The Components of Nursing Error Reporting in Selected Hospitals Affiliated to Tehran University of Medical Sciences in 2020

A. Ghobadi, F. Hajibabaee, Hormat Sadat Emamzadeh Ghasemi, A. Hajrajabi, Parastoo Aryamloo
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Abstract

Background & Aims Error is considered as a part of reality and an integral part of human life. Error reporting is defined as a strategic indicator for error prevention. Nursing managers use management measures and strategies to create an climate in the workplace that nurses increase the rate of reporting errors. The purpose of this study was to determine of the components of nursing errors reporting in selected hospitals of Tehran University of Medical Sciences in 2020. Materials & Methods This research is a descriptive study. The research population includes nurses working in selected hospitals of Tehran University of Medical Sciences. The number of samples was determined using the cochran formula, 336 were determined. Samples were selected by relative stratified random sampling method in July 2020.The tools used in the present study include Made Questionnaire the components of nursing errors reporting. Content validity of both questionnaires was confirmed by content validity method based on the view of 10 faculty members in the field of nursing care and nursing management. Cronbach's alpha coefficient for the components of nursing errors reporting questionnaire (0.78) were measured. Data were analyzed using descriptive analysis and inferential tests such as Kolmogorov-Smirnov, Cramer's v and Mann-Whitney U using SPSS software, version 16. Results According to the results,the mean scores of nursing errors were 80.3% and 32.64% of nurses revealed errors after observing them. Despite the positive nurses’ attitudes toward nursing errors reporting,"fear" and "Managerial barriers" is the most prominent barrier contributing to underreporting. There were significant relationships between nursing errors reporting and hospital ward type, education, nursing error experience, errors reporting method and job experience(P˂0.001). Conclusion Based on the results of the study, creating an anonymous, effective and efficient system for reporting and recording nursing errors, in order to prevent errors, is a necessity in nursing management. Managers have a systematic perspective to identify the factors affecting the occurrence of errors along with their positive reaction and supportive behaviors to the reported errors of nurses can create a culture of fearless learning at the department and organization level and overcome Barriers to reporting nursing errors.
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2020年德黑兰医科大学附属医院护理差错报告的组成部分
背景与目的错误被认为是现实的一部分,是人类生活不可分割的一部分。错误报告被定义为错误预防的战略指标。护理管理人员使用管理措施和策略在工作场所创造一种氛围,使护士增加报告错误率。本研究的目的是确定2020年德黑兰医科大学选定医院护理差错报告的组成部分。材料与方法本研究为描述性研究。研究对象包括在德黑兰医科大学选定医院工作的护士。用科克伦公式确定样本数量,共确定336个。样本于2020年7月采用相对分层随机抽样方法选取。本研究使用的工具包括制作问卷作为护理差错报告的组成部分。采用内容效度法对10名护理及护理管理专业教师的观点进行内容效度验证。测量护理差错报告问卷各组成部分的Cronbach's alpha系数(0.78)。数据分析采用描述性分析和Kolmogorov-Smirnov、Cramer's v和Mann-Whitney U等推理检验,使用SPSS软件,版本16。结果护理差错平均得分为80.3%,32.64%的护士在观察后发现了护理差错。尽管护士对护理差错报告的态度是积极的,但“恐惧”和“管理障碍”是导致低报的最主要障碍。护理差错报告与医院病房类型、学历、护理差错经历、差错报告方法和工作经验有显著相关(P小于0.001)。结论根据研究结果,建立一个匿名、有效、高效的护理差错报告和记录系统,是预防护理差错发生的必要措施。管理者从系统的角度来识别影响差错发生的因素,并对护士报告的差错做出积极的反应和支持行为,可以在部门和组织层面创造一种无畏学习的文化,克服报告护理差错的障碍。
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