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Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors
BACKGROUND: Committing an error is part of the human nature. No health care provider, despite the mastery of their skills, is immune from committing it. Medical error in the labor and obstetrics wards as well as other health units is inevitable and reduces the quality of health care, leading to acci...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598898/ https://www.ncbi.nlm.nih.gov/pubmed/26457089 http://dx.doi.org/10.4103/1735-9066.164502 |
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author | Valiani, Mahboubeh Majidi, Jamileh Beigi, Marjan |
author_facet | Valiani, Mahboubeh Majidi, Jamileh Beigi, Marjan |
author_sort | Valiani, Mahboubeh |
collection | PubMed |
description | BACKGROUND: Committing an error is part of the human nature. No health care provider, despite the mastery of their skills, is immune from committing it. Medical error in the labor and obstetrics wards as well as other health units is inevitable and reduces the quality of health care, leading to accident. Sometimes these events, like the death of mother, fetus, and newborn, would be beyond repair. The purpose of this study was to investigate the perspective of gynecological ward providers about medical errors. MATERIALS AND METHODS: This was a descriptive–analytical study. Sample size was 94 participants selected using census sampling. The study population included all midwives of four hospitals (Al-Zahra, Beheshti, Isa Ben Maryam, and Amin). Data were collected by a self-administered questionnaire and analyzed using SPSS software. RESULTS: This study shows that three factors (human, structural, and managerial) have affected medical errors in the labor and obstetrics wards. From the midwifery perspective, human factors were the most important factors with an average score of 73.26% and the lowest score was related to structural factors with an average score of 65.36%. Intervention strategies to reduce errors, service training program tailored to the needs of the service provider, distribution of the tasks at different levels, and attempts to reform the system instead of punishing the wrongdoer were set in priority list. CONCLUSIONS: Based on the results of this study on the perspectives of participants, among the three factors of medical errors (human factors, structural factors, and management factors), human factors are the biggest threat in committing medical errors. Modification in the pattern of teaching by the midwifery professors and their presence in the hospitals, creating a no-blame culture, and sharing of alerts in medical errors are among appropriate actions in the dimensions of human, structural, and managerial factors. |
format | Online Article Text |
id | pubmed-4598898 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-45988982015-10-09 Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors Valiani, Mahboubeh Majidi, Jamileh Beigi, Marjan Iran J Nurs Midwifery Res Original Article BACKGROUND: Committing an error is part of the human nature. No health care provider, despite the mastery of their skills, is immune from committing it. Medical error in the labor and obstetrics wards as well as other health units is inevitable and reduces the quality of health care, leading to accident. Sometimes these events, like the death of mother, fetus, and newborn, would be beyond repair. The purpose of this study was to investigate the perspective of gynecological ward providers about medical errors. MATERIALS AND METHODS: This was a descriptive–analytical study. Sample size was 94 participants selected using census sampling. The study population included all midwives of four hospitals (Al-Zahra, Beheshti, Isa Ben Maryam, and Amin). Data were collected by a self-administered questionnaire and analyzed using SPSS software. RESULTS: This study shows that three factors (human, structural, and managerial) have affected medical errors in the labor and obstetrics wards. From the midwifery perspective, human factors were the most important factors with an average score of 73.26% and the lowest score was related to structural factors with an average score of 65.36%. Intervention strategies to reduce errors, service training program tailored to the needs of the service provider, distribution of the tasks at different levels, and attempts to reform the system instead of punishing the wrongdoer were set in priority list. CONCLUSIONS: Based on the results of this study on the perspectives of participants, among the three factors of medical errors (human factors, structural factors, and management factors), human factors are the biggest threat in committing medical errors. Modification in the pattern of teaching by the midwifery professors and their presence in the hospitals, creating a no-blame culture, and sharing of alerts in medical errors are among appropriate actions in the dimensions of human, structural, and managerial factors. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4598898/ /pubmed/26457089 http://dx.doi.org/10.4103/1735-9066.164502 Text en Copyright: © Iranian Journal of Nursing and Midwifery Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms |
spellingShingle | Original Article Valiani, Mahboubeh Majidi, Jamileh Beigi, Marjan Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors |
title | Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors |
title_full | Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors |
title_fullStr | Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors |
title_full_unstemmed | Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors |
title_short | Perspective of midwives working at hospitals affiliated to the Isfahan University of Medical Sciences regarding medical errors |
title_sort | perspective of midwives working at hospitals affiliated to the isfahan university of medical sciences regarding medical errors |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598898/ https://www.ncbi.nlm.nih.gov/pubmed/26457089 http://dx.doi.org/10.4103/1735-9066.164502 |
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