Factors contributing to non-reporting of medication errors

Branislava Brestovački Svitlica, Georgios Konstantinidis
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Abstract

Introduction

Medication errors are the most common adverse drug events in hospitals, which are easily preventable. Therefore, reporting on their occurrence is one of the critical issues of the entire healthcare system. The objective of this study is to determine the factors that contribute to the non-reporting of medication errors.

Methods

Cross-sectional study in five healthcare institutions in Vojvodina.

Results

The most common reason for not reporting medication errors is that managers emphasize the individual without looking for a possible cause in the system (n = 583, 61%). As a reason for not reporting errors, slightly less than half of the respondents state the following: if they make a mistake, patients will develop a negative attitude towards nurses, that the mistake is not clearly defined, and the obligation to fill in the reporting forms is not presented to all employees.

Conclusion

In healthcare institutions, the readiness of the management to implement a reporting system with clearly defined adverse events and professional errors is necessary. Healthcare workers should report without fear of punishment and condemnation of others. Reporting only makes sense if a thorough professional analysis is conducted at the level of the management, based on which feedback can be given, and proposals for improving patient safety can be defined.

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导致不报告用药错误的因素
导言用药错误是医院中最常见的药物不良事件,很容易预防。因此,报告其发生情况是整个医疗系统的关键问题之一。本研究的目的是确定导致不报告用药错误的因素。方法在伏伊伏丁那省的五家医疗机构进行横断面研究。结果不报告用药错误最常见的原因是管理人员只强调个人,而没有从系统中寻找可能的原因(n = 583,61%)。略低于半数的受访者表示,不报告错误的原因包括:如果他们犯了错误,病人会对护士产生负面态度;错误没有明确界定;没有向所有员工介绍填写报告表的义务。医护人员应在不担心他人惩罚和谴责的情况下进行报告。只有在管理层层面进行了全面的专业分析,并在此基础上提供反馈意见和改进患者安全的建议后,报告才有意义。
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Global pediatrics
Global pediatrics Perinatology, Pediatrics and Child Health
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