OBJECTIVE: To explore the emergent factors influencing nurses' error reporting preferences, scenarios were developed to probe reporting situations in the intensive care unit.
SETTING: Three Canadian intensive care unit settings including: one urban academic tertiary hospital, one community hospital and one academic paediatric hospital. RESEARCH METHODOLOGY/DESIGN: Using qualitative descriptive methodology, semi-structured interviews were guided by a script which included a series of both closed and open-ended questions. One near miss and four error scenarios were used as prompts during the interview. Four of the five scenarios were identical across all the three sites; however, one scenario differed in the community site to reflect the distinct practice environment.
MAIN OUTCOME MEASURES: Three key points of analysis included: nurses' error perception, decision to report the scenario and style of reporting (formal and/or informal).
RESULTS: At least 81% of the 37 participants stated that they would report the events in the respective scenarios. Deviations from standards of practice emerged as the primary rationale for participants' perception of error.
CONCLUSION: Nurses working in the intensive care unit readily perceive and are willing to report errors or near misses; however they may choose informal or formal methods to report.
- Academic Medical Centers,
- Attitude of Health Personnel,
- Guideline Adherence,
- Health Knowledge,
- Pediatric Hospitals,
- Intensive Care Units,
- Medical Errors,
- Nurse's Role,
- Nursing Methodology Research,
- Nursing Staff,
- Practice Guidelines,
- Qualitative Research,
- Risk Management
Available at: http://works.bepress.com/loreleilingard/58/