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Understanding ICU Nurses' Attitudes Toward Medical Errors and Error Reporting: A Cross-Sectional Study
Muzaffer Berna Doğan1, Ayda Kebapçı
1Muzaffer Berna Doğan is an academician at Istanbul Arel University in Istanbul, Turkey. Ayda Kebapçı is an academician at Koc University, also in Istanbul. Contact author: Muzaffer Berna Doğan, muzafferbernadogan@gmail.com. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Nurses generally have positive attitudes toward medical error reporting, yet many errors go unreported. Factors like age, job satisfaction, and training influence these attitudes, highlighting the need for improved reporting systems and education to enhance patient safety.
Area of Science:
- Nursing
- Patient Safety
- Healthcare Quality
Background:
- Intensive care unit (ICU) care complexity contributes to frequent medical errors.
- Understanding nurses' attitudes and reporting barriers is crucial for error prevention.
Purpose of the Study:
- To identify factors influencing nurses' attitudes toward medical errors.
- To analyze barriers to reporting medical errors by nurses.
Main Methods:
- Descriptive cross-sectional correlational study with 228 ICU nurses.
- Utilized the Theory of Planned Behavior as a conceptual model.
- Collected data via online questionnaire and the Medical Errors Attitude Scale.
Main Results:
- Overall positive attitudes towards medical error reporting were observed.
- Approximately 50% of nurses admitted to making an error, with a significant portion not reporting it.
- Attitudes were significantly influenced by age, clinical role, job satisfaction, training, and whether errors were reported.
Conclusions:
- Nurses recognize the importance of error reporting, but underreporting persists.
- Recommendations include integrating error reporting into education and training, enhancing health technology, and implementing supportive policies.
- Fostering a culture of safety requires non-punitive reporting, legal support, and nursing leadership engagement.
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