Patient safety and medical errors: knowledge, attitudes and behavior among Italian hospital physicians

Flotta, Domenico; Rizza, Paolo; Bianco, Aida; Pileggi, Claudia; Pavia, Maria

doi:10.1093/intqhc/mzs014

Cited by 39 publications

(45 citation statements)

References 28 publications

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“…They pointed out that qualification in medical education should be upgraded and that branching in nursing education is very important. Understanding what are the main factors that cause medical errors and developing effective practices to overcome them is essential in ensuring patient safety (28).…”

Section: Discussionmentioning

confidence: 99%

A research on examination of medical errors through court judgments

Çakmak¹,

Demi̇r²,

Kidak³

2017

J Turgut Ozal Med Cent

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Aim: Medical errors are one of the most important and chronic problems of health care systems. In this study, medical error cases decided by the Supreme Court were examined. Material and Methods: The work is retrospective, descriptive and analytical, and it is limited to civil court decisions on a suit for error. Sixty court decisions that were randomly selected in the study were obtained via www.yargitay.gov.tr and www.kazanci.com.tr. The decisions were examined in detail by researchers. Results: According to the research result, it is understood that the medical errors mostly occur in gynecology and obstetrics and general surgery branches. Treatment errors are the most important cause of medical errors. Material and moral damage ranks first, and death ranks the second due to medical errors. It has been revealed that the predominant responsibilities of medical errors are on physicians in large part. The two most common causes of medical errors are the choice of the wrong treatment method and surgical errors. Conclusion: In the light of the analyzes, it is seen that medical errors are largely human-induced factors. Therefore, establishing mechanism to minimize medical errors, increasing the level of awareness of medical staff about medical errors, to minimize wrong treatment method and surgical errors thought to be effective strategies to prevent medical errors.

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Section: Discussionmentioning

confidence: 99%

A research on examination of medical errors through court judgments

Çakmak¹,

Demi̇r²,

Kidak³

2017

J Turgut Ozal Med Cent

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“…Vincent JL et al in 1998 [25] who conducted a research on medical error disclosure among physicians in the European Union region, found that 32% of doctors would disclose a medical error and 63% would play down the incident and blame it on something else. In an Italian national study conducted by Domenico Flotta et al in 2012 [26] reported that 90.2% of doctors felt that they should not conceal medical errors that occur while providing clinical management.…”

Section: Discussionmentioning

confidence: 99%

The intention to disclose medical errors among doctors in a referral hospital in North Malaysia

Rashid

2017

BMC Med Ethics

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BackgroundIn this study, medical errors are defined as unintentional patient harm caused by a doctor’s mistake. This topic, due to limited research, is poorly understood in Malaysia. The objective of this study was to determine the proportion of doctors intending to disclose medical errors, and their attitudes/perception pertaining to medical errors.MethodsThis cross-sectional study was conducted at a tertiary public hospital from July- December 2015 among 276 randomly selected doctors. Data was collected using a standardized and validated self-administered questionnaire intending to measure disclosure and attitudes/perceptions. The scale had four vignettes in total two medical and two surgical. Each vignette consisted of five questions and each question measured the disclosure. Disclosure was categorised as “No Disclosure”, “Partial Disclosure” or “Full Disclosure”. Data was keyed in and analysed using STATA v 13.0.ResultsOnly 10.1% (n = 28) intended to disclose medical errors. Most respondents felt that they possessed an attitude/perception of adequately disclosing errors to patients. There was a statistically significant difference (p < 0.001) when comparing the intention of disclosure with perceived disclosures. Most respondents were in common agreement that disclosing an error would make them less likely to get sued, that minor errors should be reported and that they experienced relief from disclosing errors.ConclusionMost doctors in this study would not disclose medical errors although they perceived that the errors were serious and felt responsible for it. Poor disclosure could be due the fear of litigations and improper mechanisms/procedures available for disclosure.

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“…Reducing unnecessary follow‐ups releases capacity for the treatment of new patient referrals. Furthermore, higher reporting of clinical and nonclinical errors can lead to improved quality and lower costs . While some patient safety–related incidents are inevitable, it is generally accepted that many are preventable.…”

Section: Datamentioning

confidence: 99%

Hospital productivity: The role of efficiency drivers

Ali

Salehnejad

Mansur

2019

Health Planning & Management

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Summary A major feature of health‐care systems is substantial variation in hospital productivity. Hospital productivity varies widely across countries. The presence of such variation suggests potential areas for improvement, which can substantially lower health‐care costs. This research aims to investigate factors that may explain variations in hospital productivity by constructing a longitudinal data (panel) on English NHS hospital trusts. It also seeks to explore possible interactions among the factors in a data–driven manner. We employ unbiased panel regression tree techniques from the machine‐learning literature to explore the complex interactive structure of the data. We next use econometric panel regression to deal with individual hospital effects to identify some of the determinants of hospital productivity. The findings point to the significance of efficiency‐enhancing mechanisms for hospital productivity, including measures to reduce the length of stay, increase day case (outpatient) surgery rate, and to minimize errors. Further, such measures are shaped by more fundamental factors such as the availability of human capital and management practices. Our results underscore the importance of within‐hospital efficiency‐enhancing mechanisms to cost‐adjusted hospital productivity. Improving hospital operational processes will enhance productivity. At a deeper level, human capital and management practices are likely to be most critical.

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Patient safety and medical errors: knowledge, attitudes and behavior among Italian hospital physicians

Abstract: The results from our study highlight that greater efforts are needed to facilitate the translation of positive attitudes towards patient safety into appropriate practices that have proven to be effective in the reduction of medical errors.

Cited by 39 publications

References 28 publications

A research on examination of medical errors through court judgments

A research on examination of medical errors through court judgments

The intention to disclose medical errors among doctors in a referral hospital in North Malaysia

Hospital productivity: The role of efficiency drivers

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