Purpose This study was conducted to develop strategies for creating an error reporting culture and to assess their effectiveness. Design This study was planned to explore how to improve patient safety. The study used a quasi-experimental 1-group pre-post design. It examined the culture of reporting through an analysis of employees' attitudes toward medical errors, along with rates of medical error reporting. Methods Four different forms were used as data collection tools. The multiple strategies used in this study constituted the research interventions. These strategies were as follows: “Education on Medical Errors and Medical Error Reporting,” “Posting Banners and Posters about the Subject,” “Using Social Networks and Creating a Facebook Page Titled ‘Leaders of Patient Safety’,” “Revising the Institution's Incident/Error Reporting System,” and “Patient Safety Symposium.” Data were evaluated using descriptive statistics and paired sample t test. Results It was determined that medical error reporting rates increased in the first 6 months after the initiative, and this increase continued in the second 6 months. Medical error reports in the institution where this study was conducted increased by 10 times at the end of the first year. Conclusions Multiple strategies applied for creating an error reporting culture and assessing their effectiveness positively affected health professionals' medical error attitudes and increased error reporting rates.

This study examined nurses' ideas, views, and their recommendations for overcoming the barrier of fear in reporting medical errors. Method:The study was conducted using the descriptive qualitative research method. In this study, indepth interviews were conducted with 13 nurses working in a training and research hospital. In the study sample, we included nurses who had completed their institutional orientation, and had been working for at least six months and agreed to participate in the study. Data were analyzed using the content analysis method. Results:The results showed that fears continues to be a key factor in failing to report errors. The study determined three main themes for the elimination of fear: "Training/Informing," "Expectations from Managers," and "Facilitating Initiatives." Conclusions:Fear is an essential barrier in medical-error reporting. The views and recommendations of employees are crucial for solving this problem. The findings of this study are informative for guiding future research and managers.