. Asaad Ranaei; . Hasan Abolghasem Gorji; . Aidin Aryankhesal; . Mostafa Langarizadeh
Volume 10, Issue 10 , October 2020, , Pages 1-11
Abstract
INTRODUCTION: Reporting medical errors is a major challenge in patient safety and improvingservice quality. The purpose of the present study is to investigate the status of error reporting ...
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INTRODUCTION: Reporting medical errors is a major challenge in patient safety and improvingservice quality. The purpose of the present study is to investigate the status of error reporting andthe challenges of developing an error‑reporting system in Iran.METHODS: This study was designed with qualitative approach and grounded theory method inteaching hospitals affiliated to Iran University of Medical Sciences. The views of safety authoritiesat various levels of management, including those responsible for safety at the Ministry of Health,Vice Chancellor and Hospitals affiliated to Iran University of Medical Sciences, were investigated in2019 regarding adverse events.RESULTS: Four major themes were identified included iceberg reporting and disclosure, weakreporting, underreporting, and non‑error disclosure. The most common problems in reportingmedical error were non‑involvement of physicians in the error‑reporting process, structural (humanand information) bugs in root cause analysis sessions, and defective error prevention approachesdesigned based on the failure mode and effects analysis.DISCUSSION: Despite a large number of medical errors occurred in health‑care settings, errorreporting is still very low, with only a limited number of errors being reported routinely in hospitalsand the rest are minor and occasional reports.CONCLUSION: Creating a mandatory error‑reporting system and requiring physicians to report andparticipate in error analysis sessions can create a safety culture and increase the error‑reporting rate.
