Jundishapur Scientific Medical Journal

Jundishapur Scientific Medical Journal

Investigating the frequency of all types of medical errors and their associated factors in the cases referred to the general medical council organization in Guilan province during 2010-2018

Document Type : Original Article

Authors
Kourosh Delpasand 1
Zahra Ahmadnia 2
Gelareh Biazar 3
Soheil Soltanipour 4
Mirsaeed Attarchi 5
1 Associate Medical Ethics Professor of School of Medicine Guilan University of Medical Sciences, Rasht, Iran
2 Phd by research student in epidmiology, Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
3 Department of Anesthesiology, Anesthesiology Research Center, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran.
4 Associate Professor of Community Medicine Department of Community Medicine, School of Medicine GI Cancer Screening and Prevention Research Center Guilan University of Medical Sciences.
5 Department of Forensic Medicine, School of Medicine Inflammatory Lung Diseases Research Center Razi Hospital Guilan University of Medical Sciences, Rasht, Iran.
10.32592/jsmj.23.6.549
Abstract
Background and Objectives Ensuring patient safety and preventing medical errors and adverse events in healthcare facilities is currently a matter of great importance and global concern. It becomes a greater concern in the light of patients' rights and the right to have healthcare.This study was conducted with the aim of investigating the frequency of medical errors and their associated factors.
Subjects and Methods This descriptive study was conducted in 2023. Medical error cases were investigated between 2010 and 2018. Study information was extracted with the help of a checklist made by the researchers, after reviewing the files by the executive team and project colleagues. Due to the extreme importance of maintaining the confidentiality of the collected data, the checklists were recorded without mentioning the names and details of the individuals. The data was analyzed by SPSS software version 21 and the data was reported descriptively (percentage and frequency).
Results: In the current study, out of 721 medical error cases investigated, 139 people (19.2%) died. 10.1% of health care errors, 45.3% of people involved in the case were men. The most common places where medical errors occurred were public hospitals and then private clinics.
Conclusion According to the results of this research, the amount of medical errors has been increasing in recent years in the province, and the most complaints were related to obstetrics and gynecology. Considering the importance of the issue, it is necessary to implement practical interventions, including more accurate monitoring and surveillance systems, in order to improve the conditions.

Highlights

 

