Medical Errors and Barriers to Reporting in Ten Hospitals in Southern Iran|
Khammarnia, Mohammad; Ravangard, Ramin; Barfar, Eshagh & Setoodehzadeh, Fatemeh
Background: International research shows that medical errors (MEs) are a major threat to
patient safety. The present study aimed to describe MEs and barriers to reporting them in Shiraz
public hospitals, Iran.
Methods: A cross-sectional, retrospective study was conducted in 10 Shiraz public hospitals
in the south of Iran, 2013. Using the standardised checklist of Shiraz University of Medical Sciences
(referred to the Clinical Governance Department and recorded documentations) and Uribe
questionnaire, we gathered the data in the hospitals.
Results: A total of 4379 MEs were recorded in 10 hospitals. The highest frequency (27.1%) was
related to systematic errors. Besides, most of the errors had occurred in the largest hospital (54.9%),
internal wards (36.3%), and morning shifts (55.0%). The results revealed a significant association
between the MEs and wards and hospitals (p < 0.001). Moreover, individual and organisational
factors were the barriers to reporting ME in the studied hospitals. Also, a significant correlation was
observed between the ME reporting barriers and the participants’ job experiences (p < 0.001).
Conclusion: The medical errors were highly frequent in the studied hospitals especially in the
larger hospitals, morning shift and in the nursing practice. Moreover, individual and organisational
factors were considered as the barriers to reporting MEs.
medical errors; hospital incident reporting; refusal to participate; hospitals; Iran