Factors influencing perioperative nurses' error reporting preferences.

Sherry Espin; Glenn Regehr; Wendy Levinson; Ross Baker; Christina Biancucci; Lorelei A Lingard

Study

Factors influencing perioperative nurses' error reporting preferences.

March 28, 2007

Espin S, Regehr G, Levinson W, et al. AORN J. 2007;85(3):527-43.

View more articles from the same authors.

The researchers presented perioperative nurses with four scenarios to assess their identification of errors and whether they would report them. The investigators found that perceived scope of practice greatly influenced reporting preference.

PubMed citation

Available at

Related Resources From the Same Author(s)

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

January 11, 2006

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.

January 3, 2007

Clinical oversight: conceptualizing the relationship between supervision and safety.

July 25, 2007

Evaluation of a preoperative team briefing: a new communication routine results in improved clinical practice.

June 8, 2011

Silence, power and communication in the operating room.

June 17, 2009

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.

September 21, 2011

Catching and correcting near misses: the collective vigilance and individual accountability trade-off.

April 11, 2012

Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room.

June 14, 2006

Learning from near misses: from quick fixes to closing off the Swiss-cheese holes.

March 7, 2012

Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication.

January 23, 2008

Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity.

December 8, 2010

Communication failures in the operating room: an observational classification of recurrent types and effects.

March 6, 2005

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

August 28, 2013

Views of children, parents, and health-care providers on pediatric disclosure of medical errors.

April 11, 2018

Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR.

October 19, 2005

Piece of my mind. Stories doctors tell.

July 19, 2017

Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions.

October 3, 2012

Evaluation of preoperative and perioperative operating room briefings at the Hospital for Sick Children.

August 26, 2009

Disclosing medical errors to patients: a challenge for health care professionals and institutions.

October 21, 2009

Interprofessional communication and medical error: a reframing of research questions and approaches.

October 29, 2008

Allowing failure for educational purposes in postgraduate clinical training: a narrative review.

July 24, 2019

Patient safety, resident well-being and continuity of care with different resident duty schedules in the intensive care unit: a randomized trial.

March 18, 2015

Resident hesitation in the operating room: does uncertainty equal incompetence?

November 21, 2018

Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings.

July 1, 2015

"First, do no harm": balancing competing priorities in surgical practice.

October 10, 2012

Physicians with multiple patient complaints: ending our silence.

May 8, 2013

Clinicians in quality improvement: a new career pathway in academic medicine.

February 25, 2009

Disclosing harmful medical errors to patients: a time for professional action.

September 21, 2005

Disclosing medical errors to patients: a status report in 2007.

August 15, 2007

JAMA professionalism: disclosure of medical error.

August 24, 2016

Disclosing errors that affect multiple patients.

June 3, 2009

The incidence of adverse events among home care patients.

January 30, 2013

Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.

June 21, 2017

Quantification of the Hawthorne effect in hand hygiene compliance monitoring using an electronic monitoring system: a retrospective cohort study.

November 26, 2014

Disclosing harmful medical errors to patients.

July 11, 2007

Quality improvement in medical education: current state and future directions.

January 18, 2012

Evaluating teamwork in a simulated obstetric environment.

May 9, 2007

Identification of serious and reportable events in home care: a Delphi survey to develop consensus.

March 5, 2014

Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations.

February 13, 2019

Teaching medical error disclosure to physicians-in-training: a scoping review.

May 8, 2013

Associations between patient factors and adverse events in the home care setting: a secondary data analysis of two Canadian adverse event studies.

June 28, 2017

'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety.

November 20, 2019

How surgeons disclose medical errors to patients: a study using standardized patients.

December 7, 2005

Parent preferences for medical error disclosure: a qualitative study.

February 1, 2017

Teaching quality improvement and patient safety to trainees: a systematic review.

June 30, 2010

Patients' and physicians' attitudes regarding the disclosure of medical errors.

March 6, 2005

Assessing adverse events among home care clients in three Canadian provinces using chart review.

November 27, 2013

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.

February 8, 2023

Trainees' perceptions of being allowed to fail in clinical training: a sense-making model.

December 14, 2022

'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors.

November 24, 2021

Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory.

September 11, 2013

Waking up the next morning: surgeons' emotional reactions to adverse events.

December 12, 2012

Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria.

July 13, 2016

The role of quality improvement and patient safety in academic promotion: results of a survey of chairs of departments of internal medicine in North America.

April 20, 2011

The emotional impact of medical errors on practicing physicians in the United States and Canada.

August 1, 2007

The costs of developing, implementing, and operating a safety learning system in community practice.

December 11, 2013

Lost opportunities: how physicians communicate about medical errors.

January 23, 2008

Engaging patients to improve quality of care: a systematic review.

November 7, 2018

Development of a checklist of safe discharge practices for hospital patients.

April 24, 2013

Learning through experience: influence of formal and informal training on medical error disclosure skills in residents.

