Barriers and Strategies of Workplace Culture for Reporting Medication Errors As Perceived By Nurses: A Comparative Study

The present study aimed to assess nurses’ Perceptions of workplace culture for medication errors reporting in Taif-hospitals(KSA) and Assiut University Hospital(upper -Egypt), identify and compare barriers that prevent nurses from reporting medication errors and exploring the strategies which might encourage them to report errors in both hospitals. Methods :Analytic -comparative design was used ,One tool included two parts: First part : A structured interview questionnaire was designed to collect demographic data , Second part: Consists of two parts : 9 questions regarding information about barrier of reporting medication error and 5 questions regarding strategies to improve reporting of errors. The sample consisting of 300 (nurses) from different hospitals in Taif , Saudi Arabia and Assiutupper Egypt were selected randomly .Results: There are many barriers preventing reporting of errors ,the highest barriers were administration factors and lowest barriers regarding reporting process(8.89±1.9 and 4.5±0.9,respectively). Also, There is statistical significant differences were found between the place of hospitals regarding the barriers, (P=.00) and (P = .000); age regarding administrative factors as barriers of reporting the medication errors,(P=.02) , working departments regarding the barriers of reporting,(P =.000); and years of experience regarding fear factors as a barriers of reporting, (P =.01). Also, there was significant difference between the Sociodemographic data of the respondents and strategies of reporting errors. Conclusion and recommendation: The results of this study indicated that the highest perceived barriers to medication administration error (MAE) reporting were administration factors followed by fear factors, and then factors related to the process of reporting from the nurse's opinion in Taif and Assiut hospitals. Also the study indicated that new technology, open communication with health team and feelings safe about working environment were the most strategies of reporting medication errors . The following recommendations were made: A designed in-service training program for all nurses about processes of medication error reporting and -Use of new technology for reporting errors. keywords:Medication errors ,Culture of blame, barriers and strategies. تاضزممنا زظو ةهجو هم ةيئاودنا ءاطخلأا ميجسج هع ممعنا ناكم ةفاقث تايجيجازحساو عواىم : ةوراقم ةسارد صخهي ىنإ ةساردنا ثفده : ٍي ثبضزًًنا عُي زجإح تَربمئ ذيذححٔ ، تيئأذنا ءبطخلأ ميجسح ٍع مًعنا ٌبكي تفبمثن ثبضزًًنا ثارٕصح ىييمح تكهًًنبب فئبطنا ثبيفشخسي ٍي مك يف تيئأذنا ءبطخلأا ٍع غلابلإن ثبضزًًنا عيجشح ذل يخنا ثبيجيحازخسلاا فبشكخسأ تيئأذنا ءبطخلأا ميجسح طٕيسأ ثبيفشخسي ٔ تيدٕعسنا تيبزعنا زصي ذيعصب . هىيعنأ ذخا قزط : ٍيأزج ٍي ٌٕكخح ةذحأ ةادأ جيذخخسا : لولأا ءزجنا : ،تيفازغًٕيذنا ثبَبيبنا عًجن ٌبيبخسا ىيًصح ىح يواثنا ءزجنا : ٍي ٌٕكخئ ٍيأزج : 9 ءبطخلأا ٍع غلابلإا ٍيسحح ثبيجيحازخسا ٍع ّهئسا سًخ مًشي يَبثنأ تيئأذنا ءبطخلأا ميجسح عَإي لٕح ثبيٕهعًنا مًشح تهئسأ . ٍي تُيع ٌٕكخح 300 ثبضزًًنا ٍي ( 150 ٔ تيدٕعسنا تيبزعنا تكهًًنا ،فئبطنا ثبيفشخسًب 150 طٕيسأ ثبيفشخسي ٍي زصي ذيعصب ) ىح ذلٔ بيئإشع ىْربيخخا ةجيحىنا : زيربمخنا داذعإ يف جَبك ّبسَ ىَدأٔ ، تيرادلإا ميإعنا جَبك ّبسَ ىهعأ ،ءبطخلأا ٍع غلابلإا ٌٔد لٕحح يخنا زجإحنا ٍي ذيذعنا نبُْ ( 8.89 ± 1.9 ٔ 4.5 ± 0.9 ينإخنا ىهع ، ) . ٍيب تللاع ذجٕح ٔ ،ثبيجيحازخسلاأ زجإحنا ٌأشب ثبيفشخسًنا ٍكبيا ٍيب حضأ قزف نبُْ ،بضيأ تيئأذنا ءبطخلأا ٍع غلابلان زجإح تببثًب زيربمخنا داذعا ميبعٔ فٕخنا ميبعٔ تيرادلإا ميإعنا ٔ ةزبخنا ثإُسٔ وبسلأٔ ٍسنا . ٌبك ،بضيأ تيئأذنا ءبطخلأا ٍيسحح ثبيجيحازخسأ تُيعنا دازفلأ تيفازغًٕيذنأ تيعبًخجلاا ثبَبيبنا ٍيب زيبك قزف نبُْ . تصلاخنا ةيصىحناو : جئبخَ ثربشأ ٍي زيربمخنا داذعا تيهًعب تمهعخًنا ميإعنا ىث ٍئ ،فٕخنا ميإع بٓيهح ،ٍييرادلإا ميإعنا جَبك ىنإ زظُي زجإحنا ىهعأ ٌأ ىنإ تسارذنا ِذْ طٕيسأ ٔ فئبطنا ثبيفشخسي يف ثبضزًًنا ءار ا للاخ . تحصنا كيزف عي تحٕخفي لبصحلاا ،ةذيذجنا بيجٕنُٕكخنا ٌأ ىنإ تسارذنا ثربشأ بًك تيئأذنا ءبطخلأا ٍع غلابلإا ٍيسحح ثبيجيحازخسا ىظعي جَبك مًعنا تئيب لٕح تُيآ زعبشًنأ . ةيناحنا تايصىحنا ثمدقو : بيرذح جيبَزب ىيًصح تيئأذنا ءبطخلأا عًُن ّثيذحنأ بيجٕنُٕكخنا واذخخسا ّيفيكٔ تيئأذنا ءبطخلأا بُجح لٕح ثبضزًًنأ ٍيضزًًنا عيًجن Barriers And Strategies Of Workplace Culture For Reporting Medication Errors As Perceived By... DOI: 10.9790/1959-0503017789 www.iosrjournals.org 78 | Page