Bold Voices - May 2012 - (Page 12)

AT THE BEDSIDE Hospital Workers Reluctant to Report Medical Errors Most nurses and other health professionals working in hospitals are reluctant to report errors, finds a survey released in February by the Agency for Healthcare Research and Quality (AHRQ), Rockville, Md. “Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report” reveals that nearly two-thirds of 567,703 staffers at 1,128 hospitals think mistakes are kept in personnel files. When an adverse event is reported, 54 percent say, “It feels like the person is being written up, not the problem.” These AHRQ survey echoes numbers haven’t the findings of an AACN improved substantially collaborative survey, since AHRQ’s first patient‘The Silent Treatment.’ safety culture report in 2007, notes a Feb. 20 article in American Medical News. “This is a major problem in hospitals, that we still have this residue of a pretty punitive culture,” says James B. Battles, social science analyst for patient safety at AHRQ’s Center for Quality Improvement and Patient Safety. “We have our work cut out for us.” The Joint Commission and patient safety advocates say hospitals must create environments where professionals feel comfortable admitting errors without fear of discipline. “You could see how the traditional approach — an event is reported and someone is written up — has a hall monitor in elementary school feeling to it,” Bob Wachter, chief of medical service at University of California, San Francisco Medical Center, tells American Medical News. “It’s extraordinarily destructive in a patient safety context.” The survey isn’t an end point but rather a beginning, AHRQ adds. The agency encourages hospitals to develop action plans to improve patient safety, communicate those plans with staff, track progress and share what works. How is error reporting handled in your unit or hospital? Tell us at, click on the blue autoreply button in the digital edition or leave a wall comment at 12 MAY 2012

Table of Contents for the Digital Edition of Bold Voices - May 2012

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Your NTI Checklist
AACN, Case Western Reserve University Announce Innovative DNP, PhD Collaboration
Patients at End of ICU Rounds Receive Less Face Time
Medical Panel Members Have Conflicts of Interest
Adverse Events Unreported
Penn Nursing Study: Nurse Burnout a Worldwide Problem
Low-Cost Changes to Nurses' Work Environment Also Benefit Patients
Hospital Workers Reluctant to Report Medical Errors
Flame of Excellence Awards
Circle of Excellence Awards
UTI Prevention Lower Priority Than Other HAIs
Children at Higher Risk for Infection in Intensive Care
Cameras, Feedback: Effective Tools to Enforce Hand Washing
In Our Journals
More Coronary Events Associated With Dabigatran
Certification Capsules
Publishing-related Events at NTI
Stay Connected at NTI
From the President

Bold Voices - May 2012