ArticleFrontiers in pharmacology2025
Exploring multidimensional determinants of medication error reporting in China: a qualitative study using the theoretical domains framework.
Article in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Medication errors, defined as preventable events leading to inappropriate medication use or patient harm, remain a critical global healthcare challenge. Despite regulatory mandates in China, underreporting remains systemic. Existing research on healthcare professionals' reporting behaviors has been constrained by reliance on isolated theoretical frameworks, which inadequately address the interplay of individual, organizational, and cultural determinants. The aim of this study is to systematically explore barriers and facilitators affecting medication error reporting among Chinese healthcare professionals, using the Theoretical Domains Framework (TDF), a comprehensive behavioral model synthesizing 14 domains. Methods: We conducted semi-structured interviews with 27 nurses, pharmacists, and physicians in Chinese hospitals (July-October 2024). Interviews were guided by the TDF to explore barriers to medication error reporting. Data were analyzed through framework analysis using NVivo 14.0 until thematic saturation was reached. Results: Analysis of semi-structured interviews explored 14 Theoretical Domains Framework (TDF) domains influencing medication error reporting among Chinese healthcare professionals, with 21 barriers and 15 facilitators delineated. Notably, eight domains emerged as predominant barriers: Knowledge, Skills, Beliefs about capabilities, Beliefs about consequences, Memory, attention and decision processes, Environmental context and resources, Social influences, and Emotion. Conclusion: This study highlights the interplay of individual, cultural, and systemic factors shaping medication error reporting in China. The TDF effectively identified context-specific barriers, including knowledge fragmentation, fear of career repercussions, and inefficient reporting systems. To foster a safety culture, interventions must integrate targeted training, simplified reporting mechanisms, and leadership commitment to non-punitive environments. Cross-professional collaboration and policy enforcement are critical to transforming reporting from a fragmented obligation into a sustainable safety practice. These insights offer a roadmap for optimizing error reporting systems in hierarchical healthcare settings globally.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.