Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: a scoping review

Aghighi, Negar; Aryankhesal, Aidin; Raeissi, Pouran

doi:10.18502/jmehm.v15i7.11049

Cited by 4 publications

(3 citation statements)

References 43 publications

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“…However, participants also discussed lack of participatory management from leadership which demonstrates lack of teamwork on the part of leadership. Lack of team cohesion can lead to medical errors which are detrimental to patient care and outcomes [ 17 ]. Leadership has a key function in promoting teamwork as their contributions can have a direct impact on organizational culture [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing mid-career female physician burnout in the military health system: finding joy in practice after the COVID-19 pandemic

Korona-Bailey,

Janvrin,

Shaw

et al. 2024

BMC Public Health

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Background Rates of physician burnout increased during the COVID-19 pandemic and are expected to continue to rise. Mid-career physicians, female physicians, and military physicians have all been identified as potentially vulnerable populations to experience burnout. We examine factors associated with physician burnout among this intersectional group through a qualitative key informant interview study. Methods We developed a semi-structured interview guide using the Institute for Healthcare Improvement’s Improving Joy in Work Framework and recruited military, mid-career female physicians who worked in the Military Health System(MHS) during the COVID-19 pandemic, (March 2020 -December 2021). Notes were collated and deductive thematic analysis was conducted. Results We interviewed a total of 22 mid-career female physician participants. Participants were between 30 and 44 years of age and 7 were mothers during the pandemic. Most were White and served in the Army. All participants discussed the importance of building rapport and having a good relationship with coworkers. All participants also described their discontentment with the new MHS GENESIS electronic health record system. An emerging theme was military pride as most participants were proud to serve in and support the military population. Additionally, participants discussed the negative impact from not feeling supported and not feeling heard by leadership. Conclusions Much like providers in other health systems during the pandemic, MHS physicians experienced burnout. This study allowed us to gather key insights to improve policies for active duty service mid-career female military physicians. Provider inclusion, autonomy, and work culture play critical roles in future systems improvement and workforce retention.

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Section: Discussionmentioning

confidence: 99%

Assessing mid-career female physician burnout in the military health system: finding joy in practice after the COVID-19 pandemic

Korona-Bailey,

Janvrin,

Shaw

et al. 2024

BMC Public Health

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“…According to their data, pressure ulcers were the most common measurable medical error, followed by postoperative infections and then postlaminectomy syndrome [6] Aghighi et al reported that 2 main categories of factors were identified as influential in error recurrence: human factors (fatigue, stress, inadequate knowledge) and environmental and organizational factors (ineffective management, distractions, poor teamwork). The six effective strategies for preventing error recurrence included the use of electronic systems, attention to human behaviors, proper workplace management, workplace culture, training, and teamwork [7].…”

Section: Our Missionmentioning

confidence: 99%

Learning from medical and surgical errors: a new global insight for patients safety.

De Simone

2024

JMESE

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Medical errors are a pressing global public health challenge today, causing a 10% annual incidence of adverse events, increased patient mortality, and incredibly high costs for healthcare systems worldwide. The Journal of Medical and Surgical Errors’ mission is to recognize, report, and discuss errors through a multidisciplinary approach in order to both minimize error recurrence and enhance patient safety. By investigating the factors influencing error recurrences and effective preventive strategies, we aim to contribute to the reduction of preventable medical errors. Our role extends beyond mere publications; it is a commitment to transformative change in the approach to errors in healthcare. We invite researchers to contribute to building a comprehensive body of knowledge that advances our understanding of errors in medicine and surgery. Together, let us shape a future where transparency, learning, and patient safety are paramount in medical practice.

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“…Nurses, pharmacists, technicians, caregivers and patients themselves are all important participants to discover and reduce ME. [41][42][43] Future studies could be broader interviews, questionnaire surveys (eg, Safety Attitudes Questionnaire) and incident reporting system data follow-ups with safety interventions to evaluate the changes.…”

Section: Subsequent Management Of Mementioning

confidence: 99%

Perceptions of medical error among general practitioners in rural China: a qualitative interview study

Li,

Guo,

Yang

et al. 2023

BMJ Open Qual

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BackgroundMedical error (ME) is a serious public health problem and a leading cause of death. The reported adverse incidents in China were much less than western countries, and the research on patient safety in rural China’s primary care institutions was scarce. This study aims to identify the factors contributing to the under-reporting of ME among general practitioners in township health centres (THCs).MethodsA qualitative semi-structured interview study was conducted with 31 general practitioners working in 30 THCs across 6 provinces. Thematic analysis was conducted using a grounded theory approach.ResultsThe understanding of ME was not unified, from only mild consequence to only almost equivalent to medical malpractice. Common coping strategies for THCs after ME occurs included concealing and punishment. None of the participants reported adverse events through the National Clinical Improvement System website since they worked in THCs. Discussions about ME always focused on physicians rather than the system.ConclusionsThe low reported incidence of ME could be explained by unclear concept, unawareness and blame culture. It is imperative to provide supportive environment, patient safety training and good examples of error-based improvements to rural primary care institutions so that ME could be fully discussed, and systemic factors of ME could be recognised and improved there in the future.

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Factors affecting the recurrence of medical errors in hospitals and the preventive strategies: a scoping review

Cited by 4 publications

References 43 publications

Assessing mid-career female physician burnout in the military health system: finding joy in practice after the COVID-19 pandemic

Assessing mid-career female physician burnout in the military health system: finding joy in practice after the COVID-19 pandemic

Learning from medical and surgical errors: a new global insight for patients safety.

Perceptions of medical error among general practitioners in rural China: a qualitative interview study

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