| Summary: | 碩士 === 國立陽明大學 === 臨床護理研究所 === 105 === Purpose：To understand physicians’ and nurses’ attitude and barries regarding disclosure, reporting and recording of medical and medication errors.
Background：Medical and medication errors are global issue. Preventing the recurrence of these errors must rely on reporting and learning from this experience. However the clinical staff is generally reluctant to report and disclosure. Recording the event on the patient’s chart is a major challenge for them. Therefore, exploring physicians and nurses’ attitude and barries regarding disclosure, reporting and recording is the first step to reduce medical and medication errors.
Methods：A cross-sectional, descriptive design with a self-administered questionnaire was completed by the physicians and nurses of a medical centre in northern Taiwan.
Results：A total of 118 physicians and 133 nurses participated in this study. The major barriers for reporting was fear-fear of medical disputes and litigation issue. Under 30 years old, with less than 5 years of working experience and BS degree nurses have the greatest barriers towarding reporting of medication errors. Nurses of older age and work as supervisors have a more positive attitude toward reporting. The senior, master or doctor degree, and attending physicians are more positive in reporting attitude. Legal and litigation issues are the major barriers for disclosure. The physicians are more positive in disclosure attitude and have less disclosure barriers than nurses. The nurses have more "fear" barriers and less " reporting perception" and "supervisor influence" barriers than the physicians. The more positive of reporting attitude, the lower barriers perceived.
Conclusions：Legal disputes are the most concerned issue of clinical staff. However medical itself has its own risks and hazards, the government should consider to develop the relevant laws to protect medical staff from fear of litigation. For physicians who have no intention on reporting, medical institutions should establish a mechanism to strengthen the physician’s intention and educate patient safety in medical school to strengthen these concepts.
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