Document Type : Original Article


1 MSC in Midwifery, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, PhD Student of Reproductive Health, University of Medical Sciences, Isfahan, Iran

2 Assistant Professor in Reproductive Health, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran,

3 MSC in Midwifery, Research Center for Nursing and Midwifery Care, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

4 MSC in Midwifery, Department of Nursing and Midwifery, Islamic Azad University, Kerman, Iran


INTRODUCTION: Today, the quality of health services is considered to be providing “error‑free”
services, at the right time, by the right person and with the least resources. In recent years, education
through evidence‑based care has been emphasized by health system policymakers as a way to
improve care standards. Therefore, the purpose of this study is to teach clinical error management
to midwifery students in Shahid Sadoughi University of Medical Sciences in Yazd.
METHODS: The present study was performed using consensus‑based methods based on Delphi
technique to identify the most common errors and the best educational solution for its management
with the participation of 21 midwives by purposive sampling method in Shahid Sadoughi University
of Medical Sciences in Yazd in 2018. The rate of agreement was 75% or more. Descriptive statistical
methods and SPSS‑18 software were used for analysis.
RESULTS: The most important errors mentioned were as follows: In the field of hospital care,
it was the scope of care during labor and in clinical care, it was the scope of prenatal care. The
most important error reduction strategies that were considered in the clinical guide in general were
emphasizing the following: active supervision of instructors during the provision of students’ clinical
services, paying attention to the evaluation of service provision with the least incidence of errors in
end‑of‑course evaluation, make changes in clinical teaching methods, attention to the use of active
teaching methods and the use of educational software. The cases were considered separately in
each of the mentioned errors.
DISCUSSION AND CONCLUSION: Incidence of errors in pregnancy and childbirth as the most errors
of midwifery students in the field of hospital and clinical care was agreed on. Therefore, considering
this issue and the importance of preventing errors to provide quality services to mothers and infants,
it seems that it is time to make changes in clinical education in this field by emphasizing the use of
active educational methods.


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