Evidence map›Paper›PMID 29922615›Full record

ArticleIranian journal of public health2018

Physicians' Perspectives on Causes of Health Care Errors and Preventive Strategies: A Study in a Developing Country.

Abbas Sheikhtaheri, Monireh Sadeqi-Jabali, Zahra Hashemi-Dehaghi

Abstract read
In one paragraph

Article in Iranian journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Abbas SheikhtaheriHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
Monireh Sadeqi-JabaliDept. of Health Information Technology, Faculty of Paramedical, Kashan University of Medical Sciences, Kashan, Iran.
Zahra Hashemi-DehaghiDept. of Management and Accounting, School of Management, Islamic Azad University, South Tehran Branch, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo prevent health care errors, the main causes and preventive strategies should be identified. The purpose of this study was to identify the causes and preventive strategies of health care errors from the perspectives of physicians.

methodsWe surveyed 250 randomly selected physicians in five teaching hospitals in Tehran, Iran, in 2015. We used a questionnaire with 29 questions regarding causes and 17 ones regarding the preventive strategies. The participants were asked to answer the questions based on Likert's five-point score (1=very low to 5= very high). The data was analyzed using descriptive (frequency, and mean scores) and inferential statistics in SPSS.

resultsManagerial factors (3.6±0.7), personal factors of providers (3.5±0.6), factors related to the patients (3.4±0.71), and the factors pertinent to laboratory and pharmacy (3.2±0.8) were the main causes respectively. The most important preventive strategies were improvement of academic education, better taking past medical history, implementing electronic prescription and increasing healthcare budget.

conclusionHeavy workloads, long work shifts, failure to do thorough examination and to collect detailed history information, providers' fatigue, patients' reluctance to follow orders or to give their complete information, failure to give detailed instruction to patients about the medications, lack or insufficient monitoring and supervising systems, and lack of enough budget were some of the most important causes of errors. Using IT to access patients' information, improving patients' adherence, reducing workload, developing efficient methods for collecting patients' information, dedicating adequate budget for improvement programs are recommended.

Indexed as

Healthcare errorMedical errorPatient safetyPhysician

Identifiers

PMID29922615
PMCPMC6005985

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.