Document Type : Original Article


Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran


INTRODUCTION: Reporting medical errors is one of the common methods for identifying and
preventing mistakes in‑hospital care. This study was conducted to identify the status of reporting
and related factors in two groups of midwives and midwifery students.
METHODOLOGY: This research was analytic correlational; it was conducted among all the midwives
working in the midwifery and labor departments and midwifery students in Isfahan University of
Medical Sciences. The data collection tool included a checklist of errors and the researcher‑construed
questionnaires of awareness and attitude toward reporting errors. The results were examined using
descriptive and inferential statistics (ANOVA, Pearson and Spearman correlation coefficient, and
independent t‑test) by SPSS software version 20.
RESULTS: In this research, the error reporting in midwifery staff was 79.1% and the most frequent
error was related to the patient’s process of testing; the error reporting among the students was
90% and the most frequent error occurred in the labor processes. The present study also showed
that there was a direct relationship between awareness and attitude toward reporting medical
errors (P < 0.001), while there was not a significant relationship between the midwifery students’
awareness and attitude toward reporting the medical errors (P = 0.31).
CONCLUSION: According to the study, hospital midwives reporting is less than midwifery students.
Accordingly, it is recommended to focus on the error and risk management committee to strengthen
the reporting system.


1. Tekian A. Integrating Patient Safety and Medical Errors in
Undergraduate and Postgraduate Curricula. The AEME
Conference and AKU Symposium on; 26‑27 January, 2013.
2. de Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ,
Boermeester MA. The incidence and nature of in‑hospital adverse
events: A systematic review. Qual Saf Health Care 2008;17:216‑23.
3. Aghighi N, Najaf Pourshanni J, Keshawarz M, Yari Fard KH,
Akbari Pakrou M. Study of the Causes of occurring Medical
Errors and Providing Strategies for Reducing them, First National
Student Congress of Clinical Governance and Continuous
Improvement in Quality, University of Medical Sciences and
Health Services Tabriz treatment; 2012.
4. Sadoughi F, Ahmadi M, Moghadasi H, Sheikh Taheri A. Patient
safety information system: Objectives, structure and duties.J Mazandaran Univ Med Sci 2011;21:174‑88.
5. Arakawa C, Kanoya Y, Sato C. Factors contributing to
medicalerrors and incidents among hospital nurses ‑nurses’
health, qualityof life, and workplace predict medical errors and
incidents. IndHealth 2011;49:381‑8.
6. Chang Y, Mark B. Moderating effects of learning climate on the
impact of RN staffing on medication errors. Nurs Res 2011;60:9‑32.
7. Bagherian Mahmoud Abadi H, Lohrasbi F, Setareh M, Lotfi M.
Frequency and causes of Midwifrey failure in cases referred to
the general office of legal medicine in Isfahan from 2005 to 2009.
Iran J Midwifery Women 2014;17:13‑20.
8. Rahimi B, Jabbari L, Habibzadeh H. Factors affecting nurses’
drug mistakes: A cross‑sectional study from nurses’ viewpoints
in educational and therapeutic centers affiliated to Urmia
university of medical sciences. J Urmia Nurs Midwifery Faculty
9. Emami Afshar N, Jalilvand P, Delawar B, Radpouyan L,
Azemikhah A, Motlagh ME, et al. Mother’s death care system.
Ministry Health Med Educ 2010;2:13‑6.
10. Darabi F, Amlaei KH, Osareh Zadegan M, Seifi F, Razlansari H,
Dastani K, et al. The frequency of nursing and midwifery errors
in cases referred to Medical System Organization and Imam
Reza Hospital of Kermanshah. J Kermanshah Univ Med Sci
11. Johnson AL, Jung L, SongY, Brown KC, Weaver MT, Richards KC.
Sleep deprivation and error in nurses who work the night shift.
J Nurs Adm 2014;44:17‑22.
12. Asadi L, Beigi M, Valiani M, Mardani F. Examining the Types
of Defects in Midwifery Services Based on Cases Referred to
the Medical System Organization and Commission for Legal
Medicine and Providing the Proposed Directive for Preventing
Error in Midwifery Services in Isfahan Province in 2013 [Thesis].
Isfahan: Isfahan University of Medical Sciences and Health
Services, Faculty of Nursing and Midwifery; 2014.
13. Abedzadeh M, Saberi F, Sadat Z. Designing and Implementing an
Educational Program on Registering Report in Patient’s Case for
Midwifery Students of Kashan University of Medical Sciences”,