  • Rodziewicz TL, Houseman B, Hipskind JE. Medical error reduction and prevention. in StatPearls [Internet]. 2021, StatPearls Publishing.
  • Robertson JJ, Long B. Suffering in silence: medical error and its impact on health care providers. The Journal of emergency medicine. 2018 Apr 1;54(4):402-9. [10.1016/j.jemermed.2017.12.001] [PMID]
  • Doshmangir L, Ravaghi H, Akbari Sari A, Mostafavi H. Challenges and solutions facing medical errors and adverse events in Iran: a qualitative study. Journal of Hospital. 2016 Jun 10;15(1):31-40.
  • Okpoko C, Ofuebe JI, Ugwu UC. Healthcare professionals awareness of the consequences of medical error on patients. JPMA. The Journal of the Pakistan Medical Association. 2018 Dec 1;68(12):1816-9. [PMID]
  • Mendonca VS, Schmidt ML. Physicians’ attitudes regarding the disclosure of medical errors: A qualitative study. Health psychology research. 2020 Oct 10;8(2). [10.4081/hpr.2020.8929] [PMID]
  • Costa LB, Godinho Filho M. Lean healthcare: review, classification and analysis of literature. Production Planning & Control. 2016 Jul 26;27(10):823-36.
  • Makary MA, Daniel M. Medical error—the third leading cause of death in the US. Bmj. 2016 May 3;353. [10.1136/bmj.i2139] [PMID]
  • Yanchuk AO, Zaporozhchenko AO, Katerynchuk IP, Kuznichenko SO, Kryzhanovska OV. Legal consequences, measures of prevention and reduction of medical malpractice cases (errors). Патологія. 2019(16,№ 1):124-30.
  • Aljabari S, Kadhim Z. Common barriers to reporting medical errors. The Scientific World Journal. 2021;2021(1):6494889. [10.1155/2021/6494889] [PMID]
  • Jabari F, Ooshaksaraie M, Azadehdel M, Mehrabian F. Relationship between patient safety culture and professional conduct of nurses in context of clinical governance implementation. Journal of Holistic Nursing And Midwifery. 2015 Sep 10;25(3):27-33.
  • Khammarnia M, Ravangard R, Barfar E, Setoodehzadeh F. Medical errors and barriers to reporting in ten hospitals in southern Iran. The Malaysian journal of medical sciences: MJMS. 2015 Jul;22(4):57. [PMID]
  • Gómez-Durán EL, Martin-Fumadó C, Benet-Travé J, Arimany-Manso J. Malpractice risk at the physician level: Claim-prone physicians. Journal of Forensic and Legal Medicine. 2018 Aug 1;58:152-4. [10.1016/j.jflm.2018.06.004] [PMID]
  • Studdert DM, Bismark MM, Mello MM, Singh H, Spittal MJ. Prevalence and characteristics of physicians prone to malpractice claims. New England journal of medicine. 2016 Jan 28;374(4):354-62. [10.1056/NEJMsa1506137][PMID]
  • Albolino S, Bellandi T, Cappelletti S, Di Paolo M, Fineschi V, Frati P, Offidani C, Tanzini M, Tartaglia R, Turillazzi E. New rules on patient’s safety and professional liability for the Italian Health Service. Current Pharmaceutical Biotechnology. 2019 Jul 1;20(8):615-24. [2174/1389201020666190408094016][PMID]
  • Gómez-Durán EL, Vizcaíno-Rakosnik M, Martin-Fumadó C, Klamburg J, Padrós-Selma J, Arimany-Manso J. Physicians as second victims after a malpractice claim: An important issue in need of attention. Journal of Healthcare Quality Research. 2018 Sep 1;33(5):284-9. [10.1016/j.jhqr.2018.06.002][PMID]
  • AL JARALLAH, J. and D.R. AL AMOUDI, The attitudes and beliefs of health care providers towards ethical issues in medical errors. Electronic Interdisciplinary Miscellaneous Journal(EIMJ), 2021. 2.
  • -Garrouste-Orgeas M, Perrin M, Soufir L, Vesin A, Blot F, Maxime V, Beuret P, Troché G, Klouche K, Argaud L, Azoulay E. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Intensive care medicine. 2015 Feb;41:273-84. [10.1007/s00134-014-3601-4][PMID]
  • Alavi CE, Sedighinejad A, Biazar G, Yousefshahi F, Nabi BN, Rimaz S, Rafiee E, Mirblook F.: Causes and Consequences of Complaints Against Anesthesiologists: A 5-year Retrospective Study. International Journal of Medical Toxicology and Forensic Medicine. 2018;8(4 (Autumn)):161-6.
  • Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN journal. 2010 Jan 1;91(1):132-45. [10.1016/j.aorn.2009.06.028] [PMID]
  • Patel RS, Bachu R, Adikey A, Malik M, Shah M. Factors related to physician burnout and its consequences: a review. Behavioral sciences. 2018 Oct 25;8(11):98. [10.3390/bs8110098] [PMID]
  • Bagharian H. Amount and reasons of medical errors in documented referral to legal medical of Esfahan. Journal of Health Administration. 2012;9(1).
  • Steyrer J, Schiffinger M, Huber C, Valentin A, Strunk G. Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: A study of intensive care units. Health care management review. 2013Oct1;38(4):306-16. [10.1097/HMR.0b013e318272935a] [PMID]
  • Khammarnia M, Ravangard R, Jahromi M, Moradi A. Survey of the medical errors in public hospitals of Shiraz, 2013. Hosp. 2014;13(3):17-24.
  • Westbrook JI, Li L, Lehnbom EC, Baysari MT, Braithwaite J, Burke R, Conn C, Day RO. What are incident reports telling us? A comparative study at two Australian hospitals of medication errors identified at audit, detected by staff and reported to an incident system. International Journal for Quality in Health Care. 2015 Feb 1;27(1):1-9. [10.1093/intqhc/mzu098] [PMID]
  • Vazin A, Delfani S. Medication errors in an internal intensive care unit of a large teaching hospital: a direct observation study. Acta Medica Iranica. 2012:425-32. [PMID]

 

 

 

 

 

 

