Journal of PeriAnesthesia Nursing
Volume 22, Issue 6 , Pages 400-412 , December 2007

Factors Affecting Incident Reporting by Registered Nurses: The Relationship of Perceptions of the Environment for Reporting Errors, Knowledge of the Nursing Practice Act, and Demographics on Intent to Report Errors

  • Terry Throckmorton, PhD, RN

      Affiliations

    • Corresponding Author InformationAddress correspondence to Dr. Terry Throckmorton, The Methodist Hospital, Department of Nursing, 6565 Fannin Blvd, Houston, TX 77030
    • ,
  • Jason Etchegaray, PhD

References 

  1. Wakefield BJ, Blegen MA, Uden-Holman T, et al. Organizational culture, continuous quality improvement implementation, and medication administration error reporting. Am J Med Qual. 2000;16:128–134
  2. Cohen MR, Anderson RW, Attilio RM, et al. Preventing medication errors in cancer chemotherapy. Am J Health Sys Pharm. 1996;53:737–746
  3. In:  Kohn LT,  Corrigan JM,  Donaldson MS editor. To Err Is Human: Building a Safer Health Care System. Washington DC: National Academy Press; 1999;
  4. Johnson WG, Brennan TA, Newhouse JP, et al. The economic consequences of medical injuries. JAMA. 1992;267:2487–2492
  5. Thomas EJ, Studdert DM, Newhouse JP, et al. Costs of medical injuries in Utah and Colorado. Inquiry. 1992;36:255–264
  6. Brennan TA, Leape LL, Laird NM, et al. Incidence of adverse events and negligence in hospitalized patients. N Engl J Med. 1991;324:370–376
  7. Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events. JAMA. 1991;274:35–43
  8. Barker KN, Pearson RE, Helper CD, et al. Effects of an automated bedside dispensing machine on medication errors. Am J Hosp Pharm. 1984;41:1352–1358
  9. Borel JM, Rascati ML. Effects of an automated nursing unit-based drug-dispensing device on medication errors. Am J Health Sys Pharm. 1995;52:1875–1879
  10. Folli HL, Poole RL, Benitx WE, et al. Medication error prevention by clinical pharmacists in two children's hospitals. Pediatrics. 1987;79:718–722
  11. Lesar TS, Briceland L, Stein DS. Factors related to errors in medication prescribing. JAMA. 1997;277:312–317
  12. Smetzer JL, Cohen MR, Vogel DP. Medication errors: Integrating individual and system accountability. Am J Health Sys Pharm. 1999;56:1263
  13. Hicks RW, Becker SC, Krenzischeck D, et al. Medication errors in the PACU: A secondary analysis of MEDMARX findings. J Perianesth Nurs. 1999;19:18–28
  14. Goeckner B, Gladu M, Bradley J, et al. Differences in perioperative medication errors with regard to organization characteristics. AORN J. 2006;83:351–368
  15. O'Neil AC, Petersen LA, Cook EF, et al. Physician reporting compared with medical-record review to identify adverse medical events. Ann Intern Med. 1993;119:370–376
  16. Pape TM. Searching for the final answer: Factors contributing to medication administration errors. J Cont Educ Nurs. 2001;32:152–160190-191
  17. Crane VS. New perspectives on preventing medication errors and adverse drug events. Am J Health Sys Pharm. 2000;57:690–697
  18. Gunn IP. Patient safety and human error: The big picture. CRNA Clin Forum Nurs Anesth. 2000;11:41–48
  19. Wakefield DS, Wakefield BJ, Uden-Holman T, et al. Understanding why medication administration errors may not be reported. Am J Med Qual. 1999;14:81–88
  20. Wakefield DS, Wakefield BJ, Uden-Holman T. Improving medication administration error reporting systems: Why do errors occur?. Ambul Outreach. 1999;Spring:16-20
  21. Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23:294–300
  22. Flaatten H, Hevroy O. Errors in the intensive care unit (ICU): Experience with anonymous registration. Acta Anaesthesiol Scand. 1995;43:614–617
  23. Antonow JA, Smith AB, Silver MP. Medication error reporting: A survey of nursing staff. J Nurs Care Qual. 2000;15:42–48
  24. Schulmeister L. Chemotherapy medication errors: Descriptions, severity, and contributing factors. Oncol Nurs Forum. 1999;26:1033–1042
  25. Wakefield DS, Wakefield BJ, Uden-Holman T, et al. Understanding and comparing differences in reported medication administration error rates. Am J Med Qual. 1999;14:73–80
  26. Wakefield DS, Wakefield BJ, Uden-Holman T, et al. Perceived barriers in reporting medication administration errors. Best Practices & Benchmarking in Healthcare: A Practical Journal for Clinical and Management Applications. 1996;14:191–197
  27. Wakefield DS, Wakefield BJ, Uden-Holman T, et al. Nurses' perceptions of why medication errors occur. MEDSURG Nurs. 1998;7:39–44
  28. Wakefield DS, Wakefield BJ, Uden-Holman T, et al. Understanding why medication administration errors may not be reported. Am J Med Qual. 1999;14:81–88
  29. Beckmann U, West LF, Groombridge GJ, et al. The Australian Incident Monitoring Study in Intensive Care: The development and evaluation of an incident reporting system in intensive care. Anaesth Intensive Care. 1996;24:314–319
  30. Walker SB, Lowe MJ. Nurses' views on reporting medication incidents. Int J Nurs Pract. 1998;4:97–103
  31. Osborne J, Blais K, Hayes JS. Nurses' perceptions: When is it a medication error?. J Nurs Admin. 1999;29:33–38
  32. Wolf ZR, Serembus JF, Smetzer J, et al. Responses and concerns of healthcare providers to medication errors. Clin Nurs Spec. 2000;14:278–287288-290
  33. Booth B, Carruth AK. Violations of the Nurse Practice Act: Implications for nurse managers. Nurs Manag. 1998;10:35–40
  34. Murphy JP, Connell CC. Violations of the state's Nurse Practice Act: How big is the problem?. Nurs Manag. 1987;18:44–48
  35. Leape LL. Error in medicine. JAMA. 1994;272:1851–1857
  36. Esberger KK. Support for the Nurse Practice Act. Am J Nurs. 1978;78:1907
  37. Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85:527–543

PII: S1089-9472(07)00256-0

doi: 10.1016/j.jopan.2007.09.006

Journal of PeriAnesthesia Nursing
Volume 22, Issue 6 , Pages 400-412 , December 2007

Article Tools