OBJECTIVE: To explore the emergent factors influencing nurses' error reporting preferences, scenarios were developed to probe reporting situations in the intensive care unit. SETTING: Three Canadian intensive care unit settings including: one urban academic tertiary hospital, one community hospital and one academic paediatric hospital. RESEARCH METHODOLOGY/ DESIGN: Using qualitative descriptive methodology, semi-structured interviews were guided by a script which included a series of both closed and open-ended questions. One near miss and four error scenarios were used as prompts during the interview. Four of the five scenarios were identical across all the three sites; however, one scenario differed in the community site to reflect the distinct practice environment. MAIN OUTCOME MEASURES: Three key points of analysis included: nurses' error perception, decision to report the scenario and style of reporting (formal and/or informal). RESULTS: At least 81% of the 37 participants stated that they would report the events in the respective scenarios. Deviations from standards of practice emerged as the primary rationale for participants' perception of error. CONCLUSION: Nurses working in the intensive care unit readily perceive and are willing to report errors or near misses; however they may choose informal or formal methods to report. Crown Copyright (c) 2009. Published by Elsevier Ltd. All rights reserved.
OBJECTIVE: To explore the emergent factors influencing nurses' error reporting preferences, scenarios were developed to probe reporting situations in the intensive care unit. SETTING: Three Canadian intensive care unit settings including: one urban academic tertiary hospital, one community hospital and one academic paediatric hospital. RESEARCH METHODOLOGY/ DESIGN: Using qualitative descriptive methodology, semi-structured interviews were guided by a script which included a series of both closed and open-ended questions. One near miss and four error scenarios were used as prompts during the interview. Four of the five scenarios were identical across all the three sites; however, one scenario differed in the community site to reflect the distinct practice environment. MAIN OUTCOME MEASURES: Three key points of analysis included: nurses' error perception, decision to report the scenario and style of reporting (formal and/or informal). RESULTS: At least 81% of the 37 participants stated that they would report the events in the respective scenarios. Deviations from standards of practice emerged as the primary rationale for participants' perception of error. CONCLUSION: Nurses working in the intensive care unit readily perceive and are willing to report errors or near misses; however they may choose informal or formal methods to report. Crown Copyright (c) 2009. Published by Elsevier Ltd. All rights reserved.
Authors: Stephanie Archer; Louise Hull; Tayana Soukup; Erik Mayer; Thanos Athanasiou; Nick Sevdalis; Ara Darzi Journal: BMJ Open Date: 2017-12-27 Impact factor: 2.692