Evaluating medical errors made by nurses during their diagnosis, treatment and care practices

Kahrıman, İlknur; Öztürk, Havva

doi:10.1111/jocn.13341

Cited by 41 publications

(50 citation statements)

References 19 publications

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“…It was reported that there is an increasing rate of medical error committed by nurses. Medical errors have recently emerged as a significant issue as they result to death and disability of patients each year [6]. Other literatures that explore medication administration error recurrently relates inaccuracies to certain professional characteristics, attributes, skills and competencies [7].…”

Section: Introductionmentioning

confidence: 99%

Understanding Philippines Nurses' Competency in the Delivery of Healthcare Services

Feliciano¹,

Boshra²,

Mejia³

et al. 2019

J Pat Care

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Background: Growing rates and causes of medical errors made by nurses have just arisen as a substantial concern that can consequence to mortality and frailty of numerous individuals annually. Evaluating nurses' competency is challenging as no single method is deprived of its assessment. Thus, it led to recognize influencing characteristics towards nurses' competency in healthcare services delivery. Methods: This descriptive, cross-sectional study assessed nurses' competency of a purposive sample of 211 registered nurses employed in selected private and public hospitals of Central Luzon, Philippines. Results: Most of the respondents were under 21-60 years old (mean=31.64, SD=2.46), predominantly single 146 (69.20%), female 131 (62.10%), registered nurses 162 (76.80%) that were permanently employed as staff nurses 128 (60.70%) for 1-30 years in service (mean=6.43, SD=1.85) that earned Php 6,000-60,000 (mean=17.951, SD=3.68) which is less than expected to receive. Overall, nurses had positive perceptions toward their competency (mean 4.49 ± SD 0.88). Among the seven-dimension competency scale, 'legal/ethical practice' was the highest mean score (mean 4.60 ± SD 0.55) reported, while 'teaching-coaching' (mean 4.36 ± SD 0.62) the lowest. Permanent nurses revealed higher self-perceived competencies than non-permanent ones. Comparing nurses' nature of work, nurses had better self-perceived competencies than other field of work. It was also emphasized that demographic and work-related characteristics towards perspective on nursing competency had significant differences using multivariate analyses. Conclusion: This study highlighted nurses' competency in delivering healthcare services in the Philippines. Demographic (marital) and work-related (nature of work, salary, length of service) characteristics affect their competency level. They have greater competency level in their workplace with permanency at work. Finally, the results provided unique theoretical underpinning that expands on previous knowledge and literature on factors that affect the nurses' competency level.

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Section: Introductionmentioning

confidence: 99%

Understanding Philippines Nurses' Competency in the Delivery of Healthcare Services

Feliciano¹,

Boshra²,

Mejia³

et al. 2019

J Pat Care

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show abstract

“…Meanwhile, the results on KPIs signify its connection with some researches' findings where safety in the hospital's clinical environment obtained a positive remark (Paguio and Pajarillo, 2016). This is in contrast, however with the study of Kahriman and Öztürk (2016) revealed the 1,092 nurses' experience on medical errors due to fatigue, communication barriers and insufficient staffing levels.…”

Section: Discussionmentioning

confidence: 82%

“…At a particular note, nurses must always assess and achieve a safe working environment for patients to prevent errors related to medication and blood transfusion, falls, pressure sores and nosocomial infections (Arnetz et al, 2019;Ricklin et al, 2019;Shang et al, 2019). A high safety competency grade creates a positive influence on patients' overall safety due to enhanced teamwork, workshops and processes (Choi et al, 2019;Jin and Yi, 2019;Kahriman and Öztürk, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…*Notwithstanding consistent hospital efforts to produce a positive impact on safety and quality of care, risks and actual harm to patients continue to exist due to nurses' incompetence (Kahriman and Öztürk, 2016). Nurse practitioners who often assume leadership functions claimed malpractice errors in public data gathered from the National Practitioner Data Bank (Sweeney et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Philippine professional core competencies’ impact on nurses’ key performance indicators (KPIs) for patient safety outcomes

al.¹

2020

Int. j. adv. appl. sci.

