Prevalence and associated factors of self-reported medical errors and adverse events among operating room nurses in China

Abstract

BackgroundIn recent decades, the prominence of medical errors (MEs) and adverse events (AEs) is fueled by several studies performed across the world. Correspondingly, a high prevalence of medical errors and adverse events have been reported. Operating room nurses (ORNs) were indispensable members of the operating process, and any kind of MEs or AEs from ORNs may cause serious results and even death to the patients. However, to the best of our knowledge, the prevalence and associated factors of MEs and AEs were never reported among ORNs in China, which is the largest country in population and health services quantity in the world.MethodsThis is a cross-sectional study, which was conducted among ORNs in China, and 787 valid questionnaires were analyzed in this study. MEs, AEs, gender, age, married status, religious belief, academic degree, manager or not, working years, working hours/week, physical disease, and mental health were evaluated in this study. MEs were evaluated by eight questions about the occurrence of eight kinds of MEs for the ORNs. For ORNs with MEs, further questions about clinical harm to the patients were interviewed, which analyzed AEs. Kessler 10 was used to evaluate the ORNs' mental health. Logistic regression was conducted to examine the factors associated with MEs and AEs.ResultsThe prevalence of MEs and AEs was 27.7 and 13.9% among ORNs, respectively. The most frequent MEs that occurred among ORNs were from surgical instruments (9.1%), disinfection (9.0%), equipment and consumables (8.9%), and specimen management (7.8%). MEs were positively associated with lower working years, poor mental health, and physical disease. The physical disease was positively associated with AEs.ConclusionThe prevalence of perceived MEs and AEs was at a higher level than other kinds of nurses. Fresh ORNs with physical and mental health problems were the risk population for MEs, and ORNs with physical disease were at a higher risk for AEs. All the findings implied that MEs and AEs were an important issue for ORNs, and ORNs with physical and mental health problems should be paid attention to control MEs and AEs.

Nurses’ perceptions of patient safety competency: A cross-sectional study of relationships with occurrence and reporting of adverse events

“…These findings were consistent with a previous study conducted in Iran [ 30 ] which showed the prevalence of AEs was between 33.1 and 51.1%. Song et al in China revealed that the prevalence of AEs was 13.9% of operating room nurses [ 31 ]. It has approaches recommended such as quality assurance/peer review, evaluation of safety behavior, training and procedures, and root cause analysis to prevent AEs [ 32 ].…”

Relationships among perceived social support, mindful self-care, and resilience among a sample of nurses in three provinces in China: a cross-sectional study

“…The consequences of impaired mental health of nurses are extensive, not only affecting the personal relationships of nurses, but also affecting their ability to effectively fulfill their professional responsibilities ( 8 ). For example, poor mental health may affect their ability to deliver quality care, pose a potential threat to patients safety and increase the incidents of adverse events ( 9 ). In addition, nurses often find themselves at the edge of job burnout in the face of continuous work pressure, and a higher level of resilience is conducive to preventing job burnout ( 10 ).…”