Nurses’ Safety Motivation: Examining Predictors of Nurses’ Willingness to Report Medication Errors

Farag, A.S.; Lose, Daniel T.; Gedney-Lose, Amalia

doi:10.1177/0193945918815462

Cited by 8 publications

(20 citation statements)

References 39 publications

(88 reference statements)

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“…This finding was supported within the literature and found that the leadership response not only influenced nurses' desire to report future errors but also reporting errors by others. 6,9,24 We found that positive leadership response and support of error reporting built a safety culture on the unit; however, only a few participants expressed this experience. Inconsistencies in nurse leaders' actions around error reporting were not identified in the literature.…”

Section: Discussionmentioning

confidence: 83%

“…An interview guide with open-ended and probing questions was developed to ensure consistency of dialogue among the groups. The questions were developed from a literature review [5][6][7][8][9] and evaluated by the research team for relevance and ability to answer the research aim (see Supplemental Digital Content, Table 1, available at: http://links. lww.com/JNCQ/B226).…”

Section: Data Collectionmentioning

confidence: 99%

“…A literature review on incident reporting by nursing revealed several foundational barriers to reporting errors, including fear and/or negative consequences for reporting, lack of timely feedback, and the process the process of reporting errors was not supportive of nurses' workflow and time. [5][6][7][8][9] Despite barriers to reporting errors, nurses want to do the right thing for patient safety and demonstrate positive attitudes toward medication error reporting. 10,11 Nurses often use other methods to report errors outside of formal incident reporting systems, like informal reporting to a peer, charge nurses, nurse leaders, or other professionals.…”

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confidence: 99%

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An Exploration of Nurses’ Attitudes and Beliefs on Reporting Medication Errors

Schuermann,

Arkin,

Loerzel

2024

Journal of Nursing Care Quality

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Background: Medication errors in health care are prevalent. Nurses play an important role in reporting; however errors remain underreported in incident reporting systems. Understanding the perspective of nurses will inform strategies to improve reporting and build systems to reduce errors. Purpose: The purpose of this study was to explore nurses’ perceptions and attitudes of medication error reporting practices. Methods: This qualitative study used direct content analysis to analyze interview sessions with 21 total nurses. Results: Participant’s description of medication error reporting practices fell into 2 themes. Internal factors described circumstances within nurses themselves that affect reporting. External factors described outside influences from processes or places. Conclusions: Medication error reporting is a multidimensional phenomenon with internal and external factors impacting nurses’ attitudes and willingness to report errors. Nurses need support from leadership to understand that reporting medication errors can improve practice and impact patient outcomes.

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Section: Discussionmentioning

confidence: 83%

Section: Data Collectionmentioning

confidence: 99%

mentioning

confidence: 99%

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An Exploration of Nurses’ Attitudes and Beliefs on Reporting Medication Errors

Schuermann,

Arkin,

Loerzel

2024

Journal of Nursing Care Quality

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“…It is possible that medication errors and near misses were underreported, which is consistent with prior studies and our previous work. 45 The underreporting of medication errors and near misses limits our ability to confirm the relationship between medication errors and fatigue. Fatigue was measured using a self-report measure.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Examining the Relationship Between Nurse Fatigue, Alertness, and Medication Errors

Farag,

Gallagher,

Carr

2024

West J Nurs Res

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Background: Working for extended hours in a physically and mentally demanding profession has subjected nurses to occupational fatigue. Limited evidence exists about nurse fatigue and alertness changes throughout shift work and their relationship with medication errors and near misses. Purpose: The purposes of this study were to: (1) assess the relationship between nurses’ fatigue and alertness, (2) evaluate nurses’ fatigue and alertness changes throughout their shift, and (3) examine the relationship between nurses’ fatigue, alertness, and medication errors and near misses. Methods: This prospective study is part of a larger mixed-method study. Fatigue and alertness data from 14 work and non-workdays were collected from a convenience sample of 90 nurses. A wearable actigraph (ReadibandTM) was used to measure alertness, while ecological momentary assessment (EMA) using text messaging was used to measure nurses’ fatigue. Results: A 1-unit increase in fatigue was associated with a 1.06-unit reduction in nurses’ alertness score (β = –1.06, 95% CI: [–1.33, –0.78], p < .01). Night-shift nurses experienced a 31-point reduction in alertness from the start to the end of the work shift. Nurses’ fatigue, but not alertness, was associated with medication errors and near misses (OR = 1.26, 95% CI [1.07, 1.48], p = .01). Conclusion: Initiating fatigue mitigation measures during mid-shift, especially for night-shift nurses, may be a viable option to mitigate fatigue and alertness deterioration among nurses and to maintain patient safety. The multifaceted nature of fatigue, as captured by EMA, is a stronger predictor of medication errors and near misses than device-measured alertness.

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“…2 Accurate and complete ME reporting is essential to quality improvement efforts, as are holding healthcare providers accountable and implementing effective initiatives to promote safety in health care. 3 However, the literature estimates that 25-70% of all MEs are reported. 4 According to the Institute for Safe Medication Practices, these ME reporting rates underrepresent the real figure and are "just the tip of iceberg".…”

Section: Introductionmentioning

confidence: 99%

Explanatory factors relating to medication error reporting among emergency medicine clinicians: A qualitative study

Bakhshi

Nasrabadi

Mitchell

et al. 2023

Journal of Patient Safety and Risk Management

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Objectives We used an in-depth qualitative approach to investigate the factors that contribute to medication error (ME) reporting among emergency department (ED) clinicians. More specifically, we explored the explanatory factors relating to underreporting by the different staff involved in ED medication management, the underlying processes involved in clinician and manager responses to MEs, and programmatic factors that impede and facilitate ME reporting. Methods We applied a purposive maximum variation sampling to recruit interview participants in nursing, medical, and pharmacy roles. We conducted semistructured interviews based on an interview guide. We performed a thematic analysis of all data and developed a general content model. Results The developed model shows how the series of extracted themes—norms of reporting, reporting culture, and evaluation and feedback—affect one another. The theme norms of reporting were mainly influenced by clinicians’ knowledge and attitudes. The theme of reporting culture directly affected ME reporting. Evaluation and feedback affected all factors that contributed to ME reporting. Participants’ intention to report was mainly affected by the extent to which the reporting led to an obvious outcome. Conclusions The comprehensive model of ME reporting provides guidance for healthcare leaders who strive to increase such reporting. The model encompasses broad concepts that are not limited to ME reporting and may be applicable to improving reporting for all kinds of medical errors.

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Nurses’ Safety Motivation: Examining Predictors of Nurses’ Willingness to Report Medication Errors

Cited by 8 publications

References 39 publications

An Exploration of Nurses’ Attitudes and Beliefs on Reporting Medication Errors

An Exploration of Nurses’ Attitudes and Beliefs on Reporting Medication Errors

Examining the Relationship Between Nurse Fatigue, Alertness, and Medication Errors

Explanatory factors relating to medication error reporting among emergency medicine clinicians: A qualitative study

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