Associations between safety perceptions and medical error reporting among neonatal intensive care unit staff.
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
revised:
05
04
2021
received:
28
12
2020
accepted:
12
04
2021
pubmed:
1
5
2021
medline:
12
10
2021
entrez:
30
4
2021
Statut:
ppublish
Résumé
Critically ill neonates are particularly susceptible to medical errors; however, few studies have evaluated NICU safety climate in the context of medical error reporting. This study aims to identify the association between perceptions of safety and culture among NICU staff with medical error reporting behaviours. This study used a convenience sample of 79 NICU staff members (38 Nurses and 41 Respiratory Therapists). Questionnaires consisted of demographic factors (years of experience, sex and education), the Safety Attitudes Questionnaire (SAQ) and hypothetical medical error reporting scenarios (categorized into minor harm or major harm). The SAQ consists of six domains: job satisfaction, teamwork climate, safety climate, perceptions of management, working conditions and stress recognition. Scores ranged from 0-5, with a 5 indicating a more positive perception. Logistic regression was used to determine statistically significant predictors for each individual harm scenario (odds of being very likely/likely to report vs. all other responses). Among those who completed the study, approximately 84.8% were female. Safety attitude domain scores were similar for both NICU respiratory therapists and nurses across all domains except for job satisfaction and stress. Respiratory therapists reported higher levels of job satisfaction compared to nurses (24 vs. 23, respectively, p = 0.01). However, nurses reported higher levels of stress management compared to respiratory therapists (12 vs. 9, respectively, p < 0.01). While we did not find a significant association between safety attitudes and hypothetical medical error reporting, NICU staff overall were more likely to report major medical errors compared to minor medical errors. This study suggests that safety climate may not play a significant role in promoting medical error reporting in the NICU setting. Interventions aimed at increasing medical error reporting should also incorporate established employees rather than targeting new employees only.
Types de publication
Journal Article
Langues
eng
Pagination
3230-3237Subventions
Organisme : Georgia State University Byrdine F. Lewis College Intramural Grant Program 2019-2020
Informations de copyright
© 2021 John Wiley & Sons Ltd.
Références
Asensi-Vicente, J., Jiménez-Ruiz, I., & Vizcaya-Moreno, M. F. (2018). Medication errors involving nursing students: A systematic review. Nurse Educator, 43(5), E1-E5. https://doi.org/10.1097/NNE.0000000000000481
Chedoe, I., Molendijk, H. A., Dittrich, S. T. A. M., Jansman, F. G. A., Harting, J. W., Brouwers, J. R. B. J., & Taxis, K. (2007). Incidence and nature of medication errors in neonatal intensive care with strategies to improve safety: A review of the current literature. Drug Safety, 30(6), 503-513. https://doi.org/10.2165/00002018-200730060-00004
DiCuccio, M. H. (2015). The relationship between patient safety culture and patient outcomes: A systematic review. Journal of Patient Safety, 11(3), 135-142. https://doi.org/10.1097/PTS.0000000000000058
ELMeneza, S., & AbuShady, M. (2020). Anonymous reporting of medical errors from The Egyptian Neonatal Safety Training Network. Pediatrics and Neonatology, 61(1), 31-35. https://doi.org/10.1016/j.pedneo.2019.05.008
Hartnell, N., MacKinnon, N., Sketris, I., & Fleming, M. (2012). Identifying, understanding and overcoming barriers to medication error reporting in hospitals: A focus group study. BMJ Quality & Safety, 21(5), 361-368. https://doi.org/10.1136/bmjqs-2011-000299
Horbar, J. D., Carpenter, J. H., Badger, G. J., Kenny, M. J., Soll, R. F., Morrow, K. A., & Buzas, J. S. (2012). Mortality and neonatal morbidity among infants 501 to 1500 grams from 2000 to 2009. Pediatrics, 129(6), 1019-1026. https://doi.org/10.1542/peds.2011-3028
Kaldjian, L. C., Jones, E. W., Wu, B. J., Forman-Hoffman, V. L., Levi, B. H., & Rosenthal, G. E. (2008). Reporting medical errors to improve patient safety: A survey of physicians in teaching hospitals. Archives of Internal Medicine, 168(1), 40-46. https://doi.org/10.1001/archinternmed.2007.12
