ArticleJournal of nursing management2026
The Relationship Between Barriers to Medical Error Disclosure and Patient Safety Culture: A Cross-Sectional Study.
Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Ethical challenges in medical error disclosure among healthcare professionals in teaching hospitals: a qualitative study.BMC nursing · 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
6 authors.
Funding
Abstract
backgroundChanges in the patient safety culture in hospitals can increase error disclosure, but the relationship between these factors remains unclear.
objectivesTo explore nurses' perceptions of barriers to the disclosure of medical errors in the context of a patient safety culture and to identify relevant influencing factors.
designCross-sectional study. SETTINGS: Two tertiary and two secondary comprehensive hospitals in southwestern China.
participantsChinese registered nurses who were employed in secondary or tertiary comprehensive hospitals.
methodsIn May 2023, electronic questionnaires were distributed to all nurses in the selected hospitals. The survey included nurses' characteristics, a hospital survey on patient safety culture, and the Chinese version of the barriers to error disclosure assessment (C-BEDA) tool. The data thus collected were subjected to descriptive and multiple linear regression analyses.
resultsThe effective recovery rate was 96.23% (792/823). Nurses reported that financial concerns represented the greatest barrier to medical error disclosure, followed by psychological barriers and knowledge barriers. A multiple linear regression analysis revealed that working departments, communication openness, feedback and communication about errors, nonpunitive responses to errors, teamwork across units, and hand-offs and transitions collectively accounted for 27.2% of the variation in nurses' confidence and knowledge barriers. Age, title, managerial position, tenure, marital status, and continuous improvement in organizational learning explained 28.7% of the variation in the institutional barriers faced by nurses. Gender, title, tenure, supervisor/manager expectations, actions taken to promote patient safety, and openness to communication explained 10.2% of the variation in the psychological barriers faced by nurses.
conclusionsTo encourage nurses to disclose medical errors effectively, hospitals must first address nurses' concerns regarding economic issues and provide them with comprehensive training in error disclosure alongside psychological support. Hospitals should prioritize the establishment of a patient safety culture at the unit level, particularly with respect to organizational learning, continuous improvement, and openness to communication.
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