Intent to Report and Reasons not to Report Medication Errors among Health Professionals: Case Study at a Provincial Hospital in Thailand.
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Abstract
Introduction : Medication error reporting was the important tool to use improve quality of health services. Health Professionals were must to learn about seeking medication error, root cause analysis and management system for decrease patient risk. But not reporting medication errors were often problem and data was not utilization. Materials and Methods : The objectives of this research were to examine intent to report and explore reasons for not reporting medication errors among health professionals. Self-reported questionnaires were administered in this survey research. The total participants (n=196) were doctors, pharmacists and nurses who are practicing at Provincial Hospital in Thailand. Data were analyzed by using statistic inferences including mean, standard deviation, percentage, chi-square test and Kruskal Wallis test. Result : The results of the study revealed that all the health professionals were likely to have higher intent to report when the medication errors were more severe. Nevertheless, the physicians gave a higher priority to report those near miss cases more than the other health professionals.The main reasons for not reporting included the high workload that made them busy and forget to report and, fears of being mentioned or blamed from their supervisor, especially among the nurses and pharmacists. However, the physicians did not report the medication errors because they were not certain whom they should report the cases to. Conclusion: The result suggested that some strategies are essential in order to encourage health professionals to report the medication errors more properly including the organization culture and value that instill their support in medication error reporting.
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