Concept of error and nature of nursing error detectors in military hospitals: a qualitative content analysis

Abstract

Background and objectivesNursing errors can cause irreparable consequences. Understanding the concept of error and the nature of nursing error detectors can significantly reduce this type of errors. The present study was conducted to explain the concept of error and the nature of nursing error detectors in military hospitals.Materials and methodsThe present study was conducted on eight nurses working in different wards of military hospitals using a qualitative approach to content analysis proposed by Graneheim and Lundman. Data were collected through in-depth semistructured interviews.Findings‘The concept of error’ and ‘the nature of error detectors’ in military hospitals were the two main categories extracted from data analysis. The present findings showed that the nature of errors in military hospitals is inevitable, a threat to job position and bipolar. Nurses use different resources to identify errors, including personal, environmental and organisational factors of detection.Discussion and conclusionGiven the military nature of the study hospitals, organisational factors of detection played a key role in identifying errors. Moreover, given the perception of military nurses of errors, they were not inclined to personal detectors. The managers of military hospitals are therefore recommended to pursue a justice-oriented and supportive culture to help nurses play a more active role in identifying errors.

Barriers Preventing the Reporting of Incidents and Near Misses Among Healthcare Professionals

“…A non-accommodating environment, which emphasises professional autonomy, collegiality and self-regulation, is unlikely to foster incident reporting (Malik et al, 2010). Consistent with earlier literature (Ajri-Khameslou et al, 2018; Lynch et al, 2017; Vrbnjak et al, 2016), the current study also showed that the considerable time and effort required in the reporting process influenced healthcare professionals’ willingness to report. In a Swedish study, healthcare professionals indicated that incident reports implied extensive paperwork (Carlfjord et al, 2018).…”

Comparison of the views of patients and rehabilitation therapists on the importance and respecting of the patients’ rights charter

“…In another study conducted in Iran (2018), patients rated their information about this aspect as low. 17 In addition, lack of awareness of patients from complaints-handling authorities is a barrier to the detection of medical errors 28 and makes them vulnerable and caused moral distress, and decreases moral sensitivity in health care providers. 29…”

“…In another study conducted in Iran (2018), patients rated their information about this aspect as low. 17 In addition, lack of awareness of patients from complaints-handling authorities is a barrier to the detection of medical errors 28 and makes them vulnerable and caused moral distress, and decreases moral sensitivity in health care providers. 29 As can be seen, in the present study, patients considered this area as the least important among all aspects of patient rights which can be a threat to the practice of patients' rights.…”

Recommendations to prevent nursing errors: Content analysis of semi‐structured interviews with intensive care unit nurses in a developing country

“…Several studies have examined health care errors in clinical settings (Ajri‐khameslou, Aliyari, Pishgooie, Jafari‐Golestan, & Farokhnezhad Afshar, 2019; Balas, Scott, & Rogers, 2004; Barkhordari‐Sharifabad & Mirjalili, 2019; Meurier, 2000) including the ICU (Donchin et al, 2003; Khammarni et al, 2015; Venkategowda, Rao, Mutkule, & Taggu, 2014). Different strategies, approaches, recommendations and principles for error prevention are also cited (IOM, 2000; WHO, 2007; Zikhani, 2016).…”