BACKGROUND: To increase error reporting, a better understanding of physicians' and nurses' perspectives regarding medical error reporting in hospitals, barriers to reporting, and possible ways to increase reporting is necessary. METHODS: Nine focus groups--four with 49 staff nurses, two with 10 nurse managers, and three with 30 physicians--from 20 academic and community hospitals were conducted in May-June 2002 in the St. Louis metropolitan area. Qualitative analysis of focus group transcripts characterized participants' perspectives. RESULTS: Although participants knew they should report errors associated with serious adverse events, there was much uncertainty about reporting less serious errors or near misses. Nurses were more knowledgeable than physicians about how to report errors. All groups mentioned barriers to reporting, such as fear of reprisals and lack of confidentiality, time, and feedback after an error is reported. Some physicians doubted the benefit of reporting errors, but, generally, both physicians and nurses agreed that reporting was intended to change practice and policy to promote patient safety. CONCLUSIONS: A culture characterized by anonymous reporting, freedom from repercussions, and feedback about error reports should promote error reporting.
BACKGROUND: To increase error reporting, a better understanding of physicians' and nurses' perspectives regarding medical error reporting in hospitals, barriers to reporting, and possible ways to increase reporting is necessary. METHODS: Nine focus groups--four with 49 staff nurses, two with 10 nurse managers, and three with 30 physicians--from 20 academic and community hospitals were conducted in May-June 2002 in the St. Louis metropolitan area. Qualitative analysis of focus group transcripts characterized participants' perspectives. RESULTS: Although participants knew they should report errors associated with serious adverse events, there was much uncertainty about reporting less serious errors or near misses. Nurses were more knowledgeable than physicians about how to report errors. All groups mentioned barriers to reporting, such as fear of reprisals and lack of confidentiality, time, and feedback after an error is reported. Some physicians doubted the benefit of reporting errors, but, generally, both physicians and nurses agreed that reporting was intended to change practice and policy to promote patient safety. CONCLUSIONS: A culture characterized by anonymous reporting, freedom from repercussions, and feedback about error reports should promote error reporting.
Authors: Paula Garrett; C Andrew Brown; Susan Hart-Hester; Elgenaid Hamadain; Corey Dixon; William Pierce; William J Rudman Journal: Perspect Health Inf Manag Date: 2006-10-25
Authors: Alisa Khan; Maitreya Coffey; Katherine P Litterer; Jennifer D Baird; Stephannie L Furtak; Briana M Garcia; Michele A Ashland; Sharon Calaman; Nicholas C Kuzma; Jennifer K O'Toole; Aarti Patel; Glenn Rosenbluth; Lauren A Destino; Jennifer L Everhart; Brian P Good; Jennifer H Hepps; Anuj K Dalal; Stuart R Lipsitz; Catherine S Yoon; Katherine R Zigmont; Rajendu Srivastava; Amy J Starmer; Theodore C Sectish; Nancy D Spector; Daniel C West; Christopher P Landrigan; Brenda K Allair; Claire Alminde; Wilma Alvarado-Little; Marisa Atsatt; Megan E Aylor; James F Bale; Dorene Balmer; Kevin T Barton; Carolyn Beck; Zia Bismilla; Rebecca L Blankenburg; Debra Chandler; Amanda Choudhary; Eileen Christensen; Sally Coghlan-McDonald; F Sessions Cole; Elizabeth Corless; Sharon Cray; Roxi Da Silva; Devesh Dahale; Benard Dreyer; Amanda S Growdon; LeAnn Gubler; Amy Guiot; Roben Harris; Helen Haskell; Irene Kocolas; Elizabeth Kruvand; Michele Marie Lane; Kathleen Langrish; Christy J W Ledford; Kheyandra Lewis; Joseph O Lopreiato; Christopher G Maloney; Amanda Mangan; Peggy Markle; Fernando Mendoza; Dale Ann Micalizzi; Vineeta Mittal; Maria Obermeyer; Katherine A O'Donnell; Mary Ottolini; Shilpa J Patel; Rita Pickler; Jayne Elizabeth Rogers; Lee M Sanders; Kimberly Sauder; Samir S Shah; Meesha Sharma; Arabella Simpkin; Anupama Subramony; E Douglas Thompson; Laura Trueman; Tanner Trujillo; Michael P Turmelle; Cindy Warnick; Chelsea Welch; Andrew J White; Matthew F Wien; Ariel S Winn; Stephanie Wintch; Michael Wolf; H Shonna Yin; Clifton E Yu Journal: JAMA Pediatr Date: 2017-04-01 Impact factor: 16.193
Authors: Steven M Handler; Subashan Perera; Ellen F Olshansky; Stephanie A Studenski; David A Nace; Douglas B Fridsma; Joseph T Hanlon Journal: J Am Med Dir Assoc Date: 2007-10-22 Impact factor: 4.669