Patient safety practices and medical errors: Perception of health care providers at Jimma University Specialized Hospital, Southwest Ethiopia

Abstract

Background: Even though evidences are limited in developing countries, the probability of patients being harmed in hospitals when receiving care might be much greater than that of the industrialized nations. Thus, aim of this study was to assess patient safety practice and the perceived prevalence of medical errors at Jimma University Specialized Hospital, Southwest Ethiopia. Methods: A facility based cross-sectional study was conducted during June, July and August 2010 in Jimma University Specialized Hospital. Patient safety grade and the perceived prevalence of medical errors were computed descriptively. Then, the effect of various independent variables on patient safety grade was assessed using multiple linear regressions analysis. Result: The overall patient safety grade as rated by the participants was excellent (7.2%), very good (20.7%), acceptable (36.0%), poor (30.0%) and failing (6.4%). Complications related to anesthesia occurred sometimes, rarely and never according to 30.8%, 43% and 15.8% of the respondents, respectively. Death in low mortality patients was reported to occur most of the time by 10.4% of the respondents. In addition, failure to rescue, infection due to medical care, postoperative hemorrhage, postoperative sepsis, birth injury to the neonate, obstetric trauma to the mother were reported to happened. Supervisor expectation and actions promoting patient safety (p < 0.001), and communication openness and feedback about errors (p = 0.002) had positive correlation with patient safety grade. Conclusion: this study indicated that poor patient safety practice and potentially preventable medical errors in the hospital.

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Assefa, T. , Woldie, M. , Ololo, S. and Woldemichael, K. (2012) Patient safety practices and medical errors: Perception of health care providers at Jimma University Specialized Hospital, Southwest Ethiopia. Open Journal of Preventive Medicine, 2, 162-170. doi: 10.4236/ojpm.2012.22024.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Euro Med. (2008) Patient safety: A global public health issue and a concern for Europe. Lunch Debate, MedTech Forum.
[2] Richard, E.A. and Joseph, A.B. (2004) A community survey of medical errors in New York. International Journal for Quality in Health Care, 16, 353-362. doi:10.1093/intqhc/mzh063
[3] WHO. (2002). Health professionals call for priority on patient safety. World Health Professions Alliance Fact Sheet.
[4] The Medical News. (2007) Hand hygiene initiative aims to decrease healthcare associated infection in developing countries. The Medical News, 21, 35. http://www.journals.uchicago.edu/
[5] Institute of Medicine. (1999). To err is human: Building a safer health system. National Academy Press, Washington DC.
[6] Manasse, H.R. Jr. Turnbull J.E. and Diamond, L.H. (2002) Patient safety: Review of the contemporary American experience. Singapore Medical Journal, 43, 254-262.
[7] National Audit Office. (2005), A safer place for patients: Learning to improve patient safety. The Controller and Auditor General, London.
[8] Charlton Research Company for Research America. (2005) Health care and health services research. National Survey.
[9] Waterman, A.D., Garbutt, J., Hazel, E., Dunagan, W.C., Levinson, W., Fraser, V.J. and Gallagher, T.H. (2007) The emotional impact of medical errors on practicing physiccians in the United States and Canada. The Joint Commission Journal on Quality and Patient Safety, 33, 467- 476.
[10] Regional Committee for Africa of WHO. (2008) Patient safety in African health services: Issues and solutions. Yaounde, Republic of Cameroon.
[11] Westat, R., Joann, S. and Veronica, N. (2004) Hospital survey on patient safety culture; Agency for healthcare research and quality US Department of Health and Human Services AHRQ. http://www.ahrq.gov
[12] Tapko, J.B., Sam, O. and Diarra-Nama, A.J. (2004) Status of blood safety in the WHO African region: Report of the 2004 survey, World Health Organization, Regional Office for Africa, Brazza-ville.
[13] Kermode, M. (2004) Unsafe injections in low-income country health settings. Need for injection safety promotion to prevent the spread of blood-borne viruses. Health Promotion International, 19, 95-103. doi:10.1093/heapro/dah110
[14] Lori, D.B., Lynne, M.F., Nadwa, R. and Theresa, H. (1998) Quality assurance of health care in developing countries; Quality Assurance Methodology Refinement Series. Quality Assurance Project, USA.
[15] Ietje, H.R. and Rainer, S. (1996) Quality of primary health care in developing countries: Recent experiences and future directions. International Journal for Quality in Health Care, 8, 131-139.
[16] Rockville. (2000) Medical errors: The scope of the problem. Agency for Healthcare Research and Quality. http://www.ahrq.gov/qual/errback.htm
[17] Dankelman, J. and Grimbergen, C.A. (2005) Systems approach to reduce errors in surgery. Surgical Endoscopy, 19, 1017-1021. doi:10.1007/s00464-005-8109-0
[18] Mikkelsen, J.M. and Holm, H.A. (2007) Contextual learning to improve health care and patient safety. Education for Health, 20, 3. http://www.educationforhealth.net

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