Volume 13, Issue 4 (Autumn 2024)                   aumj 2024, 13(4): 254-264 | Back to browse issues page


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Norouzinia R, Shyasi K, Khedmatizare M, Rahmatpour P. Designing and Evaluating Psychometric Properties of two scales of the Factors Contributing to Errors and Reporting Barriers in the Operating Room from the Viewpoints of Student. aumj 2024; 13 (4) :254-264
URL: http://aums.abzums.ac.ir/article-1-1686-en.html
1- 1. Assistant Professor, Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
2- BSC Student of Surgical Technology, Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
3- MSc student in Medical Surgical Nursing, Tehran University of Medical Sciences, Tehran, Iran
4- Post-doctorate Researcher, Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
Abstract:   (679 Views)
Introduction: Patient safety is crucial for effective healthcare delivery, and operating rooms (ORs) are among the most hazardous environments in hospitals. Identifying factors that contribute to errors and barriers to reporting them is essential. This study aimed to design and evaluate the psychometric properties of scales measuring factors influencing error occurrence and barriers to error reporting in the OR, as perceived by operating room and anesthesia students in 2022.
Methods: This cross-sectional analytical study was conducted in 2022 with 270 operating room and anesthesia students from Alborz University of Medical Sciences. Two scales were developed: one for “factors affecting the occurrence of errors” and another for “barriers to error reporting,” informed by literature review and expert panel insights. The scales underwent evaluation for face, content, and construct validity, as well as reliability assessment.
Results: Following revisions for face validity, the content validity ratio (CVR) and content validity index (CVI) for all items exceeded 0.62 and 0.7, respectively. Exploratory factor analysis revealed four factors for the error occurrence scale: individual factors (8 items), educational-skill factors (6 items), environmental factors (4 items), and managerial factors (4 items). Cronbach's alpha values ranged from 0.79 to 0.90, and McDonald's omega values from 0.7 to 0.87. For the error reporting scale, three factors emerged: legal consequences (11 items), management factors (4 items), and reporting process (4 items). Cronbach's alpha for these factors ranged from 0.86 to 0.95, and McDonald's omega from 0.7 to 0.89.
Conclusion: The developed scales demonstrated acceptable validity and reliability, making them suitable for assessing the factors influencing errors and reporting barriers in ORs from the perspective of operating room and anesthesia students. Addressing these factors can enable educational and medical managers to implement effective strategies to enhance patient safety by reducing errors and improving the reporting process in hospital ORs.
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Type of Study: Research | Subject: Special
Received: 2023/07/22 | Accepted: 2023/12/06 | Published: 2024/11/30

