title: Medication errors of nurses and factors in refusal to report medication errors among nurses in a teaching medical center of iran in 2012.
abstract: BACKGROUND
  About one third of unwanted reported medication consequences are due to medication errors, resulting in one-fifth of hospital injuries.
  
  
  OBJECTIVE
  The aim of this study was determined formal and informal medication errors of nurses and the level of importance of factors in refusal to report medication errors among nurses.
  
  
  METHODS
  The cross-sectional study was done on the nursing staff of Shohada Tajrish Hospital, Tehran, Iran in 2012. The data was gathered through a questionnaire, made by the researchers. The questionnaires' face and content validity was confirmed by experts and for measuring its reliability test-retest was used. The data was analyzed by descriptive statistics. We used SPSS for related statistical analyses.
  
  
  RESULTS
  The most important factors in refusal to report medication errors respectively were: lack of medication error recording and reporting system in the hospital (3.3%), non-significant error reporting to hospital authorities and lack of appropriate feedback (3.1%), and lack of a clear definition for a medication error (3%). There were both formal and informal reporting of medication errors in this study.
  
  
  CONCLUSIONS
  Factors pertaining to management in hospitals as well as the fear of the consequences of reporting are two broad fields among the factors that make nurses not report their medication errors. In this regard, providing enough education to nurses, boosting the job security for nurses, management support and revising related processes and definitions are some factors that can help decreasing medication errors and increasing their report in case of occurrence.
authors.affiliation: Department of Health Economic and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Davoud
authors.initials: D
authors.lastname: Mostafaei
authors.affiliation: Department of Health Service, School of Medical Information Management, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Barati Marnani
authors.affiliation: Department of Health Services, School of Medical Information Management, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Haleh
authors.initials: H
authors.lastname: Mosavi Esfahani
authors.affiliation: Department of Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Estebsari
authors.affiliation: Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR Iran.
authors.forename: Shiva
authors.initials: S
authors.lastname: Shahzaidi
authors.affiliation: Research Center of Community Based Participatory, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Ensiyeh
authors.initials: E
authors.lastname: Jamshidi
authors.affiliation: Ran Helal Institute of Applied Sciences and Technology, Tehran, IR Iran.
authors.forename: Seyed Samad
authors.initials: SS
authors.lastname: Aghamiri
keywords: Medication Error; Nurse; Reporting System