Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study

Tanaka, Mika; Takano, Tomoki; Kato, Noritada; Watanabe, Mayumi; Miyaoka, Hiroaki

doi:10.1136/bmjqs-2010-048330

Cited by 20 publications

(33 citation statements)

References 31 publications

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“…Second, these results provide the first evidence of an association between depressive symptoms and perceptions of patient safety in UK hospital nurses. Only a limited number of studies have previously investigated this and have focused on number of perceived errors (Tanaka et al 2012, Saleh et al 2014. This study finds further support for a link between depressive symptoms and safety perceptions in nurses, suggesting this is also present in UK nurses.…”

Section: Discussionsupporting

confidence: 66%

“…Similarly to burnout, depressive symptoms in healthcare staff may have consequences for patient care such as a greater likelihood of cognitive failures and medical errors (Allan et al, 2014, West et al, 2006. However, there has been less research into the consequences of depressive symptoms than burnout and only two studies have investigated depressive symptoms and patient safety amongst nursing staff (Tanaka et al, 2012, Saleh et al, 2014.…”

Section: Introduction Backgroundmentioning

confidence: 99%

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Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

Johnson

Louch

Dunning

et al. 2017

Journal of Advanced Nursing

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Aims The aim of this study was to investigate the relationships between depressive symptoms, burnout and perceptions of patient safety. A mediation model was proposed whereby the association between symptoms of depression and patient safety perceptions was mediated by burnout. Background There is growing interest in the relationships between depressive symptoms and burnout in healthcare staff and the safety of patient care. Depressive symptoms are higher in healthcare staff than the general population and overlap conceptually with burnout. However, minimal research has investigated these variables in nurses. Given the conceptual overlap between depressive symptoms and burnout, there is also a need for an explanatory model outlining the relative contributions of these factors to patient safety. Design A cross‐sectional questionnaire was distributed at three acute NHS Trusts. Method Three‐hundred and twenty‐three hospital nursing staff completed measures of depressive symptoms, burnout and patient safety perceptions (including measures at the level of the individual and the work area/unit) between December 2015 ‐ February 2016. Results When tested in separate analyses, depressive symptoms and burnout facets were each associated with both patient safety measures. Furthermore, the proposed mediation model was supported, with associations between depressive symptoms and patient safety perceptions fully mediated by burnout. Conclusion These results suggest that symptoms of depression and burnout in hospital nurses may have implications for patient safety. However, interventions to improve patient safety may be best targeted at improving burnout in particular, with burnout interventions known to be most effective when focused at both the individual and the organisational level.

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Section: Discussionsupporting

confidence: 66%

Section: Introduction Backgroundmentioning

confidence: 99%

Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

Johnson

Louch

Dunning

et al. 2017

Journal of Advanced Nursing

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“…Previous studies have found that insufficient clinical experience and poor operation skills are partly responsible for medical errors. 6 As in many countries, the process of training Chinese medical students does not include courses related to medical errors. This leads to young surgeons lacking experience in regard to avoiding medical errors at work.…”

Section: Dovepressmentioning

confidence: 99%

“…5 In fact, the causes of medical errors are complex; they include the negligence of medical staff, defective regulations within medical institutions, and excessive workloads. 6 And excessive fatigue from the defective working system had a further negative performance impairment in shift-work for medical staff. 7 On the whole, most medical errors are due to the system, and being system-related, should be fixed by improving the system itself and reducing the risk of errors by managing processes and practices.…”

Section: Introductionmentioning

confidence: 99%

<p>Relating Medical Errors to Medical Specialties: A Mixed Analysis Based on Litigation Documents and Qualitative Data</p>

Liu¹,

Liu²,

Gong³

et al. 2020

RMHP

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Background: We know a great deal about types, causes, and prevention of medical errors, as well as the risks of each medical specialties. Although we know something about medical errors, much remains to be done in this area particularly around effective prevention. However, little is known about whether medical errors are related to medical specialties. Our objective was to categorize and map the distribution of medical errors and analyze their relationships with medical specialties. Methods: First, public cases of medical disputes were searched on "China Judgment Online" according to the key words including medical errors. Second, we set up a database with 5237 medical litigations. After removing unrelated judgment documents, we used systematic random sampling to extract half of these. Then, we hired two frontline physicians with M.D. to review the litigation documents and independently determine the medical errors and the departments in which they took place. A third physician further reviewed the divergent results. After the descriptive statistical analysis and mind map analysis, semi-structured interviews were further conducted with 63 doctors to reveal the relationships mentioned above. Results: More than 97.8% of medical errors occurred in clinical departments. The insufficient implementation of informed consent obligations is the top medical error in all medical departments [internal medical departments (12.86%, N=36), surgical departments (14.57%, N=106), specialist departments (13.16%, N=86)]. The types of medical errors in diverse medical departments might be associated with therapeutic means used by physicians. Errors related to surgical operations were common in surgical departments, errors related to diagnoses were common in internal medicine departments, and errors related to therapy were common in specialist departments. A lack of clinical experience and undesirable work system design have contributed to the occurrence of medical errors. Inadequate human resources and unreasonable shift systems have increased the workload of staff members and this has in turn increased the incidence rate of medical errors. Conclusion: Medical departments are facing medical errors both in humanity and technology. Medical institutions should be alert to the harm caused by medical humanity (mainly including insufficient communication between physicians and patients, insufficient implementation of infringement of informed consent, infringement of patient's privacy and overtreatment). Improving the clinical skill and vigilance of medical staff is a top priority. Medical institutions should also improve undesirable system designs.

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“…The current study was carried out in order to redress that gap in our knowledge. It was guided by the fact that short-term longitudinal studies (e.g., around 6-months) have successfully examined developmental change, such as risks of medical errors (Tanaka et al, 2012) and the effects of workplace bullying on job satisfaction (Rodríguez-Muñoz et al, 2009). The current study was a short-term longitudinal investigation of the SWS hypothesis that social withdrawal syndrome contributes to Bulimia as indexed by Bulimic symptoms during early adolescence.…”

Section: Empirical Support For the Social Withdrawal Syndrome Hypothesismentioning

confidence: 99%

The relation between Bulimic symptoms and the social withdrawal syndrome during early adolescence

Rotenberg

Sangha

2015

Eating Behaviors

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Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study

Cited by 20 publications

References 31 publications

Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

Burnout mediates the association between depression and patient safety perceptions: a cross‐sectional study in hospital nurses

<p>Relating Medical Errors to Medical Specialties: A Mixed Analysis Based on Litigation Documents and Qualitative Data</p>

The relation between Bulimic symptoms and the social withdrawal syndrome during early adolescence

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