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Related Experiment Videos

Factors influencing perioperative nurses' error reporting preferences.

Sherry Espin¹, Glenn Regehr, Wendy Levinson

¹Ryerson University School of Nursing, Faculty of Community Services, Toronto, Ontario, Canada.

|March 14, 2007

Summary

Nurses

Related Experiment Videos

Area of Science:

Nursing Practice
Patient Safety
Healthcare Quality

Background:

Effective error reporting is crucial for improving patient safety.
Understanding factors influencing nurses' reporting decisions is essential.

Purpose of the Study:

To investigate how nurses' perceived scope of practice and the seriousness of patient outcomes influence their decisions to report medical errors.
To identify the impact of these factors on formal versus informal error reporting.

Main Methods:

Qualitative study involving interviews with 13 nurses.
Nurses reviewed 52 theoretical incident scenarios varying in scope of practice and outcome severity.
Analysis focused on reporting preferences and justifications.

Main Results:

Only 30 of 52 theoretical incidents were identified as errors by nurses.
Formal reporting was indicated for only 8 incidents; informal reporting for 10.
Perceived scope of practice significantly influenced reporting decisions, while outcome severity was a secondary factor.

Conclusions:

Nurses' reporting behavior is selective, primarily driven by their perceived scope of practice.
This selective reporting, influenced by scope of practice, poses risks to patient safety.
Interventions should address the influence of scope of practice on error reporting systems.