Navigation Links
Study: Reluctance to Speak Up Encourages Medical Errors

TUESDAY, March 22 (HealthDay News) -- Nurses often don't speak up about incompetent colleagues or when they see fellow health-care workers making mistakes that could harm patients, new research finds.

In recent years, many hospitals have taken steps to reduce medical errors through measures such as checklists, patient handoff protocols, computerized order entry systems and automated medication-dispensing systems.

But the study, which included 6,500 nurses and nurse managers across the United States, found that too often, nurses don't alert their colleagues when they see a safety measure being violated.

About 85 percent of nurses said a safety measure had warned them about a problem that might have been missed and could have resulted in patient harm. However, 58 percent of these workers admitted that even though they received the warning, they failed to speak up and solve the problem.

More than 80 percent of nurses said they had concerns about three "undiscussable" issues demonstrated by colleagues: dangerous shortcuts, incompetence and disrespect, the investigators found.

On the issue of shortcuts, more than 50 percent of the study participants said they had witnessed events in which dangerous shortcuts led to near misses or caused harm to patients, but only 17 percent of those nurses discussed their concerns with colleagues.

The study also found that more than one-third of participants reported witnessing incompetence that had led to a near miss or actual harm to a patient, but only 11 percent of these witnesses confronted the colleague that they considered incompetent.

The third "undiscussable" issue, disrespect, was cited as the reason why more than half of the study participants could not get others to listen to them or value their professional opinion. Only 16 percent of those who felt ignored actually confronted their disrespectful colleague, the study noted.

The findings show that while safety measures can help prevent medical errors, cultures of silence in U.S. hospitals may undermine their effectiveness, the researchers noted.

"The report confirms that tools don't create safety; people do. Safety tools will never compensate for communication failures in the hospital," David Maxfield, vice president of research at VitalSmarts and lead researcher of the study, said in a news release from the American Association of Critical-Care Nurses.

The American Association of Critical-Care Nurses and the Association of periOperative Registered Nurses partnered with VitalSmarts, a corporate training and organizational performance consulting firm, in an attempt to see how communication barriers can lead to medical errors.

The study, "The Silent Treatment," was to be released March 22.

Because this study was presented at a briefing, the data and conclusions should be viewed as preliminary until published in a peer-reviewed journal.

More information

The U.S. Centers for Disease Control and Prevention offers patient safety tips.

-- Robert Preidt

SOURCE: American Association of Critical-Care Nurses, news release, March 22, 2011

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. IU study: Smoke-free air law had no effect on off-track betting facility business activity
2. Study: Multi-tasking on the street not a good idea for older people
3. Study: Lack of Vitamin D May Precede Onset of Parkinsons
4. UTHealth study: Stem cells may provide treatment for brain injuries
5. Study: Homeless patients cost $2,500 more than the average patient for each hospital stay
6. Study: Negative classroom environment adversely affects childrens mental health
7. Ohio State study: Targeted ovarian cancer therapy not cost-effective
8. Study: Facebook photo sharing reflects focus on female appearance
9. Study: Happiness improves health and lengthens life
10. New study: Medical and financial impact of drug-related poisonings treated in US EDs
11. Global ISU study: Invasive species widespread, but not more than at home range
Post Your Comments:
Related Image:
Study: Reluctance to Speak Up Encourages Medical Errors
(Date:11/25/2015)... ... ... In an ongoing Clinical Study conducted by an independent physician, Andrew Gostine, ... evaluating the efficacy of its product and its disinfection protocol. This study is taking ... 2014 through October 2015 at a 360-bed, acute-care, academic medical center located in Chicago, ...
(Date:11/25/2015)... ... November 25, 2015 , ... In ... nation’s Periwinkle Pioneers, individuals and groups responsible for advancing care for pulmonary hypertension ... Pioneers, nominated by the public, will receive special recognition throughout 2016 as part ...
(Date:11/25/2015)... ... 25, 2015 , ... Many people know of the common symptoms of low ... dry skin. But many people who find their cholesterol levels and weight are creeping ... thyroid, especially if they don’t have any of the other symptoms. , Thyroid hormone ...
(Date:11/25/2015)... ... November 25, 2015 , ... Bunion ... in an early celebration of the early holiday shopping season. Starting Wednesday November ... (normally $33.95 ea). Black Friday promotional pricing is in addition to any automatic ...
(Date:11/24/2015)... ... ... New patients who wish to seek treatment for missing teeth can now ... Mississauga, ON practice. Dr. Williams has been providing dental service for over 34 years, ... teeth can lead to a variety of complications if they are not replaced quickly, ...
Breaking Medicine News(10 mins):
(Date:11/24/2015)... 2015  Thanks to a donor with a personal ... Center,s Sister Diane Grassilli Center for Women,s Health now ... San Francisco . Fred ... with a gift of $617,320 that allowed the Center ... Tomosynthesis and Whole Breast Ultrasound. Tomosynthesis, three-dimensional (3-D) mammography ...
(Date:11/24/2015)... Nov. 24, 2015 /PRNewswire/ - ESSA Pharma Inc. ("ESSA" ... announced today that the first patient has been enrolled ... a treatment for metastatic castration-resistant prostate cancer ("mCRPC"). ... --> the United States ... Phase 1/2 clinical trial, ESSA intends to demonstrate the ...
(Date:11/24/2015)... PUNE, India , November 24, 2015 ... new market research report "Spine Biologics Market by Product Type ... Type (Anterior Cervical Discectomy and Fusion, Posterior Lumbar Interbody Fusion), ... by MarketsandMarkets, the global market was valued at $1.90 Billion ... 2020, at a CAGR of 4.4% during the forecast period ...
Breaking Medicine Technology: