Canonical correlations between individual self-efficacy/organizational bottom-up approach and perceived barriers to reporting medication errors: a multicenter study

Abstract

Background Individual and organizational factors correlate with perceived barriers to error reporting. Understanding medication administration errors (MAEs) reduces confusion about error definitions, raises perceptions of MAEs, and allows healthcare providers to report perceived and identified errors more frequently. Therefore, an emphasis must be placed on medication competence, including medication administration knowledge and decision-making. It can be helpful to utilize an organizational approach, such as collaboration between nurses and physicians, but this type of approach is difficult to establish and maintain because patient-safety culture starts at the highest levels of the healthcare organization. This study aimed to examine the canonical correlations of an individual self-efficacy/bottom-up organizational approach variable set with perceived barriers to reporting MAEs among nurses. Methods We surveyed 218 staff nurses in Korea. The measurement tools included a questionnaire on knowledge of high-alert medication, nursing decision-making, nurse-physician collaboration satisfaction, and barriers to reporting MAEs. Descriptive statistics, t-tests, analysis of variance (ANOVA), Pearson’s correlation coefficient, and canonical correlations were used to analyze results. Results Two canonical variables were significant. The first variate indicated that less knowledge about medication administration (− 0.83) and a higher perception of nurse-physician collaboration (0.42) were related to higher disagreement over medication error (0.64). The second variate showed that intuitive clinical decision-making (− 0.57) and a higher perception of nurse-physician collaboration (0.84) were related to lower perceived barriers to reporting MAEs. Conclusions Enhancing positive collaboration among healthcare professionals and promoting analytic decision-making supported by sufficient knowledge could facilitate MAE reporting by nurses. In the clinical phase, providing medication administration education and improving collaboration may reduce disagreement about the occurrence of errors and facilitate MAE reporting. In the policy phase, developing an evidence-based reporting system that informs analytic decision-making may reduce the perceived barriers to MAE reporting.

Tolerating errors in hospitality organizations: relationships with learning behavior, error reporting and service recovery performance

“…Error reporting is a key factor in determining effective risk handling. The findings, too, are consistent with those of previous studies: self-efficacy and psychological safety are important attitudinal precursors of prohibitive voice behavior such as error reporting (Emby et al , 2018; Kim and Kim, 2019). Ultimately, this study suggests that establishing an error-tolerant work environment can yield benefits in areas such as job attitudes, learning, voice behavior and job performance.…”

“…Although previous studies have suggested that self-efficacy might be an important attitudinal driver of error reporting behavior, very few studies have empirically tested this relationship (Zhao and Olivera, 2006). Kim and Kim (2019) revealed the influence of medication administration knowledge and nursing decision-making on perceived barriers to medication administration errors. The current study responded to this call by revealing a positive impact of employees’ self-efficacy on error reporting.…”

Conhecimento de profissionais de enfermagem sobre medicamentos de alta vigilancia em hospital universitário de grande porte

“…The rate of correct answers varied from 65% to 96%, as shown in Table 4. The mean knowledge of HAMs score obtained in this study (73.2 + 16.4) was higher than in a pilot study conducted in São Paulo (63.6%), 9 in Korea (65%) 19 and in Pakistan (60%). 14 However, the mean presented in the São Paulo study refers to nurses and pharmacy students.…”

Common Barriers to Reporting Medical Errors

“…But additionally, providers reported fear of losing one's job, fear of patient's or family's response to the Not only is "fear of consequences" the most reported factor for underreporting, it also happens to be the most significant factor for underreporting in most of the included studies [14-16, 20-22, 25, 32, 37-40, 42]. While fear of consequences might be more prominent in certain cultures than others and more prominent in hospitals with hierarchical structures [16], it has been reported at both local and international levels and in different management styles. Additionally, fear as a factor has not changed over the years.…”