April 19, 2017

Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.

March 18, 2015

US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients.

August 16, 2006

Description of the development and validation of the Canadian Paediatric Trigger Tool.

January 30, 2005

Long-term care nurses' experiences with patient safety incident management: a qualitative study.

August 4, 2021

The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada.

March 6, 2005

Choosing your words carefully: how physicians would disclose harmful medical errors to patients.

August 16, 2006

The sensitivity of adverse event cost estimates to diagnostic coding error.

December 7, 2011

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

February 29, 2012

The attitudes and experiences of trainees regarding disclosing medical errors to patients.

March 19, 2008

How trainees would disclose medical errors: educational implications for training programmes.

April 13, 2011

A piece of my mind. Coping with fallibility.

March 6, 2005

Risk managers, physicians, and disclosure of harmful medical errors.

February 24, 2010

On the ball: leadership for patient safety and learning in critical care.

August 12, 2009

Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study.

August 22, 2012

The heart of darkness: the impact of perceived mistakes on physicians.

March 6, 2005

Disclosing adverse events to patients: international norms and trends.

April 30, 2014

Strategies for developing and recognizing faculty working in quality improvement and patient safety.

June 1, 2016

Talking with patients about other clinicians' errors.

November 6, 2013

Beyond the Quick Fix: Strategies for Improving Patient Safety.

November 25, 2015

Disclosing unanticipated outcomes to patients: the art and practice.

September 12, 2007

Interventions to reduce the consequences of stress in physicians: a review and meta-analysis.

July 9, 2014

Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.

May 25, 2016

How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England.

August 23, 2017

Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme.

June 22, 2022

Integrating implementation science in a quality and patient safety improvement learning collaborative: essential ingredients and impact.

April 19, 2023

Fatal flaws in clinical decision making.

January 30, 2019

Bedside shift report improves patient safety and nurse accountability.

July 28, 2010

How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners.

August 24, 2022

Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service.

November 21, 2018

Activating knowledge for patient safety practices: a Canadian academic-policy partnership.

January 30, 2005

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.

November 24, 2021

Intentionally harmful violations and patient safety: the example of Harold Shipman.

July 1, 2009

The impact of errors on healthcare professionals in the critical care setting.

April 24, 2019

Aiming higher to enhance professionalism: beyond accreditation and certification.

May 27, 2015

Contribution of Governance to Patient Safety Initiatives in Australia, England, New Zealand and the United States.

April 4, 2007

Measures of patient safety in developing and emerging countries: a review of the literature.

March 17, 2010

Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care?

September 11, 2019

Enhancing Surgical Systems.

October 15, 2008

Implementation of a colour-coded universal protocol safety initiative in Guatemala.

August 8, 2018

Tracing the foundations of a conceptual framework for a patient safety ontology.

September 22, 2010

Related Resources

Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries.

May 24, 2023

Individual characteristics that promote or prevent psychological safety and error reporting in healthcare: a systematic review.

May 10, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

Identifying boundary spanning reporter roles in patient safety events.

August 24, 2022

Exploring nurses' attitudes, skills, and beliefs of medication safety practices.

August 24, 2022

Association of physician burnout with suicidal ideation and medical errors.

January 27, 2021

Nurse burnout predicts self-reported medication administration errors in acute care hospitals.

January 20, 2021

A machine learning approach to reclassifying miscellaneous patient safety event reports.

July 29, 2020

Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries.

July 15, 2020

Participation in a system-thinking simulation experience changes adverse event reporting.

July 8, 2020

Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities.

March 11, 2020

The influence of organizational culture, climate and commitment on speaking up about medical errors.

December 18, 2019

The courage to speak out: a study describing nurses' attitudes to report unsafe practices in patient care.

August 14, 2019

The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic.

June 5, 2019

Using incident reports to assess communication failures and patient outcomes.

April 17, 2019

Targeting the fear of safety reporting on a unit level.

March 20, 2019

Race differences in reported harmful patient safety events in healthcare system high reliability organizations.

January 23, 2019

Impact of high-reliability education on adverse event reporting by registered nurses.

October 10, 2018

Making an infusion error: the second victims of infusion therapy-related medication errors.

May 30, 2018

Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.

May 16, 2018

Medication errors: the school nurse as second victim.

May 2, 2018

Diagnostic reasoning and cognitive biases of nurse practitioners.

April 25, 2018

Taking bullying out of health care: a patient safety imperative.

January 10, 2018

Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action.

December 6, 2017

Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes.

August 2, 2017

Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors.

July 19, 2017

Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices.

June 28, 2017

Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach.

June 21, 2017

Evaluating situation awareness: an integrative review.

May 10, 2017

See More About The Topic

Hospitals

Nurses

Health Care Executives and Administrators

Nursing

Epidemiology of Errors and Adverse Events

Factors influencing perioperative nurses' error reporting preferences.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Factors influencing perioperative nurses' error reporting preferences.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site