Keers, R. N., Williams, S. D., Cooke, J., & Ashcroft, D. M. (2013). Causes of medication administration errors in hospitals: A systematic review of quantitative and qualitative evidence. Drug Safety, 36(11), 1045-1067. https://doi.org/10.1007/s40264-013-0090-2
Kiymaz, D., & Koç, Z. (2018). Identification of factors which affect the tendency towards and attitudes of emergency unit nurses to make medical errors. Journal of Clinical Nursing, 27(5-6), 1160-1169. https://doi.org/10.1111/jocn.14148
Levine, K. J., Carmody, M., & Silk, K. J. (2020). The influence of organizational culture, climate and commitment on speaking up about medical errors. Journal of Nursing Management, 28(1), 130-138. https://doi.org/10.1111/jonm.12906
Makary, M. A., & Daniel, M. (2016). Medical error-the third leading cause of death in the US. BMJ (Clinical Research Ed.), 353, i2139. https://doi.org/10.1136/bmj.i2139
Menon, N. K., Shanafelt, T. D., Sinsky, C. A., Linzer, M., Carlasare, L., Brady, K. J. S., Stillman, M. J., & Trockel, M. T. (2020). Association of physician burnout with suicidal ideation and medical errors. JAMA Network Open, 3(12), e2028780. https://doi.org/10.1001/jamanetworkopen.2020.28780
Murphy, T., Bender, J., Taub, M., Tucker, R., & Laptook, A. (2016). The neonatal preventable harm index: A high reliability tool. Journal of Perinatology, 36(8), 676-680. https://doi.org/10.1038/jp.2016.50
Nguyen, M.-N.-R., Mosel, C., & Grzeskowiak, L. E. (2018). Interventions to reduce medication errors in neonatal care: A systematic review. Therapeutic Advances in Drug Safety, 9(2), 123-155. https://doi.org/10.1177/2042098617748868
Pereira-Lima, K., Mata, D. A., Loureiro, S. R., Crippa, J. A., Bolsoni, L. M., & Sen, S. (2019). Association between physician depressive symptoms and medical errors: A systematic review and meta-analysis. JAMA Network Open, 2(11), e1916097. https://doi.org/10.1001/jamanetworkopen.2019.16097
Pham, J. C., Aswani, M. S., Rosen, M., Lee, H., Huddle, M., Weeks, K., & Pronovost, P. J. (2012). Reducing medical errors and adverse events. Annual Review of Medicine, 63, 447-463. https://doi.org/10.1146/annurev-med-061410-121352
Profit, J., Etchegaray, J., Petersen, L. A., Sexton, J. B., Hysong, S. J., Mei, M., & Thomas, E. J. (2012). The Safety Attitudes Questionnaire as a tool for benchmarking safety culture in the NICU. Archives of Disease in Childhood - Fetal and Neonatal Edition, 97(2), F127-132. https://doi.org/10.1136/archdischild-2011-300612
Profit, J., Lee, H. C., Sharek, P. J., Kan, P., Nisbet, C. C., Thomas, E. J., Etchegaray, J. M., & Sexton, B. (2016). Comparing NICU teamwork and safety climate across two commonly used survey instruments. BMJ Quality & Safety, 25(12), 954-961. https://doi.org/10.1136/bmjqs-2014-003924
Raju, T. N. K., Suresh, G., & Higgins, R. D. (2011). Patient safety in the context of neonatal intensive care: Research and educational opportunities. Pediatric Research, 70(1), 109-115. https://doi.org/10.1203/PDR.0b013e3182182853
Rothenberger, D. A. (2017). Physician burnout and well-being: A systematic review and framework for action. Diseases of the Colon and Rectum, 60(6), 567-576. https://doi.org/10.1097/DCR.0000000000000844
Samra, H. A., McGrath, J. M., & Rollins, W. (2011). Patient safety in the NICU: A comprehensive review. The Journal of Perinatal & Neonatal Nursing, 25(2), 123-132. https://doi.org/10.1097/JPN.0b013e31821693b2
Sexton, J. B., Helmreich, R. L., Neilands, T. B., Rowan, K., Vella, K., Boyden, J., Roberts, P. R., & Thomas, E. J. (2006). The Safety Attitudes Questionnaire: Psychometric properties, benchmarking data, and emerging research. BMC Health Services Research, 6, 44. https://doi.org/10.1186/1472-6963-6-44
Vrbnjak, D., Denieffe, S., O'Gorman, C., & Pajnkihar, M. (2016). Barriers to reporting medication errors and near misses among nurses: A systematic review. International Journal of Nursing Studies, 63, 162-178. https://doi.org/10.1016/j.ijnurstu.2016.08.019
Weaver, S. J., Lubomksi, L. H., Wilson, R. F., Pfoh, E. R., Martinez, K. A., & Dy, S. M. (2013). Promoting a culture of safety as a patient safety strategy: A systematic review. Annals of Internal Medicine, 158(5 Pt 2), 369-374. https://doi.org/10.7326/0003-4819-158-5-201303051-00002