Hidden threats inducing medical errors in Tehran public hospitals

AUTHORS

Amir Ashkan Nasiripour 1 , * , Pouran Raeissi 2 , Seyed Jamaladdin Tabibi 3 , Leyla Keikavoosi Arani 4

1 Associate Professor Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.

2 Associate Professor, School of Management and Medical Information Services, Tehran University of Medical Sciences, Tehran, Iran.

3 Professor Department of Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.

4 PhD in Health Services Management, Science and Research Branch, Islamic Azad University, Tehran, Iran.

How to Cite: Nasiripour A A, Raeissi P, Tabibi S J, Keikavoosi Arani L. Hidden threats inducing medical errors in Tehran public hospitals, Hormozgan Med J. 2011 ; 15(2):e88476.

ARTICLE INFORMATION

Hormozgan Medical Journal: 15 (2); e88476
Published Online: September 13, 2010
Article Type: Research Article
Received: July 18, 2010
Accepted: September 13, 2010

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Abstract

Introduction: Medical errors represent a serious public health problem and pose a threat to
patient safety. This study aimed to determine the hidden threats in the incidence of medical
errors at public hospitals in Tehran.
Methods: In this descriptive study, the population included all process owners (12-person
teams) in public hospitals of Tehran. The sample size was 396 individuals, selected by
stratified sampling technique. A pre-designed questionnaire was completed for each
individual. Factor analysis was used to analysis the data.
Results: In this study, 23 hidden threats in the incidence of medical errors in Tehran public
hospitals got 55.52% of total data variance. Medication information and policies and
procedures were respectively responsible for 7.29% and 5.2% of total variance. More over,
0.96% and 0.87% of the variance were, respectively, related to professional culture and
quality improvement program of hospital.
Conclusion: There are several hidden threats that affect the incidence of medical errors but
are not easily identifiable in Tehran public hospitals. Hospital administrators need to identify
hospitals with hidden threats and plan for their management, particularly in the field of drug
information.

Keywords

Medical Errors - Public Hospitals - Management

© 2011, Hormozgan Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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