12th National Conference on Medical Education, vol. 4. Mashhad
University of Medical Sciences; 2011. p. 294.
14. Bahreini S, Beigi M, Valiani M, Rahimi M. Study of the Causes of
Death of pregnant Mothers by Using the Radical Cause Analysis
Method RCA in Isfahan Province in 2013 {Thesis}. Isfahan:
University of Science Medical and Health Services of Isfahan,
Faculty of Nursing and Midwifery; 2014.
15. Waters N, Hall W, Brown H, Palmer L. Perceptions of Canadian
labour and deliver nurses about incident reporting: A qualitative
descriptive focus group study. Int J Nurs Stud 2012;25:16‑23.
16. Sotoudeh Zadeh F, Kharkhlo KH, Sotoudezadeh S, Azami S.
Surveying Medical and Nursing Errors Common in the
Department of Obstetrics and Gynecology in one of the Hospitals
of Shiraz University of Medical Sciences and Presenting Working
Procedures for their Reduction in 2011. Tabriz University of
Medical Sciences, First Congress of Clinical Governance and
Continuous Promotion of the Quality, Article Code 3003; 2011.
17. Hesari B, Ghodsi H, Hossein Abadi M, Chanarani H, Ghodsi A.
Investigating the causes of drug mistakes and the factors affecting
their failure to report them from the viewpoints of nursing staff in
hospitals affiliated to neyshabour university of medical sciences.
J Kerman Univ Med Sci 2014;22:105‑11.
18. Kabirzadeh A, Bozorgi F, Motamed N, Mohseni Saravi B,
Gholipour Baradari A, Dehbandi M. Attitude of hospital
leadership towards the system of voluntary reporting of medical
errors. Mazandaran Univ Med Sci J 2011;21:131‑7.
19. Throckmorton T, Etchegaray JM. Barriers to reporting medication
errors: a measurement equivalence perspective. Qual Saf Health
Care 2010;19:E14.
20. Chianng HY, Lin SY, Hsu SC. Factors determining hospital nurses
failurs in reporting medication errors in Taiwan. Nurs Outlook
21. Beyranvand SH, Valizadeh F, Ghasemi SF, Hossein Abadi R,
Safari M. Investigating the attitude of nursing personnel toward
the obstacles to exposing medical errors to patients in educational
hospitals affiliated to lorestan university of medical sciences.
Quarterly Lorestan Univ Med Sci 2011;7:55‑63.
22. Azimi N, Tadwin Najafabadi M, Ziagham S, Kiani M. Studying
the awareness of medical sciences students of the criminal laws of
midwifery in the field of legal medicine, Jundishapur university of
medical sciences in Ahwaz in 2013. Sci J Legal Med 2013;19:320‑8.
23. Kazem Khanloo M. Medical errors in NICU”, national congress
for the promotion of newborn health at Mashhad University of
Medical Sciences. Mashhad 2012;110.
24. Bozorgzad M, Hemati Z. The frequency of nursing errors and
its related factors in referral files of the death committee of
Shahrekord University of Medical Sciences from 2006‑2012. Clin
Nurs Midwifery J 2015;4:258‑52.
25. Amir Esmaeili MR, Esfandiari A, Esfahani P. Awareness, attitude
and performance of nurses working in hospitals affiliated to Zabol
University of Medical Sciences in relation to comprehensive
caution principles in 2010. J Health Develop Winter 2012;1:298‑305.
26. Amiri M, Sadeghi E, Nazemi S. Awareness and attitude of
physicians and paramedics toward the charter of patients’ rights
in hospitals of Shahroud University of Medical Sciences in 2006.
Quarterly Med Sci Islamic Azad Univ Mashhad Iran 2011;3:151‑7.
27. Ghasemian R, Mahmoudi M, Khalilian A. Knowledge, attitude
and performance of physicians in sari on side effects and
drug reporting system in 2005. J Mazandaran Univ Med Sci
28. Shams SH, Bagherieh F, Feizi A, Baqaee R, Hashemlou L.
Investigating the frequency of drug errors and its reporting from
the viewpoint of nurses based on self‑expression in Khoy hospitals
in 2011. Oroumiah Faculty Nurs Midwifery 2013;5:721‑6.
29. Julayi S, Haji Babaei F, Peyrowi H, Haghani H. Investigating the
occurrence and reporting of medication errors in nurses and its
relationship with working conditions in hospitals affiliated to
Iran University of Medical Sciences. Iran J Ethics Med History
30. Yaghoub M, Navidian A, Cherekht Gargich A, Chakarzehi F,
Salehinia H. The rate of medication errors in nursing students
of Zahedan Faculty of Nursing and the reasons for not reporting
them from their point of view in 2013. Quarterly Phys Nurse
Combat 2015;3:5‑11.
31. Sarsangi V, Khajehvandi A, Zarei E, Abouei Mehrizi E,
Salimabadi M, Honarjoo F. Nurses’ attitude toward work safety
environment in the teaching hospitals in Kashan in 2014. J Soc
Health 2014;8:127‑19.