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Learning from errors in nursing practice

C E Meurier1, C A Vincent, D G Parmar

  • 1Nene College, Northampton, England.

Journal of Advanced Nursing
|July 1, 1997
PubMed
Summary
This summary is machine-generated.

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Nurses

Area of Science:

  • Nursing Practice
  • Patient Safety
  • Healthcare Quality Improvement

Background:

  • Nursing errors are underreported due to staff reluctance.
  • Clinical audit and quality management necessitate error investigation.
  • Understanding error dynamics is crucial for practice improvement.

Purpose of the Study:

  • To examine the causes and consequences of nursing errors.
  • To explore the potential of errors to drive practice changes.
  • To identify effective error management strategies.

Main Methods:

  • A 22-item questionnaire administered to 129 nurses.
  • Nurses reported on errors they had made.
  • Analysis of error causes, consequences, and coping strategies.

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Main Results:

  • Common error causes include lack of knowledge, work overload, and stress.
  • Accepting responsibility and problem-solving led to positive practice changes.
  • Distancing and self-controlling strategies resulted in defensive changes and non-disclosure.
  • Errors demonstrated potential for learning and practice improvement.

Conclusions:

  • Encouraging nurses to accept responsibility for errors within a supportive framework is essential.
  • Developing strategies for constructive error management is needed.
  • Addressing systemic factors like workload and support can reduce errors.