بررسی موانع گزارش دهی خطاهای پزشکی از دیدگاه کارکنان بالینی بیمارستان‌های آموزشی دانشگاه علوم پزشکی شهید بهشتی در شهر تهران 1395

عباس دانش کهن, سعاد محفوظ پور, محمد پالش, فراست فضلی اوچ حصار

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چکیده

زمینه و اهداف: یکی از مهمترین موضوعات در بخش سلامت، کیفیت ارائه مراقبتها میباشد. گزارش دهی خطاها برای پیشگیری و یادگیری از خطاها ضروری است. هدف این مطالعه، شناسایی موانع گزارش دهی خطاها در جهت رفع موانع و بهبود و تشویق گزارش دهی در کارکنان بالینی بود.

مواد و روشها: در این مطالعه مقطعی، 419 نفر از کارکنان بالینی بیمارستانهای آموزشی منتخب دانشگاه علوم پزشکی شهید بهشتی به روش نمونه گیری چند مرحلهای انتخاب شدند. ابزار جمع آوری داده ها، پرسشنامه محقق ساخته 29 موردی موانع گزارش دهی خطا بود که روایی و پایایی آن مورد تایید قرار گرفت. دادهها با استفاده از نرم افزار SPSS20 و آزمونهای آماری تجزیه و تحلیل شد. در کلیه مراحل انجام پژوهش، موازین اخلاقی نظیر محرمانه ماندن نام کارکنان بالینی، مراعات گردید

. یافته ها: میانگین کل موانع گزارش دهی خطا 3/13از 5 بود که در سطح متوسطی قرار داشت. ترس از پیامدهای گزارش دهی با میانگین 3/37و نگرش کارکنان با میانگین 2/70بعنوان مهمترین و کم اهمیت ترین موانع گزارش دهی خطا شناسایی شدند. موانع گزارش دهی با سطح تحصیلات و شیفت کاری رابطه معناداری داشت p<0.05به طوری که موانع گزارش دهی در بین پزشکان و افراد شیفت شب بیشتر بود.

نتیجه گیری: مانع اصلی گزارش دهی خطا، ترس از پیامدهای گزارش دهی بود. مدیران باید رویکرد غیرتنبیهی به خطا در بیمارستان داشته باشند تا کارکنان داوطلبانه خطای خود را گزارش کنند. با افزایش دادههای موجود از طریق گزارش دهی، یادگیری از خطاها افزایش یافته و تغییراتی در فرایندهای بیمارستانی ایجاد میشود.

کلید واژه ها: خطای پزشکی، گزارش دهی خطا، ایمنی بیمار، بیمارستان

موضوع

خطای پزشکی؛ گزارش دهی خطا؛ ایمنی بیمار؛ بیمارستان

تمام متن:

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