Barriers and Facilitators to Communicating Nursing Errors in Long-term Care Settings

Wagner, Laura M.; Damianakis, Thecla; Pho, Lise; Tourangeau, Ann E.

doi:10.1097/pts.0b013e3182699919

Cited by 34 publications

(70 citation statements)

References 24 publications

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“…Lack of feedback on reported MEs discouraged further reporting [21], [24], [25]. Adequate and timely feedback shows effective communication between administration and staff in sharing errors as a source of education [18], [29]. Feedback not only helps staff to assess their own performance but serves as a platform for sharing and exchanging information on MEs, from within and across organisations [53].…”

Section: Discussionmentioning

confidence: 99%

“…The simplicity of the reporting form [18], [22], adequate training on the reporting process [18], anonymous reporting [22], [28], adequate feedback received on the reporting [18], [22], perceived severity of error [18], [22], [28] and supportive and open working environment [29], [30] were among the reasons deemed to increase the likelihood of reporting MEs.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions and Attitudes towards Medication Error Reporting in Primary Care Clinics: A Qualitative Study in Malaysia

2016

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ObjectiveTo explore and understand participants’ perceptions and attitudes towards the reporting of medication errors (MEs).MethodsA qualitative study using in-depth interviews of 31 healthcare practitioners from nine publicly funded, primary care clinics in three states in peninsular Malaysia was conducted for this study. The participants included family medicine specialists, doctors, pharmacists, pharmacist assistants, nurses and assistant medical officers. The interviews were audiotaped and transcribed verbatim. Analysis of the data was guided by the framework approach.ResultsSix themes and 28 codes were identified. Despite the availability of a reporting system, most of the participants agreed that MEs were underreported. The nature of the error plays an important role in determining the reporting. The reporting system, organisational factors, provider factors, reporter’s burden and benefit of reporting also were identified.ConclusionsHealthcare practitioners in primary care clinics understood the importance of reporting MEs to improve patient safety. Their perceptions and attitudes towards reporting of MEs were influenced by many factors which affect the decision-making process of whether or not to report. Although the process is complex, it primarily is determined by the severity of the outcome of the errors. The participants voluntarily report the errors if they are familiar with the reporting system, what error to report, when to report and what form to use.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions and Attitudes towards Medication Error Reporting in Primary Care Clinics: A Qualitative Study in Malaysia

2016

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“…In addition, the definition of the same term may vary from centre to centre, leading to confusion and invalid inferences about the condition defined by that term . In the clinical setting, lack of standardization of medical terms has led to errors in communication between medical personnel, at times resulting in serious adverse patient outcomes .…”

Section: Resultsmentioning

confidence: 99%

Diabetes in pregnancy outcomes: A systematic review and proposed codification of definitions

Feig

Corcoy

Jensen

et al. 2015

Diabetes Metabolism Res

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Rising rates of diabetes in pregnancy have led to an escalation in research in this area. As in any area of clinical research, definitions of outcomes vary from study to study, making it difficult to compare research findings and draw conclusions. Our aim was to compile and create a repository of definitions, which could then be used universally. A systematic review of the literature was performed on published and ongoing randomized controlled trials in the area of diabetes in pregnancy between 01 Jan 2000 and 01 Jun 2012. Other sources included the World Health Organization and Academic Society Statements. The advice of experts was sought when appropriate definitions were lacking. Among the published randomized controlled trials on diabetes and pregnancy, 171 abstracts were retrieved, 64 full texts were reviewed and 53 were included. Among the ongoing randomized controlled trials published in ClinicalTrials.gov, 90 protocols were retrieved and 25 were finally included. The definitions from these were assembled and the final maternal definitions and foetal definitions were agreed upon by consensus. It is our hope that the definitions we have provided (i) will be widely used in the reporting of future studies in the area of diabetes in pregnancy, that they will (ii) facilitate future systematic reviews and formal meta analyses and (iii) ultimately improve outcomes for mothers and babies.

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“…15,16 This patient-centered approach mirrors the recently described 5 Rights of Imaging framework, which promotes imaging technologies that have a clear favorable outcome for the patient. 17 …”

Section: Point-of-care Ultrasonographymentioning

confidence: 99%

Deep Needle Procedures: Improving Safety With Ultrasound Visualization

Peabody

Mandavia

2017

J Patient Saf

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Promoting patient safety and increasing health care quality have dominated the health care landscape during the last 15 years. Health care regulators and payers are now tying patient safety outcomes and best practices to hospital reimbursement. Many health care leaders are searching for new technologies that not only make health care for patients safer but also reduce overall health care costs. New advances in ultrasonography have made this technology available to health care providers at the patient’s bedside. Point-of-care ultrasound assistance now aids providers with real-time diagnosis and with visualization for procedural guidance. This is especially true for common deep needle procedures such as central venous catheter insertion, thoracentesis, and paracentesis.There is now mounting evidence that clinician-performed point-of-care ultrasound improves patient safety, enhances health care quality, and reduces health care cost for deep needle procedures. Furthermore, the miniaturization, ease of use, and the evolving affordability of ultrasound have now made this technology widely available. The adoption of point-of-care ultrasonography has reached a tipping point and should be seriously considered the safety standard for all hospital-based deep needle procedures.

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Barriers and Facilitators to Communicating Nursing Errors in Long-term Care Settings

Abstract: Eliminating the barriers to error communication requires moving toward a culture of safety. This involves both top-down and bottom-up approaches that allow nurses to feel comfortable being active participants in the error communication process.

Cited by 34 publications

References 24 publications

Perceptions and Attitudes towards Medication Error Reporting in Primary Care Clinics: A Qualitative Study in Malaysia

Perceptions and Attitudes towards Medication Error Reporting in Primary Care Clinics: A Qualitative Study in Malaysia

Diabetes in pregnancy outcomes: A systematic review and proposed codification of definitions

Deep Needle Procedures: Improving Safety With Ultrasound Visualization

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