References
1. Chen I-C, Li H-H. Measuring patient safety culture in Taiwan using the Hospital Survey on Patient Safety Culture (HSOPSC). BMC Health Services Research. 2010; 10(1):152. [DOI:10.1186/1472-6963-10-152. PMid:20529246 PMCid:PMC2903582]
2. Bodur S, Filiz E. Validity and reliability of Turkish version of Hospital Survey on Patient Safety Culture and perception of patient safety in public hospitals in Turkey. BMC Health Services Research.2010; 10(28):1-9. [DOI:10.1186/1472-6963-10-28. PMid:20109186 PMCid:PMC2835702]
3. Zwart DL, Langelaan M, van de Vooren RC, Kuyvenhoven MM, Kalkman CJ, Verheij TJ, et al. Patient safety culture measurement in general practice. Clinimetric properties of'SCOPE'. BMC Fam Pract. 2011; 12(117):1-7. [DOI:10.1186/1471-2296-12-117. PMid:22040087 PMCid:PMC3228702]
4. Elliott RA, Lee CY, Beanland C, Vakil K, Goeman D. Medicines Management, Medication Errors and Adverse Medication Events in Older People Referred to a Community Nursing Service, A Retrospective Observational Study.Drugs Real World Outcomes 2016;3:13-24. [DOI:10.1007/s40801-016-0065-6. PMid:27747809 PMCid:PMC4819471]
5. Gorji HA, Ravaghi H, Pirouzi M, Mansourzade A. Utilizing integrated prospective and retrospective risk analysis Method on general processes patient flow in operating room in Seyed Alshohada Hospital in Semirom, Iran. Health Information Management 2013; 3:1-10.
6. khammarnia m, ravangard r, ghanbari jahromi m, moradi a. Survey of Medical Errors in Shiraz Public Hospitals: 2013. Hospital. 2014; 13(3): 17-24. [In Persian].
7. Ugur E, Kara S, Yildirim S, Akbal E. Medical errors and patient safety in the operating room. Age. 2016; 33(6.53):19-50.
8. Weerakkody RA, Cheshire NJ, Riga C, Lear R, Hamady MS, Moorthy K, et al. Surgical technology and operating-room safety failures: A systematic review of quantitative studies. BMJ Quality and Safety. 2013; 22(9): 710-8. DOI: 10.1136/bmjqs-2012-001778. [DOI:10.1136/bmjqs-2012-001778. PMid:23886892]
9. Zagheri Tafreshi M, Rassouli M, Zayeri F, Pazookian M. Development of nurses' medication error model: Mixed method. Quarterly Journal of Nersing Management. 2014; 3(3): 50-3. [In Persian].
10. Schwappach DL, Frank O, Davis RE. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Journal of evaluation in clinical practice. 2013; 19(5): 840-8. DOI: 10.1111/j.1365-2753.2012. 01861. X. [DOI:10.1111/j.1365-2753.2012.01861.x. PMid:22639922]
11. Ontario HQ. Patient safety learning systems: A systematic review and qualitative synthesis. Ontario health technology assessment series. 2017; 17(3): 1.
12. farzi s, Abedi HA, Ghodousi A, Yazdannik AR. Medication Errors Experiences of Nurses Who Working in Hospitals of Isfahan at 2014. Journal of qualitative Research in Health Sciences. 2014; 2(4): 310-9. [In Persian]
13. Louis MY, Hussain LR, Dhanraj DN, Khan BS, Jung SR, Quiles WR, et al. Improving patient safety event reporting among residents and teaching faculty. Ochsner J. 2016; 16(1): 73-80.
14. Sarhadi M, Sheikhbardsiri H, Dastras M, Moein H. A Comparative Study of Barriers to Reporting Medication Errors in Nursing Students in Zahedan University of Medical Sciences, Iran, in 2013. Journal of Management Medical and Information School 2014; 2 (1): 38-46. [In Persian].
15. Heidari S, Shahabinejad M, Soltani A, Abdoli F. Rate and type of medication errors and factors in preventing the report of them in the nursing students. Community Health journal. 2013; 2, 3(7): 48-55. [In Persian].
16. Kouhestani H, Baghcheghi N. Refusal in Reporting Medication Errors from the Viewpoints of Nursing Students in Arak University of Medical Sciences. Iranian Journal of Medical Education 2009; 8(2): 285-91. [In Persian].
17. Yaghoobi M, Navidian A, Charkhat-Gorgich EA-H, Chackerzahi F, Salehiniya H. Survey of medication errors in nursing student and reasons for not reporting it from their perspective. Journal of nurse and physician within war 2015; 3 (6): 5-11. [In Persian].
18. Chard R. How perioperative Define, Attribute Causes of, and React to Intraoperative nursing errors, Duquesne University. 2006; 1-156.
19. Taifoori L, Valiee S. Understanding or Nurses' Reactions to Errors and Using This Understanding to Improve Patient Safety. ORNAC Journal 2015; 33 (3): 13-22.
20. Azarabad Sh, Zaman SS, Nouri B, Vallie S. Frequency, Causes and Reporting Barriers of Nursing Errors in the operating Room, Journal of Medical Education Research. 2017; 1-27. [In Persian]. [DOI:10.29252/rme.10.2.18]
21. Nemati M, Mohammedzade zarandkesh Sh, Ebrahimi Abianeh E. Investigating the Causes and Factors Affecting Errors in the Operating room. Staff perspective. Journal of Medical Sciences Azad University of Medical Sciences. 2018; 28; 153-161. [In Persian]. [DOI:10.29252/iau.28.2.153]
22. Anderson B, Stumpf PG, Schulkin J. Medical error reporting, patient safety, and the physician. J patient saf. 2009; 5(3): 176-9. DOI: 10.1097/PTS.0b013e3181b320b0 PMID: 19927051. [DOI:10.1097/PTS.0b013e3181b320b0. PMid:19927051]
23. Hannani S, Khachian A, Haghani H, Rahmani V. Identification of Medical Errors Reporting Barries from the Viewpoints of Operating Room Technologists in Educational and Therapeutic Centers Affiliated to Iran University of Medical Sciences, Journal of Military Caring Sciences. 2020; 7(1): (Serial Number: 23) [In Persian]. [DOI:10.29252/mcs.7.1.53]
24. Vahedi Sh, Rezaei S, Nouri B, Valiee S. A Survey on the Causes of Not Reporting Medication Errors in Nursing Students of Kurdistan University of Medical Sciences, Zanco Medical Sciences. 2017; 19-31.[ In Persian].
25. Khalili Z, Shamsizadeh M, Fallahian Gh, Tohidi Sh, Ali-Mohammadi N, Tapak L. The Types and Causes of Medication Errors and Barries in Reporting it in Internship Nursing Midwifery Faculty, Journal of Scientific Researchers. 2019; 17(3): 16-25 doi:10.29252/psj.17.3.16. [DOI:10.52547/psj.17.3.16]
26. Rahmatpour P, Peyrovi H, Sharif Nia H. Development and psychometric evaluation of postgraduate nursing student academic satisfaction scale. Nursing Open. 2021 May;8(3):1145-56. [DOI:10.1002/nop2.727. PMid:34482656 PMCid:PMC8046041]

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