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Therefore, it seems important that healthcare organization leaders provide adequate resource and support to physicians for the prevention and management of errors [ 39 ]. The results of this study should be interpreted in the light of several limitations. The use of self-administered questionnaires may allow respondents to over- or underreport attitude and practice.

We are confident that responses were self-reported in an anonymous and confidential setting but, given the nature of surveyed topic, we may not exclude over-inflated responses.

If true, we might consider an even worst scenario than that depicted by physicians. In Italy, patient safety culture among hospital physicians has not been extensively studied and our results add information about physicians' knowledge, attitudes and behavior that represent one important step to understand the perceived patient safety climate before implementing initiatives in healthcare organizations. In particular, it is really impressive that so many of the surveyed physicians believe that reporting is an effective measure, and since this is strongly recommended by the Ministry of Health, it may be the consequence of the appeal government institutions or local quality experts providing continuing education courses have on physicians.

The results from our study highlight that greater efforts are needed to facilitate the translation of particularly positive attitudes into appropriate practices that have proved to be effective in reducing medical errors. Oxford University Press is a department of the University of Oxford. It furthers the University's objective of excellence in research, scholarship, and education by publishing worldwide. Sign In or Create an Account. Sign In. Advanced Search. Article Navigation.

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Supplementary material. Patient safety and medical errors: knowledge, attitudes and behavior among Italian hospital physicians Domenico Flotta. Chair of Hygiene, Medical School. Oxford Academic. Google Scholar. Paolo Rizza. Aida Bianco. Claudia Pileggi. Maria Pavia.

Cite Citation. Permissions Icon Permissions. Abstract Objective. Italy , medical errors , physicians , risk management. Open in new tab. Perceived causes and physicians' response to occurrence of medical errors.

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The reliability of medical record review for estimating adverse event rates. Search ADS. The incidence and nature of in-hospital adverse events: a systematic review. An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Healthcare climate: a framework for measuring and improving patient safety.


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Google Preview. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Ministero del Lavoro, della Salute e delle Politiche Sociali. La Pietra. What practices will most improve safety? Evidence-based medicine meets patient safety. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.

Nurse staffing and healthcare outcomes: a systematic review of the international research evidence. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Information in the ICU: are we being honest with our patients?

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Disclosure of Errors | AHRQ Patient Safety Network

The results of a European questionnaire. Disclosing harmful medical errors to patients: tackling three tough cases. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. Executive Office of Elder Affairs Mass. General Hospital Mass.

Enhancing Patient Safety: Factors Influencing Medical Error Recovery Among Medical-Surgical Nurses

Independent Pharmacists Mass. Medical Society Mass. Pharmacists Association Mass. Senior Care Association Mass. The Massachusetts Coalition The Massachusetts Coalition for the Prevention of Medical Errors is a public-private partnership whose mission is to improve patient safety and eliminate medical errors in Massachusetts. At least 44, people, and perhaps as many as 98, people, die in hospitals each year as a result of medical errors that could have been prevented, according to estimates from two major studies. Even using the lower estimate, preventable medical errors in hospitals exceed attributable deaths to such feared threats as motor-vehicle wrecks, breast cancer, and AIDS.

Medical errors can be defined as the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim. Among the problems that commonly occur during the course of providing health care are adverse drug events and improper transfusions, surgical injuries and wrong-site surgery, suicides, restraint-related injuries or death, falls, burns, pressure ulcers, and mistaken patient identities.

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High error rates with serious consequences are most likely to occur in intensive care units, operating rooms, and emergency departments. Beyond their cost in human lives, preventable medical errors exact other significant tolls. One oft-cited problem arises from the decentralized and fragmented nature of the health care delivery system - or "nonsystem," to some observers.

Patient Safety Healthcare Errors

When patients see multiple providers in different settings, none of whom has access to complete information, it becomes easier for things to go wrong. Medical information is becoming increasingly complex and for various reasons time constraints, stress of multitasking, too many patients, not enough staff, learning curve with health IT, lack of awareness, etc. Health care professionals may not even know when patients do not understand, nor do patients ask their providers to explain complicated information perhaps due to embarrassment or fear of questioning the "experts".

Preventing Medical Injury.


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