid HJM-SNJ. The relationship between medication errors and nurses’ work environment. Medical-Surgical Nursing Journal. 2016;4(4):27-34.
Gu X, Itoh K, editors. Estimating reporting culture and its link to safety performance by applying hemodialysis error taxonomy. Industrial Engineering and Engineering Management (IEEM), 2013 IEEE International Conference on; 2013; Bangkok, Thailand: IEEE; 2014.
Feng X, Bobay K, Weiss M. Patient safety culture in nursing: a dimensional concept analysis. Journal of advanced nursing. 2008;63(3):310-9. Epub 2008/08/16. doi: 10.1111/j.1365-2648.2008.04728.x. PubMed PMID: 18702778.
Kagan I, Barnoy S. Organizational safety culture and medical error reporting by Israeli nurses. Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing. 2013;45(3):273-80. Epub 2013/04/12. doi: 10.1111/jnu.12026. PubMed PMID: 23574516.
Abiri O. Differences in Nurses’ Perceptions of Safety Culture, Nurse-Physician Collaboration, and Level of Job Satisfaction Related to the Type of Obstetrical Physician Service Delivery Model Utilized. Boca Raton, Fla.: Florida Atlantic University; 2017.
American Hospital Association(AHA) HRET, and the Institute for Safe Medication Practices (ISMP). The Pathways for Medication Safety:Leading a Strategic Planning Effort 2002 [ 11/20/2002]. Available from: https://www.ismp.org/sites/default/files/attachments/2017-11/PathwaySection1-Leadership.pdf.
The Australian Commission on Safety and Quality in Health Care. MEASUREMENT FOR IMPROVEMENT TOOLKIT-Final Draft Melbourne: Clinical Epidemology & Health Service Evaluation Unit Melbourne Health; 2005 [updated January 23, 2012; cited 2005 30 September]. Available from: https://www.safetyandquality.gov.au/former-publications/measurement-for-improvement-toolkit-final-draft-pdf-2057-kb/.
Moghri J, Arab M, Saari AA, Nateqi E, Forooshani AR, Ghiasvand H, et al. The Psychometric Properties of the Farsi Version of "Hospital Survey on Patient Safety Culture" In Iran's Hospitals. Iranian journal of public health. 2012;41(4):80-6. Epub 2012/11/01. PubMed PMID: 23113168; PubMed Central PMCID: PMC3481614.
Lawshe C. A quantitative approach to content validity. Personnel Psychology. 1975;28:563–75.
Bland JM, Altman DG. Cronbach's alpha. BMJ (Clinical research ed). 1997;314(7080):572. Epub 1997/02/22. PubMed PMID: 9055718; PubMed Central PMCID: PMC2126061.
Cronbach LJ. Coefficient alpha and the internal structure of tests. psychometrika. 1951;16(3):297-334.
Tavakol M, Dennick R. Making sense of Cronbach's alpha. International journal of medical education. 2011;2:53-5. Epub 2011/06/27. doi: 10.5116/ijme.4dfb.8dfd. PubMed PMID: 28029643; PubMed Central PMCID: PMC4205511.
Peyrovi H, Nikbakht Nasrabadi A, Valiee S. Exploration of the barriers of reporting nursing errors in intensive care units: A qualitative study. Journal of the Intensive Care Society. 2016;17(3):215-21. Epub 2016/08/01. doi: 10.1177/1751143716638370. PubMed PMID: 28979494; PubMed Central PMCID: PMC5606520.
George D, Hss AS, Hassali A. Medication Error Reporting: Underreporting and Acceptability of Smartphone Application for Reporting among Health Care Professionals in Perak, Malaysia. Cureus. 2018;10(6):e2746. Epub 2018/08/09. doi: 10.7759/cureus.2746. PubMed PMID: 30087822; PubMed Central PMCID: PMC6075636.
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