Background and purpose:This study aimed to manage medical errors before and after the implementation of accreditation in public, private, and social security hospitals of Mazandaran, Iran. Materials and Methods:This descriptive study has been done in 38 hospitals. Data were collected through documents reviewed relating to 2013 and 2014. The paired t-test and Friedman test were used by statistical software SPSS. Results:Results showed that the most and the least percent of reported errors, before accreditation, in sequence, were related to public clinical unit (55.9%) and operating rooms (0.6%), and after accreditation in public clinical unit (46.6%) and operating rooms (2.3%) in teaching centers. The most errors (before accreditation) occurred in the morning (62%) and the least, in the evening (8.3%) in teaching centers. Furthermore, after accreditation, the most errors occurred in the morning (64.8%) and the least, in the night (17.3%) in therapeutic hospitals. Paired t-test showed that there is no significant difference between medical errors before and after accreditation. Friedman test showed that structural/systemic errors reported were the most important medical errors in teaching centers after accreditation and therapeutic hospitals before accreditation (P < 0.05).
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