To Report or not: The Dilemma of Reporting Medical Errors among Physicians

Saleh M. Aldaqal, Munaser S. Al-Amoodi

Abstract


Objectives: Medical errors (ME) can be an important cause in hindering the improvement in the quality of service provided to patients as well as their wellbeing. Underreporting ME by health professionals might prevent identifying the areas that require attention. This in turn, will not only affect the quality of service provided to patients, but also it might increase the rate of litigation and patient harm. Methods and Materials: In a questionnaire on reporting medical errors (RME), we evaluated demographics of physicians, their knowledge on RME and attitude towards reporting and practice of reporting and/or concealing their errors. Results: Reporting was significantly higher among consultants, (P=0.001). Furthermore, 48% (n=81) confessed committing ME, of which 35% (n=59) had reported it. The majority of participants 81% (n=137) consider reporting ME an ethical issue. Conclusion: There is an agreement amongst physicians that reporting ME is an ethical issue. Reinforcement of RME and reducing ME can be achieved by implementing strict guidelines, training personnel efficiently and using the experience of professionals in their appropriate fields.

 

Keywords: Medical errors; Reporting medical error; Physician attitude


Full Text:

PDF

References


Warrel C, Doshi A, Mayhew J, Thacker E, Mc Colgan P, Yates T, Rohrer J, Ingle G. Quality Improvement project: detecting, instigating and assessing effective hand over techniques. J Neurol Neurosurg Psychiatry. 2013 Nov;84(11):e2.

Rampatiqe R, Gamage S, Peiris S, Lopez AD. Assessing the reliability of causes of deaths reported by the vital registration system in Sri Lanka: Medical records review in Colombo. HIMJ.2013;42(3):20-8.

Cheung KC, Van der Veen W, Bouvy ML,Wensing M, Van den Bent PM, de Smet PA. Classification of medication incidents associated with information technology. J Am Med Info Assoc. 2013 Sep24. doi:10.1136/amiajnl. 2013-001818.

Smith MD, Birch JD, Renshaw M, Ottewill M. Qualitative analysis of factors leading to clinical incidents. Int. J Health Care Qual Assor.2013, 26(6):536-48.

Aljarallah JS, Alrowaiss N. The pattern of medical errors and litigation against doctors in Saudi Arabia. J Family Community Med. 2013 May;20(2):98-105.

Rideout D. ‘Just Culture’ encourages error reporting, improves patient safety. OR Manager. 2013 Jul;29(7):13-5.

Peikari HR, Zakaria MS, Yasin NM, Shah MH, Elhissi A. Role of computerized physician order entery usability in the reduction of prescribing error. Health inform Res. 2013 Jun;19(2):93-101.

James JT. A new, evidence based estimate of patient harms associated with hospital care. J Patient Saf.2013 Sep;9(3):122-8.

Mc Lennan S, Engel S, Ruhe K, Leu A, Schwappach D, Elger B. Implementation status of error disclosure standards reported by Swiss hospitals. Swiss Med Wkly.2013 Jul7:143.

Thomas L, Galla C. Republished: Building a culture of safety through team training and engagement. Postgrad Med J.2013 Jul;89(1053):394-401.

de Boer M, Boeker EB, Ramrattan MA, Kiewiet JJ,Dijkgraat MG,Boermeester MA, Lie-A-Huen L. Adverse drug events in surgical patients: an observational multicenter study. Int J Clin Pharm.2013 Oct. 35(5):744-52.

Lipschultz A, Adverse patient events involving medical devices. Biomed Instrum Technol.2013 Mar-Apr;47(2):152-5.

David G, Gunnarsson CL, Waters HC, Horblyuk R, Kaplan HS. Economic measurement of medical errors using a hospital claims database. Value Health. 2013 May-Apr; 16(2):305-10.

Radley DC, Wasserman MR,Olsho LE, Shoemaker SJ, Spranca MD, Bradshaw B.

Alsafi E, Baharoon SA, Tamim H, Hamdan H, Al Jahdali et al. Physicians attitudes toward reporting medical errors: An observational study at a general hospital in Saudi Arabia . Journal Of Patient safety, 2011; 7(3) :144-147.

Singer SJ, Vogus TJ. Reducing hospital errors: Interventions that build safety culture. Annu Rev Public Health. 2013 ;34:373-96.


Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2019 (CC-BY) Australian International Academic Centre PTY.LTD.

Advances in Bioscience and Clinical Medicine