Evaluation of Refusing the Medication Errors Report by Nurses of Golestan Educational Hospital After the Healthcare Reform From 2014 to 2015

Abstract

Background: Patients' safety is one of the most important factors in health care system, which medication errors can threat it. It is of great importance to identify factors that cause medication errors. Objectives: The current study aimed at evaluating refusal to report the medication errors by nurses in Golestan educational Hospital after the healthcare reform from 2014 to 2015. Methods: The current cross sectional study was conducted in Golestan educational hospital of Ahvaz, Iran, after the healthcare reform from 2014 to 2015, prospectively. The data collection tool was a questionnaire including 2 parts, demographic characteristics and reasons "not to report medication errors". The results were analyzed by Excel and SPSS 16.0. Results: The results showed that 64% of medication errors were reported by the subjects. Among all causes, fear of reporting consequences had the highest score. The results showed that the most important reasons not to report medication errors were related to the fear of the consequences of reporting (3.64 ± 1.226). Factors related to the process of reporting were 3.41 ± 0.867 and managerial factors were 3.08 ± 1.126, respectively. Conclusions: According to the results of the current study, some hospitals could reduce not reporting medication errors by paying attention to local standards, encouraging nurses to report medical errors, encouraging hospital managers to give a positive response to them, and promoting an effective communication with nursing staff for reporting errors, without any stress.

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