مقایسه میزان گزارش دهی خطا های بیمارستانی به دو روش سیستمیک و گزارش گیری فعال در بیمارستان آموزشی درمانی شهیدان مبینی سبزوار
کد: G-1066
نویسندگان: سمیه کریمی مقدم ©, اعظم شامخی ℗, دکتر سارا بینش, دکتر افسانه تکبیری
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خلاصه مقاله:
خلاصه مقاله
Introduction: Medical error reporting is one of the most important strategic indicators to reduce nursing errors in health care systems. In addition to reducing physical and mental injuries, error reporting reduces patient costs reduces hospital and government costs, and also prevents similar errors from occurring in the future. It is necessary to use an efficient reporting system to record errors electronically in addition to paper, but it is not enough. Considering the obstacles of reporting medical errors and the low reporting of errorsThe present research was conducted in order to compare error reporting through the collection of documents recorded by personnel in the first 6 months of 2023 with active reporting of employees (interviews with personnel) by the presence of an expert from the hospital's quality improvement unit and in the first 6 months of 2024. Method: This study was a descriptive-analytical study that was conducted on 236 employees who were randomly present in the shift (nurses and midwives, doctors and paraclinical personnel) working in a educational and therapeutic hospital under Sabzevar University of Medical Sciences. A valid and reliable questionnaire including the department's characteristics and demographic characteristics and interviews with the personnel and asking questions according to the hospital's error report checklist was conducted by the expert of the quality improvement unit. Results: The number of systemic errors reported in the first 6 months of 2023 was 34, while the reported error was 58 in the first 6 months of 2024. which has increased by 70%. 70% of all reported errors were related to the nursing group. In active reporting of errors from personnel, medication error reporting(160%), systemic errors(140%), errors in physician and nurse attention and treatment(55%), errors related to the identification process(50%), and errors related to the diagnosis process(28.5%) has increased. Conclusion: Considering the high workload of personnel and not having enough time to record and document hospital errors, the presence of safety experts in clinical units and direct interviews with personnel can be effective in identifying and preventing similar errors.
کلمات کلیدی
Hospital error report Nursing reporting