ArticleHealthcare (Basel, Switzerland)2025
Breaking the Silence: Barriers to Error Disclosure Among Nurses in the Kingdom of Saudi Arabia-A Cross-Sectional Study.
Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Ethical challenges in medical error disclosure among healthcare professionals in teaching hospitals: a qualitative study.BMC nursing · 2026Article
- Communication Barriers in Patient-Provider Interactions in Health Care: Scoping Review.Journal of medical Internet research · 2026Article
- Nurses' Pain Knowledge, Attitudes, and Perceived Barriers to Timely Analgesia in a Saudi Tertiary Hospital: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- The Relationship Between Barriers to Medical Error Disclosure and Patient Safety Culture: A Cross-Sectional Study.Journal of nursing management · 2026Article
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Authors and funding
5 authors.
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Abstract
backgroundMedical errors are common, and in particular, medication errors are one of the leading causes of morbidity and mortality in healthcare. Nurses must disclose errors to build trust and ensure patient safety despite communication barriers and fear of reprisals. Truthful documentation and better collaboration can improve patient outcomes.
aimThe aim of this study was to assess barriers to error disclosure among nurses in the Kingdom of Saudi Arabia.
methodsA descriptive cross-sectional survey was conducted in the months of June and August 2024 using a convenience sample of 255 nurses at King Fahad Hospital (KFH), Hofuf. A self-administered questionnaire that contained socio-demographic questions, as well as the Barriers to Error Disclosure Assessment (BEDA) tool, was deployed.
resultsThe majority of the sample were female (92.2%) and Bachelor's degree holders (80.8%) who had 1-5 or 6-10 years of experience, representing 45.5% and 29.0% of the sample, respectively. When medical errors occur, only 18% of the nurses disclosed them to patients and their families, and 34.5% of the respondents disclosed medical errors to another team of healthcare professionals. The types of barriers to error disclosure were identified as relating to confidence and knowledge barriers, institutional barriers, psychological barriers, and financial concern barriers. The overall barrier score had an average of 63%. The barriers with the highest scores were those relating to psychological barriers (68.2%), followed by institutional barriers (66.5%) and financial concern barriers (64.5%).
conclusionsTargeted interventions are required for addressing the identified specific needs to support healthcare providers, specifically nurses. New regulations and policy changes are crucial for training programs implementation, enhancing safety culture, and tackling job-related insecurities to minimize barriers to error disclosure and ultimately provide better patient care quality. Further investigations may include a different approach, and it is recommended to provide deeper insights into nurse experiences.
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