Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study
Background: Medical errors and adverse events are the main reasons of many avoidable deaths and imposed expenditures in worldwide health systems. Hence, this study aimed to recognize some challenges, medical errors and adverse events, and to address the appropriate solutions in order to solve them i...
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Tehran University of Medical Sciences
2016-06-01
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doaj-9c9f5591bdbd4913a1b5852090749da12021-09-04T06:26:22ZfasTehran University of Medical Sciencesبیمارستان2008-19282228-74502016-06-011513140Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative StudyLeila Doshmangir0fereshteh Torabi1Hamid Ravaghi2Ali Akbari Sari3Hakimeh Mostafavi4 Assisstant professor, Department of Health Services Management, School of Management and Medical Informatics, Iranian Center of Excellence in Health Management, Health Services Management Research Center Tabriz University of Medical Sciences, Tabriz, Iran Health Technology Assessment Department, Technology Assessment, standards & tariff Health office, Ministry of Health and Medical Education, Tehran, Iran Professor, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran Associated Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, (*Corresponding author), E-mail: Akbarisari@tums.ac.ir PhD candidate in Health Policy, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Background: Medical errors and adverse events are the main reasons of many avoidable deaths and imposed expenditures in worldwide health systems. Hence, this study aimed to recognize some challenges, medical errors and adverse events, and to address the appropriate solutions in order to solve them in the Iranian health system. Materials and Methods: This qualitative study had three main data resources including key informants, national documents and expert panel. Key informants (30 persons) and experts (12 persons) were selected purposefully from macro, meso and micro levels of health system and some other health related organizations. Data were interpreted and analyzed through a mixed (inductive/deductive) thematic framework. Results: Although, most reasons of medical errors were in relation with weak patient security system and low level security culture in hospitals, other factors like manpower, physical and external agents of hospital environment induced these errors as well. The most considerable solutions to decrease the medical errors comprised identification of medical error reasons in different levels of heath system, errors documentation and generation a consolidated system for recognition and following the errors and their main causes. Conclusion: Relieveing the reasons of medical errors and adverse events can be a great step to prevent them. In order to eliminate the medical errors and its challenges, it is necessary to develop the consonant programs in national level via conclusive will of organizations, groups and related individuals.http://jhosp.tums.ac.ir/article-1-5554-en.htmlmedical erroradverse eventschallengessolutionsiran |
collection |
DOAJ |
language |
fas |
format |
Article |
sources |
DOAJ |
author |
Leila Doshmangir fereshteh Torabi Hamid Ravaghi Ali Akbari Sari Hakimeh Mostafavi |
spellingShingle |
Leila Doshmangir fereshteh Torabi Hamid Ravaghi Ali Akbari Sari Hakimeh Mostafavi Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study بیمارستان medical error adverse events challenges solutions iran |
author_facet |
Leila Doshmangir fereshteh Torabi Hamid Ravaghi Ali Akbari Sari Hakimeh Mostafavi |
author_sort |
Leila Doshmangir |
title |
Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study |
title_short |
Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study |
title_full |
Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study |
title_fullStr |
Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study |
title_full_unstemmed |
Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study |
title_sort |
challenges and solutions facing medical errors and adverse events in iran: a qualitative study |
publisher |
Tehran University of Medical Sciences |
series |
بیمارستان |
issn |
2008-1928 2228-7450 |
publishDate |
2016-06-01 |
description |
Background: Medical errors and adverse events are the main reasons of many avoidable deaths and imposed expenditures in worldwide health systems. Hence, this study aimed to recognize some challenges, medical errors and adverse events, and to address the appropriate solutions in order to solve them in the Iranian health system.
Materials and Methods: This qualitative study had three main data resources including key informants, national documents and expert panel. Key informants (30 persons) and experts (12 persons) were selected purposefully from macro, meso and micro levels of health system and some other health related organizations. Data were interpreted and analyzed through a mixed (inductive/deductive) thematic framework.
Results: Although, most reasons of medical errors were in relation with weak patient security system and low level security culture in hospitals, other factors like manpower, physical and external agents of hospital environment induced these errors as well. The most considerable solutions to decrease the medical errors comprised identification of medical error reasons in different levels of heath system, errors documentation and generation a consolidated system for recognition and following the errors and their main causes.
Conclusion: Relieveing the reasons of medical errors and adverse events can be a great step to prevent them. In order to eliminate the medical errors and its challenges, it is necessary to develop the consonant programs in national level via conclusive will of organizations, groups and related individuals. |
topic |
medical error adverse events challenges solutions iran |
url |
http://jhosp.tums.ac.ir/article-1-5554-en.html |
work_keys_str_mv |
AT leiladoshmangir challengesandsolutionsfacingmedicalerrorsandadverseeventsiniranaqualitativestudy AT fereshtehtorabi challengesandsolutionsfacingmedicalerrorsandadverseeventsiniranaqualitativestudy AT hamidravaghi challengesandsolutionsfacingmedicalerrorsandadverseeventsiniranaqualitativestudy AT aliakbarisari challengesandsolutionsfacingmedicalerrorsandadverseeventsiniranaqualitativestudy AT hakimehmostafavi challengesandsolutionsfacingmedicalerrorsandadverseeventsiniranaqualitativestudy |
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