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Patient safety becomes topmost priority-almost always comparable to the quality of healthcare in the facade of disturbing rates of hospital imprecisions and resultant deaths. Expansive clinical experience, exposure to evidencebased practices and active research engagement can potentially address these problematic consequences. This descriptive-correlational study identified the 304 registered nurses' professional core competencies from selected government and non-government hospitals in the Philippines and determined their impact on KPIs for patient safety outcomes. Most of the nurses' professional core competencies displayed very high grade (x=3.52, SD±0.090) specifically on safe nursing practice (x=3.88, SD±0.087, very high) followed by leadership and management (x=3.68, SD±0.086, very high) and research (x=3.01, SD±0.097, high). KPIs showed an overall mean score of 3.17 (SD±0.418, high) and among the five (5) indicators, blood management (x=3.45, SD±0.0611, very high) and medication safety (x=3.55, SD±0.493, very high) obtained the highest scores. Finally, a significant relationship exists between the nurses' professional core competencies and KPIs for patient safety outcomes and further disclosed a highly positive correlation (r-0.950, p=0.000) that undoubtedly determined the impact of professional core competencies on KPIs. Ultimately, the results concluded the vital importance of safe nursing practice, research, leadership, and management, as professional core competencies in ensuring patient safety in hospitals.

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“…The current study results showed that clinical errors are affected both by individual factors (satisfaction rate, displacement, and staff absence) and systemic factors (training costs, bed occupation, and length of stay average and hospital infections). In general, the reasons for medical errors are put into three groups: human factors like the exhaustion, inadequate training and neglect; organizational factors like the policies, structures of the work place, and unsuitable distribution of personnel; and technical factors such as insufficient automation, insufficient instruments, and inefficient equipment (44).…”

Section: Internal Processes Perspectivementioning

confidence: 99%

Developing a Strategy Map to Improve Public Hospitals Performance with Balanced Scorecard and DEMATEL Approach

Rahimi

Bahmaei²,

Shojaei

et al. 2018

Shiraz E-Med J

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Background: The hospital is a significant part of health systems that presents a complex and vital services. Therefore, performance management of hospitals should be considered especially. BSC model is so helpful and popular for performance management. In using BSC, cause and effect relations is very important, since it helps to apply non-financial to forecast financial performance. Objectives: This study aims to analysis systematic relations between key indicators of hospital performance evaluation, identifying causal relations and prioritizing indicators. Methods: Based on the 4 perspectives described by the balanced scorecard (BSC), the evaluation indicators of hospital performance and key performance indicators (KPIs) were adopted from the related literature and selected by experts' panel, respectively. Then, the decision making trial and evaluation laboratory (DEMATEL) method was employed for the determination of the cause-and-effect relationships between the indicators, differentiation of the effective and significant factors, and construction of the strategy map to ameliorate hospital performance. Results: According to the BSC perspectives, 21 KPIs were selected for evaluation of hospital performance. The highest relationship was found between bed occupancy having the largest R + D value and other indicators, thus illustrating its fundamental role among the indicators. Clinical errors with the greatest value of R-D showed the strongest impacts on the other indicators and was thus named as the "main cause factor" among the indicators. In contrast, the percentage of patient satisfaction with the smallest R-D value was most strongly influenced by the other indicators and therefore, it was known as the "main effect factor" among the indicators. Conclusions: Assessment and improvement of the hospital performance is a complex and multi-dimensional activity. In order to have a powerful assessment system and success in improving hospital performance, instead of a single-dimension, it should be paying attention to all dimensions of performance.

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Evaluating medical errors made by nurses during their diagnosis, treatment and care practices

Abstract: The results of this study could be used to take precautions against nursing medical errors in Turkey and to enhance institutional policies and activities regarding medical errors and patient safety.

Cited by 41 publications

References 19 publications

Understanding Philippines Nurses' Competency in the Delivery of Healthcare Services

Understanding Philippines Nurses' Competency in the Delivery of Healthcare Services

Philippine professional core competencies’ impact on nurses’ key performance indicators (KPIs) for patient safety outcomes

Developing a Strategy Map to Improve Public Hospitals Performance with Balanced Scorecard and DEMATEL Approach

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