Document Type : Original Article


1 Department of Social Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Faculty of Health, University of Technology, Sydney, Australia


Introduction and Objective: Nowadays medical errors are one of the serious issues in the
health‑care system and carry to account of the patient’s safety threat. The most important
step for achieving safety promotion is identifying errors and their causes in order to recognize,
correct and omit them. Concerning about repeating medical errors and harms, which were
received via theses errors concluded to designing and establishing medical error reporting
systems for hospitals and centers that are presenting therapeutic services. The aim of this study
is the recognition of medical errors’ reporting system dimensions in educational hospitals.
Materials and Methods: This research is a descriptive‑analytical and qualities’ study, which
has been carried out in Shahid Beheshti educational therapeutic center in Isfahan during 2012.
In this study, relevant information was collected through 15 face to face interviews. That each
of interviews take place in about 1hr and creation of five focused discussion groups through
45 min for each section, they were composed of Metron, educational supervisor, health officer,
health education, and all of the head nurses. Concluded data interviews and discussion sessions
were coded, then achieved results were extracted in the presence of clear‑sighted persons and
after their feedback perception, they were categorized. In order to make sure of information
correctness, tables were presented to the research’s interviewers and final the corrections
were confirmed based on their view. Finding: The extracted information from interviews and
discussion groups have been divided into nine main categories after content analyzing and
subject coding and their subsets have been completely expressed. Achieved dimensions
are composed of nine domains of medical error concept, error cases according to nurses’
prospection, medical error reporting barriers, employees’ motivational factors for error reporting,
purposes of medical error reporting system, error reporting’s challenges and opportunities,
a desired system characteristics, and the quality of error experiences’ transmission in the
health‑care system. Conclusion: Although, appropriate achievements have been assured
in Shahid Beheshti Hospital, but it seems
necessary that in order to immune promotion
not only in this hospital, but in the other
organizations, necessary infrastructures have
been provided for an error reporting system
performance. An appropriate medical error
reporting system could be educated and
prevent the occurrence of repeated errors.


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