Volume 15, Issue 1 (6-2016)                   jhosp 2016, 15(1): 31-40 | Back to browse issues page

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Doshmangir L, Torabi F, Ravaghi H, Akbari Sari A, Mostafavi H. Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study. jhosp 2016; 15 (1) :31-40
URL: http://jhosp.tums.ac.ir/article-1-5554-en.html
1- Assisstant professor, Department of Health Services Management, School of Management and Medical Informatics, Iranian Center of Excellence in Health Management, Health Services Management Research Center Tabriz University of Medical Sciences, Tabriz, Iran
2- Health Technology Assessment Department, Technology Assessment, standards & tariff Health office, Ministry of Health and Medical Education, Tehran, Iran
3- Professor, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
4- Associated Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran, (*Corresponding author), E-mail: Akbarisari@tums.ac.ir , Akbarisari@tums.ac.ir
5- PhD candidate in Health Policy, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
Abstract:   (8712 Views)

Background: Medical errors and adverse events are the main reasons of many avoidable deaths and imposed expenditures in worldwide health systems. Hence, this study aimed to recognize some challenges, medical errors and adverse events, and to address the appropriate solutions in order to solve them in the Iranian health system.

Materials and Methods: This qualitative study had three main data resources including key informants, national documents and expert panel. Key informants (30 persons) and experts (12 persons) were selected purposefully from macro, meso and micro levels of health system and some other health related organizations. Data were interpreted and analyzed through a mixed (inductive/deductive) thematic framework.

Results: Although, most reasons of medical errors were in relation with weak patient security system and low level security culture in hospitals, other factors like manpower, physical and external agents of hospital environment induced these errors as well. The most considerable solutions to decrease the medical errors comprised identification of medical error reasons in different levels of heath system, errors documentation and generation a consolidated system for recognition and following the errors and their main causes.

Conclusion: Relieveing the reasons of medical errors and adverse events can be a great step to prevent them. In order to eliminate the medical errors and its challenges, it is necessary to develop the consonant programs in national level via conclusive will of organizations, groups and related individuals.

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Type of Study: Original Article | Subject: کیفیت خدمات و ایمنی بیمار در بیمارستان
Received: 2015/09/4 | Accepted: 2016/01/27 | Published: 2016/03/3

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