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Development of the Barriers to Error Disclosure Assessment Tool.
Darlene Welsh1, Dominique Zephyr2, Andrea L Pfeifle3
1From the College of Nursing.
Journal of Patient Safety
|July 4, 2017
Summary
A new tool assesses barriers to medical error disclosure among healthcare providers. The Barriers to Error Disclosure Assessment tool demonstrates preliminary validity and reliability for measuring these critical factors.
Area of Science:
- Healthcare quality and safety
- Medical education and interprofessional practice
- Health professions research
Background:
- Medical error disclosure is crucial for patient safety and trust.
- Identifying barriers to disclosure is essential for improving reporting practices.
- Existing assessment tools may not comprehensively capture these barriers.
Purpose of the Study:
- To develop and pilot the Barriers to Error Disclosure Assessment tool.
- To measure perceived barriers to medical error disclosure among healthcare providers.
- To establish the preliminary validity and reliability of the assessment tool.
Main Methods:
- Literature review and modified Delphi process for item generation.
- Pilot testing with physicians, pharmacists, and nurses at an academic medical center.
- Statistical analysis including intraclass correlation coefficients and factor analysis for reliability and validity.
Main Results:
- The final 31-item tool demonstrated fair to good test-retest correspondence (ICC 0.43-0.70).
- Factor analysis identified four key barrier categories: confidence/knowledge, institutional, psychological, and financial concerns.
- High Cronbach's alpha coefficients (0.82-0.95) supported the tool's reliability.
Conclusions:
- The Barriers to Error Disclosure Assessment tool is a valid and reliable instrument.
- It effectively measures healthcare providers' perceptions of barriers to medical error disclosure.
- The tool can inform interventions to improve error disclosure practices.
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