Keywords
medical errors
hospital
patient
Subjects

  •  

    • Rodziewicz TL, Houseman B, Hipskind JE. Medical error reduction and prevention. in StatPearls [Internet]. 2021, StatPearls Publishing.
    • Robertson JJ, Long B. Suffering in silence: medical error and its impact on health care providers. The Journal of emergency medicine. 2018 Apr 1;54(4):402-9. [10.1016/j.jemermed.2017.12.001] [PMID]
    • Doshmangir L, Ravaghi H, Akbari Sari A, Mostafavi H. Challenges and solutions facing medical errors and adverse events in Iran: a qualitative study. Journal of Hospital. 2016 Jun 10;15(1):31-40.
    • Okpoko C, Ofuebe JI, Ugwu UC. Healthcare professionals awareness of the consequences of medical error on patients. JPMA. The Journal of the Pakistan Medical Association. 2018 Dec 1;68(12):1816-9. [PMID]
    • Mendonca VS, Schmidt ML. Physicians’ attitudes regarding the disclosure of medical errors: A qualitative study. Health psychology research. 2020 Oct 10;8(2). [10.4081/hpr.2020.8929] [PMID]
    • Costa LB, Godinho Filho M. Lean healthcare: review, classification and analysis of literature. Production Planning & Control. 2016 Jul 26;27(10):823-36.
    • Makary MA, Daniel M. Medical error—the third leading cause of death in the US. Bmj. 2016 May 3;353. [10.1136/bmj.i2139] [PMID]
    • Yanchuk AO, Zaporozhchenko AO, Katerynchuk IP, Kuznichenko SO, Kryzhanovska OV. Legal consequences, measures of prevention and reduction of medical malpractice cases (errors). Патологія. 2019(16,№ 1):124-30.
    • Aljabari S, Kadhim Z. Common barriers to reporting medical errors. The Scientific World Journal. 2021;2021(1):6494889. [10.1155/2021/6494889] [PMID]
    • Jabari F, Ooshaksaraie M, Azadehdel M, Mehrabian F. Relationship between patient safety culture and professional conduct of nurses in context of clinical governance implementation. Journal of Holistic Nursing And Midwifery. 2015 Sep 10;25(3):27-33.
    • Khammarnia M, Ravangard R, Barfar E, Setoodehzadeh F. Medical errors and barriers to reporting in ten hospitals in southern Iran. The Malaysian journal of medical sciences: MJMS. 2015 Jul;22(4):57. [PMID]
    • Gómez-Durán EL, Martin-Fumadó C, Benet-Travé J, Arimany-Manso J. Malpractice risk at the physician level: Claim-prone physicians. Journal of Forensic and Legal Medicine. 2018 Aug 1;58:152-4. [10.1016/j.jflm.2018.06.004] [PMID]
    • Studdert DM, Bismark MM, Mello MM, Singh H, Spittal MJ. Prevalence and characteristics of physicians prone to malpractice claims. New England journal of medicine. 2016 Jan 28;374(4):354-62. [10.1056/NEJMsa1506137][PMID]
    • Albolino S, Bellandi T, Cappelletti S, Di Paolo M, Fineschi V, Frati P, Offidani C, Tanzini M, Tartaglia R, Turillazzi E. New rules on patient’s safety and professional liability for the Italian Health Service. Current Pharmaceutical Biotechnology. 2019 Jul 1;20(8):615-24. [2174/1389201020666190408094016][PMID]
    • Gómez-Durán EL, Vizcaíno-Rakosnik M, Martin-Fumadó C, Klamburg J, Padrós-Selma J, Arimany-Manso J. Physicians as second victims after a malpractice claim: An important issue in need of attention. Journal of Healthcare Quality Research. 2018 Sep 1;33(5):284-9. [10.1016/j.jhqr.2018.06.002][PMID]
    • AL JARALLAH, J. and D.R. AL AMOUDI, The attitudes and beliefs of health care providers towards ethical issues in medical errors. Electronic Interdisciplinary Miscellaneous Journal(EIMJ), 2021. 2.
    • -Garrouste-Orgeas M, Perrin M, Soufir L, Vesin A, Blot F, Maxime V, Beuret P, Troché G, Klouche K, Argaud L, Azoulay E. The Iatroref study: medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Intensive care medicine. 2015 Feb;41:273-84. [10.1007/s00134-014-3601-4][PMID]
    • Alavi CE, Sedighinejad A, Biazar G, Yousefshahi F, Nabi BN, Rimaz S, Rafiee E, Mirblook F.: Causes and Consequences of Complaints Against Anesthesiologists: A 5-year Retrospective Study. International Journal of Medical Toxicology and Forensic Medicine. 2018;8(4 (Autumn)):161-6.
    • Chard R. How perioperative nurses define, attribute causes of, and react to intraoperative nursing errors. AORN journal. 2010 Jan 1;91(1):132-45. [10.1016/j.aorn.2009.06.028] [PMID]
    • Patel RS, Bachu R, Adikey A, Malik M, Shah M. Factors related to physician burnout and its consequences: a review. Behavioral sciences. 2018 Oct 25;8(11):98. [10.3390/bs8110098] [PMID]
    • Bagharian H. Amount and reasons of medical errors in documented referral to legal medical of Esfahan. Journal of Health Administration. 2012;9(1).
    • Steyrer J, Schiffinger M, Huber C, Valentin A, Strunk G. Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: A study of intensive care units. Health care management review. 2013Oct1;38(4):306-16. [10.1097/HMR.0b013e318272935a] [PMID]
    • Khammarnia M, Ravangard R, Jahromi M, Moradi A. Survey of the medical errors in public hospitals of Shiraz, 2013. Hosp. 2014;13(3):17-24.
    • Westbrook JI, Li L, Lehnbom EC, Baysari MT, Braithwaite J, Burke R, Conn C, Day RO. What are incident reports telling us? A comparative study at two Australian hospitals of medication errors identified at audit, detected by staff and reported to an incident system. International Journal for Quality in Health Care. 2015 Feb 1;27(1):1-9. [10.1093/intqhc/mzu098] [PMID]
    • Vazin A, Delfani S. Medication errors in an internal intensive care unit of a large teaching hospital: a direct observation study. Acta Medica Iranica. 2012:425-32. [PMID]

     

     

     

     

     

     

Jundishapur Scientific Medical Journal
Volume 23, Issue 6 - Serial Number 153
January and February 2025
Pages 549-559

  • Receive Date 03 June 2024
  • Revise Date 09 July 2024
  • Accept Date 23 July 2024