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Medical error and under-reporting causes from the viewpoints of nursing managers: A qualitative study
Razieh Sadat Mousavi-Roknabadi1, Marzieh Momennasab2, Gary Groot3, Mehrdad Askarian4, Brahmaputra Marjadi5
1 Student Research Committee, Department of Community Medicine, Shiraz University of Medical Sciences; Emergency Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, New South Wales, Australia
4 Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences; Health Behavior Science Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Visiting Professor, University of Saskatchewan, Canada
5 School of Medicine, Western Sydney University, Campbelltown, New South Wales, Australia
Correspondence Address:
Mehrdad Askarian
Department of Community Medicine, School of Medicine, Karimkhan-e-Zand Avenue, P.O. Box: 71345- 1737, Shiraz, IR
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijpvm.IJPVM_500_20
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Background: Patient safety as a goal can be achieved by reporting medical errors (ME); however, most errors are never reported. The aim of this study is to explore the causes of ME, and the obstacles in reporting them amongst nurses. Methods: We conducted semi-structural interviews, with 12 nursing managers in the biggest teaching hospital in southern Iran (2015-2016). The interview guide concentrated on the causes of ME and barriers in reporting them. All face-to-face interviews were recorded and transcribed verbatim and analysed using thematic analysis. Results: In this study 4 main themes were extracted for the causes of ME: personal/social characteristics, nonprofessional practice, hospital related factors/organization contextual factors, and poor management. Also, 5 main themes (such as; personal characteristics, fear from reporting, nonprofessional practices, cultural and social factors, and error surveillance system features) were obtained with regards to barriers in reporting. Conclusions: ME can be reduced by improving professional practice and better human resource management. Also, reporting errors can be increased by focusing on cultural and social factors.
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